REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 16, 2021
FROM
WILLIAM L. GILBERT, Director, Arrowhead Regional Medical Center
VERONICA KELLEY, Director, Department of Behavioral Health
SUBJECT
Title
Amendment to Physician Service Agreement with CEP America - California
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1, effective November 16, 2021, to Physician Service Agreement No. 20-1199 with CEP America - California, to update the existing duties and responsibilities and provide increases for psychiatrists associated with the San Bernardino County Department of Behavioral Health - Alcohol and Drug Services, with no overall increase of the total contract amount of $49,680,510 plus variables, with no change to the contract term of January 1, 2021 through December 31, 2023.
(Presenter: William L. Gilbert, Director, 580-6150)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of the recommended amendment to the physician service agreement will not result in the use of additional Discretionary General Funding (Net County Cost). The San Bernardino County Department of Behavioral Health (Behavioral Health) is the only department affected by this amendment. The agreement includes fixed costs, as well as variable costs that are dependent on patient volume. Actual costs for services are funded by State Medi-Cal, Federal Medicare, and private insurances, and, in some cases, reimbursed by County departments. Funding sources may change in the future pending any legislative activity related to the repeal and/or replacement of the Affordable Care Act. Sufficient appropriation and revenue are included in Arrowhead Regional Medical Center's (ARMC) 2021-22 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
On December 15, 2020 (Item No. 18), th...
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