DATE: July 9, 2024
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Amendment I to Kings View PATH Superseding Agreement No. 23-295
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment I to Kings View PATH Superseding Agreement No. 23-295 effective July 9, 2024, extending the term by one year from July 1, 2025, through June 30, 2026, and increasing the maximum compensation by $1,569,264 to a total of $4,161,520.
REPORT
Approval of the recommended action will allow the Department of Behavioral Health to revise remaining fiscal year budgets, agreement language, and adding back previously approved budgets for FY 25-26 in the Superseding Agreement No. 23-295. This item is countywide.
ALTERNATIVE ACTION(S):
If the recommended actions are not approved, the agreement will not reflect the previously approved budgets for FY 25-26 and will continue to contain incorrect language in the modification section disallowing the provider to modify budgets using a Budget Modification Request.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. Annual compensation is funded with Medi-Cal Federal Financial Participation (FFP), Realignment, Mental Health Services Act (MHSA), PATH grant, Homeless Housing Assistance and Prevention (HHAP), and American Rescue Act Plan (ARPA) through FY 25-26.
In FY 21-22, $88,371.07 in ARPA funding was expended. The ARPA funding remaining is $932,443 and was revised for FY 24-25 and FY 25-26. In addition, the remaining HHAP funding was budgeted in FY 24-25 and FY 25-26 to fund outreach worker positions. The total maximum compensation will increase from $2,592,256 to $4,161,520. Sufficient appropriations and estimated revenues will be included in the Department’s Org 5630 FY 2024-25 Recommended Budget and will be included in future budget requests for the duration of the Agreement term.
DISCUSSION:
On June 20, 2023, your Board approved an agreement (23-295) with Kings View PATH for California Advancing and Innovating Medi-Cal requirement updates including payment structure changes with no term extensions necessary, effective July 1, 2023.
On May 9, 2023, your Board authorized the Chairman to execute an Application / Agreement with DHCS for the PATH grant effective July 1, 2023, through June 30, 2024 ($439,203). Your Board also approved a Superseding Agreement (No. 23-206) due to expand a dedicated mobile outreach team using other state homelessness funding (Homeless Housing Assistance and Prevention funding programs) to further extend the STARS component through June 30, 2026, using HHAP Rounds 1 - 4 allocated funds and ARPA funding.
On May 17, 2022, your Board approved a Superseding Agreement (No. 22-208) to replace Agreement No. 21-214-1 due to an error in Kings View’s legal entity name, as well as expand a dedicated mobile outreach team (PATH-STARS) through June 30, 2024, using ARPA funding.
On August 24, 2021, your Board approved Amendment I (No. 21-214-1) to utilize Community Development Block Grant-Coronavirus (CDBG-CV) and Coronavirus Aid, Relief, and Economic Security (CARES) Act funds to fund the Mobile Outreach Project (Project) through FY 2021-22. The Project is comprised of a dedicated mobile outreach team that implements COVID-19 screening, education, assessment, and linkage capabilities in rural and unincorporated areas of the County.
On June 22, 2021, your Board approved an agreement (No. 21-214) with Kings View to deliver integrated mental and supportive housing services to adults who are homeless, or who are at imminent risk of becoming homeless, and have a serious mental illness and/or co-occurring disorder, to enable this population to live in the community and to avoid homelessness, hospitalization, and/or jail detention.
Approval of the recommended actions will amend the PATH agreement to revise language in the maximum compensation, modification sections, scope of work, and budgets. The scope of work was revised to include expanded services prioritizing unhoused individuals affected by homeless encampment resolutions actions. The current agreement does not have the previously approved budgets for FY 25-26. The previous budgets were approved on May 9, 2023, agreement 23-206. When the previous agreement was taken to the Board on June 20, 2023, the FY 25-26 budgets were removed by mistake and the MHSA funding on the Specialty Mental Health Services component was not included causing an error in the agreement maximum compensation. The proposed amendment reflects the correct funding for the PATH programs through June 30, 2026. Moreover, the current language in the agreement’s modification section is missing the 10% modification language which does not allow the provider to adjust the current budgets using a Budget Modification Request.
REFERENCE MATERIAL:
BAI #45, June 20, 2023
BAI #36, May 9, 2023
BAI #10, June 21, 2022
BAI #40, May 17, 2022
BAI #31, February 1, 2022
BAI #36, October 5, 2021
BAI #30, August 24, 2021
BAI #49, August 10, 2021
BAI #39, June 22, 2021
BAI #56, May 26, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment I
CAO ANALYST:
Dylan McCully