DATE: January 28, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendments to Adult Full-Service Partnership Agreements
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Third Amendment to Agreement No. 23-284 with Mental Health Systems, Inc to increase housing support funds effective upon execution, with no change to the term of July 1, 2023 through June 30, 2025, and increasing maximum compensation by $29,774, to a total of $8,011,666;
2. Approve and authorize the Chairman to execute Second Amendment to Master Agreement No. 23-285 with The Fresno Center to increase housing support funds effective upon execution, with no change to the term of July 1, 2023 through June 30, 2025, and increasing maximum compensation by $30,000, to a total of $7,364,000; and
3. Approve and authorize the Chairman to execute Second Amendment to Master Agreement No. 23-287 with Mental Health Systems, Inc. and Turning Point of Central California, Inc. to increase housing support funds, and to make a correction to Section 4.3 to clarify the correct budgeted Non-Medi-Cal amount, effective upon execution, with no change to the term of July 1, 2023 through June 30, 2025, increasing Contractors’ housing support funds by $218,164, with no change to the Master Agreement maximum compensation.
REPORT
There is no Net County Cost associated with the recommended actions. Approval of the recommended actions will enable the Department of Behavioral Health (Department) to provide necessary housing support services to persons served engaged with Full-Service Partnership (FSP) programs. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, FSP programs would remain capped at current funding levels and would not be able to provide additional needed housing support services to persons served.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. Approval of the recommended actions will cause no change to Agreement No. 23-287 maximum due to cost savings, increase Agreement No. 23-285 maximum by $30,000, and Agreement No. 23-284 maximum by $29,774 for a total increase of $59,774 Mental Health Services Act Community Services and Support (MHSA-CSS) funds. Sufficient appropriations and estimated revenues are included in the Department’s Org 5630 FY 2024-25 Adopted Budget.
DISCUSSION:
On June 20, 2023, your Board approved Master Agreement No. 23-287, which superseded Agreement No. 20-216 approved on June 9, 2020, Agreement No. 23-284, which superseded Agreement No. 20-014 approved on January 7, 2023, and Master Agreement No. 23-285, which superseded Agreement No. 18-599 approved on October 23, 2018 for FSP services to incorporate California Advancing and Innovating Medi-Cal (CalAIM) required updates including payment structure changes.
On November 7, 2023, your Board approved Master Agreement No. 23-597 as an Amendment to Master Agreement No. 23-284 to correct the Scope of Work and replace the rate sheet to include Supplemental/Add On service codes that were previously added by the DBH Director through her authority in Article 25 of the Agreement to accommodate State mandated rate increases.
On April 9, 2024, your Board approved Master Agreement No. 24-151 as an Amendment to Master Agreement No. 23-285 to increase the specialty mental health maximum compensation of the Agreement.
On July 9, 2024, your Board approved Master Agreement No. 24-369 as a second Amendment to Master Agreement No. 23-284 to increase the specialty mental health maximum compensation of the Agreement.
On November 5, 2024, your Board approved Master Agreement No. 24-594 as an Amendment to Master Agreement No. 23-287 to add the Community Assistance, Recovery and Empowerment (CARE) Act to the Scope of Services to comply with Welfare and Institutions Code Section 5970.5(b) which mandates CARE Act services to begin no later than December 1, 2024.
Full-Service Partnership programs provide comprehensive mental health treatment services, including housing, education and community supports to persons served with a severe mental illness (SMI) diagnosis. Since approval of the original agreements, contracted FSP providers have experienced substantial increases in housing support costs due to an increase in the number of persons served who lack housing stability and would benefit from housing support services.
Through the proposed second Amendment to Master Agreement No. 23-287, the Department intends to update the Non-Medi-Cal Supports FY 2024-25 maximum to correctly reflect Realignment funding as budgeted in original Master Agreement No. 23-287. This correction is to reflect the budgeted amount of an additional $402,928 in Realignment funding contained in Master Agreement No. 23-287 Assisted Outpatient Treatment (AOT) Exhibit H3 - Compensation in the Non-Medi-Cal Supports Maximum Compensation section. This change will clarify current budgets, and as such does not affect contractor budgets or payments.
Approval of the recommended actions will provide FSP programs with the necessary funds to meet the housing needs of the population they serve.
REFERENCE MATERIAL:
BAI #9, November 5, 2024
BAI #29, July 9, 2024
BAI #39, April 9, 2024
BAI #47, November 7, 2023
BAI #45, June 20, 2023
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment III to Master Agreement No. A-23-284
On file with Clerk - Amendment II to Master Agreement No. A-23-285
On file with Clerk - Amendment II to Master Agreement No. A-23-287
On file with Clerk - Digital Signature Audit Report for Amendment III to Agreement No. A-23-284
On file with Clerk - Digital Signature Audit Report for Amendment II to Agreement No. A-23-285
On file with Clerk - Digital Signature Certificate for Amendment II to Agreement No. A-23-287 Turning Point
On file with Clerk - Digital Signature Audit Report for Amendment II to Agreement No. A-23-287 MHS
CAO ANALYST:
Dylan McCully