DATE: June 20, 2023
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Retroactive Amendment III to Master Agreement for Multi-Agency Access Program Point Operators
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive third amendment to Master Agreement to revise a contractor’s (Kings View) agreement budget for FY 2022-23, effective March 1, 2023 with no change to the term of January 10, 2017 through June 30, 2024, or compensation maximum of $10,300,000.
REPORT
There is no Net County Cost associated with the recommended action, which will allow the County to revise the Kings View contract budget for FY 2022-23 and allow expense reimbursement for the cost of services provided to residents of Fresno County who utilizes the services and supports provided through the Multi-Agency Access Program (MAP). This item is countywide.
ALTERNATIVE ACTION(S):
If your Board does not approve the recommended action, Kings View will not be reimbursed for expended operational costs essential to the operation and success of the program.
RETROACTIVE AGREEMENT:
The recommended Amendment is retroactive to March 1, 2023. This item is retroactive due to recent accounting staff turnover at Kings View which caused cost accounting issues in the month of March 2023. Because of the cost accounting issues, the contract has insufficient funding for the March operating expenses. The insufficient funding was not discovered until February 28, 2023, and this item was further delayed due to internal necessary review.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. Services are fully funded by Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI). The maximum compensation for the full term is $10,300,000. Sufficient appropriations and estimated revenues are included within the FY 2022-23 Adopted Budget.
DISCUSSION:
On February 17, 2015, the Hospital Council’s Community Conversations and Fresno-Madera Continuum of Care implemented the County of Fresno’s first pilot Multi-Agency Access Program (MAP) operated at Poverello House.
On December 13, 2016, the Board approved Agreement No. 16-692 with BitWise Industries to develop and implement a MAP Dashboard and Client Resource Management Application. On January 10, 2017, the Board approved Agreement No. 17-006 with Kings View, Poverello House, and Centro La Familia, commonly referred to as the MAP Collaborative, to operate MAP Points (locations) throughout the County.
On June 22, 2021, the Board approved Amendment I to the Master Agreement for MAP, which allowed the Department of Behavioral Health (Department) one year to procure an agreement with Unite USA, Inc. and implement the new system with the MAP partners in lieu of the application created by BitWise Industries. In the original master agreement, Kings View, Poverello House and Centro La Familia Advocacy Services were approved for a cumulative annual budget of $1,000,000 with the remaining $500,000 set aside should additional contractors be added. Fresno Economic Opportunities Commission (FEOC) was added to the contract as a fourth contractor from November 2019 through June 2021, but the Department opted to not extend the contract with FEOC because few individuals were provided MAP services at the FEOC sites during that time. As a result, the annual combined budget was reduced from $1,500,000 to $1,000,000.
On June 21, 2022, the Board approved Amendment II to the Master Agreement for MAP to extend the contract for another year and one optional 12-month term. The annual combined budget was further reduced from $1,000,000 to $900,000 due to a decrease in available MHSA funding and despite decreased funding, service levels remained the same.
For Kings View, there have been unexpected vacancies and increases to operational expenses in FY 2022-23 that will likely continue through FY 2023-24. The proposed amendment would revise the budget for Kings View by moving cost savings in Salaries & Benefits and Client Support to Operating Expenses, and would be retroactively effective to March 1, 2023. There are no proposed changes to the contract terms or the budgets for Poverello House or Centro La Familia Advocacy Services.
REFERENCE MATERIAL:
BAI #36, June 21, 2022
BAI #37, June 22, 2021
BAI #28, January 10, 2017
BAI #27, December 13, 2016
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment to Master Agreement with MAP Point Operators
CAO ANALYST:
Ron Alexander