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File #: 25-0535    Version: 1 Name:
Type: CM Action Item - Health and Human Services Status: Agenda Ready
File created: 6/27/2025 In control: Board of Commissioners
On agenda: 7/9/2025 Final action:
Title: Requesting approval to renew existing contracts - Department of Behavioral Health and Developmental Disabilities, 22RFP0388A-CJC (D), Fulton County Behavioral Health Network with Grady Memorial Hospital d/b/a Grady Health System (Grady) in an amount not to exceed $12,620,456.89 to expand services to provide full-service operation and management of the Fulton County Behavioral Health Crisis Center (BHCC). This action exercises the second of eight renewal options. Six renewal options remain. Effective upon BOC approval through June 30, 2026.
Attachments: 1. Grady BHCC Contract Renewal 6.27
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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Department

Behavioral Health and Development Disabilities

 

Requested Action (Identify appropriate Action or Motion, purpose, cost, timeframe, etc.)

title

 

Requesting approval to renew existing contracts - Department of Behavioral Health and Developmental Disabilities, 22RFP0388A-CJC (D), Fulton County Behavioral Health Network with Grady Memorial Hospital d/b/a Grady Health System (Grady) in an amount not to exceed $12,620,456.89 to expand services to provide full-service operation and management of the Fulton County Behavioral Health Crisis Center (BHCC). This action exercises the second of eight renewal options. Six renewal options remain. Effective upon BOC approval through June 30, 2026.

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Requirement for Board Action
(Cite specific Board policy, statute or code requirement)

In accordance with Purchasing Code Section 102-394(6), the Purchasing Department shall present all renewal requests to the Board of Commissioners at least 90 days prior to the contract renewal date, 60 days if the contract term is six (6) months or less.

 

Strategic Priority Area related to this item (If yes, note strategic priority area below)

Health and Human Services

 

Commission Districts Affected

All Districts                     

District 1                     

District 2                     

District 3                     

District 4                     

District 5                     

District 6                     


Is this a purchasing item?

Yes

 

Summary & Background: The County entered into a contract with Grady Memorial Hospital d/b/a Grady Health System (Grady) to provide Behavioral Health Network services, effective January 1, 2023.

The County established the Behavioral Health Network to provide highly coordinated and person- centered services across a continuum of care; to provide expanded services to help the County drive towards its purpose to increase access to behavioral health services, to establish a countywide provider network, and to strengthen the experience of clients seeking behavioral health services. The County received an initial award in the amount of $5,688,919.00 to provide services from July 1, 2023 to June 30, 2024, during which the Behavioral Health Crisis Center was under construction. An additional renewal request was approved of $3,792,613.00 to cover services from July 1, 2024 to June 30 2025, for a total contract amount of $9,481,532. The BHCC has been operating at a reduced capacity, 12 Crisis Stabilization beds and 6 Observation chairs during this time. The department is requesting an increase in spending authority not to exceed $3,138,924.89, to support the contract renewal. The renewal request for $12,620,456.89 will maximize capacity at 24 beds and 16 observation chairs from July 1, 2025 through June 30, 2026 (90 day onboarding).

The County amended the contract with Grady to expand services to provide full-service operation and management of the new Fulton County Behavioral Health Crisis Center in order for the County to provide expanded services to help the County drive towards its purpose to establish a countywide provider network.

 

Scope of Work: The Behavioral Health Crisis Center (BHCC) is an emergency behavioral healthcare alternative for adults that offers prompt action, gentle response, and effective support in a respectful and safe environment. The BHCC comprises of three components to mitigate an individual's crisis that will include the following service components: (1) Crisis Service Center (CSC) with a peer led "Living Room"; (2) 16 Chair Temporary Observation Unit; and (3) 24 Bed Crisis Stabilization Unit (CSU).

 

Community Impact: Fulton County Department of Behavioral Health & Developmental Disabilities will expand access to mental health and substance use crisis care; Prevent suicide; Relieve regional emergency departments from misdirected diversions; and Strengthen the Continuum of Care by driving toward its purpose to increase access to behavioral health services, establish a County-wide provider network, and strengthen the experience of clients seeking behavioral health services from Fulton County.

 

Department Recommendation: Recommend approval.

 

Project Implications: None

 

Community Issues/Concerns: None

 

Department Issues/Concerns: None

 

Contract Modification

 

Current Contract History

BOC Item

Date

Dollar Amount

Original Award Amount

24-0016

1/10/2024

$5,688,919.00

1st Renewal

24-0450

06/26/2024

$3,792,613.00

2nd Renewal

 

 

$12,620,456.89

Total Revised Amount

 

 

$22,101,988.89

Contract & Compliance Information (Provide Contractor and Subcontractor details.)

Contract Value:                                                               $12,620,456.89

Prime Vendor:                                          Grady Memorial Hospital d/b/a

                        Grady Health System (Atlanta, GA)

Prime Status:                                            Tier 2+ Provider (O.C.G.A. §37-2-6)

Location:                                                   Atlanta, Georgia

County:                                                     Fulton County

Prime Value:                                             $12,620,456.89 or 100.00%

Subcontractor:                                         N/A                   

 

Total Contract Value:                              $12,620,456.89 or 100.00%

Total Certified Value:                              N/A

 

Exhibits Attached

Exhibit 1: Contract Renewal Agreement

Exhibit 2: Contract Renewal Evaluation Form

Exhibit 3: Performance Evaluation

 

Contact Information

LaTrina Foster, Director, Behavioral Health and Developmental Disabilities,

 

Contract Attached
title

No


Previous Contracts

title

Yes

 

Total Contract Value

Original Approved Amount:

$5,688,919.00

Previous Adjustments:

$3,792,613.00

This Request:

$12,620,456.89

TOTAL:

$22,101988.89

 

Fiscal Impact / Funding Source

Funding Line 1:

461-755-BHC*: Grants, BHDD, Behavioral Health Crisis Ctr - $9,481,532.09                     

Funding Line 2:

100-755- 8226-1160: General, BHDD, Professional Services - $3,138,924.80                     

Key Contract Terms

Start Date: 07/1/2025

End Date: 6/30/2026

Cost Adjustment

Renewal/Extension Terms: Six renewal options remain

 

Overall Contractor Performance Rating:

Would you select/recommend this vendor again?

Yes

 

Report Period Start:

Report Period End: