DATE: October 24, 2023
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Retroactive Amendment I to Central Star Behavioral Health, Inc. Agreement 23-278 for Transition Age Youth Mental Health Services
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Amendment I to Agreement No. 23-278 with Central Star Behavioral Health, Inc. to update rates for the Transitional Age Youth (TAY) Full Service Partnership (FSP) program, effective July 1, 2023 with no change to the term of July 1, 2023 through June 30, 2025, or maximum compensation of $6,896,782.
REPORT
Approval of the recommended action will allow the Department of Behavioral Health (DBH) to update the rate sheet for Central Star Behavioral Health, Inc. (Central Star) under the new payment reform requirements in accordance with California Advancing and Innovating Medi-Cal (CalAIM). This item is countywide.
ALTERNATIVE ACTION(S):
Should the Board not approve the recommended action, DBH would not be able to reimburse Central Star at the appropriate rates for their contracted type of program and would result in underpayment to the provider for actual services provided.
RETROACTIVE AGREEMENT:
The rates approved in agreement No. 23-278 (Exhibit G1) are incorrect for the TAY FSP program due to an unrecognized error at the time of approval. DBH is seeking to correct the error by making the adjustment to the corrected rates (Revised Exhibit G1a) retroactively to July 1, 2023.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum compensation for FY 2023-24 will remain at $3,573,391. The maximum compensation for the entire contract term remains at $6,896,782. The agreement is funded with Medi-Cal Federal Financial Participation, Mental Health Realignment, and Mental Health Services Act (Community Services and Supports) funds. Sufficient appropriations and estimated revenues are included in the Department’s Org 5630 FY 2023-24 Adopted Budget and will be included in future budgets for the duration of the contract term. Actual costs will be determined by actual services provided.
DISCUSSION:
On June 20, 2023, your Board approved agreement No. A-23-278 with Central Star to operate a licensed and credentialed full-service partnership program to provide mental health services, supports, and housing to the Transition Age Youth (TAY) population, ages 16 to 25.
A processing error occurred when combining all documents for approval by your Board and the incorrect rates were inadvertently attached to the original agreement (Exhibit G1). The error was not detected until after the Board approved the agreement. The rates attached in the original agreement reflect the clinical and field-based rates for DBH providers, but this provider should be reimbursed at the “Full Service Partnership/Assisted Outpatient Therapy/Therapeutic Behavioral Health Services” rate structure (attached in the recommended amendment as Revised Exhibit G1a). DBH is requesting the change as addressed in the recommended amendment to become effective retroactive to July 1, 2023, replacing the existing Exhibit G1.
OTHER REVIEWING AGENCIES:
The Fresno County Behavioral Health Board was informed of the recommended amendment at the August 2023 meeting.
REFERENCE MATERIAL:
BAI #44, June 20, 2023
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment I to Agt. 23-278
CAO ANALYST:
Ronald Alexander