DATE: June 6, 2023
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director of Behavioral Health
SUBJECT: Retroactive Amendment III to Youth Treatment Services Master Agreement
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute retroactive Amendment III to Master Agreement with providers of non-Drug Medi-Cal Outpatient services to correct various provider allocations for Fiscal Year 2022-23, effective April 11, 2023, with no change to the term of January 1, 2019 through June 30, 2023 or compensation maximum of $5,536,611.
REPORT
Approval of the recommended action will allow the Department of Behavioral Health to correct the provider maximum allocations to align with the total maximum compensation amount for the Youth Treatment Services contract, with no increase to Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
If your Board does not approve the recommended action, the Department may be required to compensate youth outpatient providers for rendered services in excess of the Youth Treatment Services maximum compensation for Fiscal Year 2022-23 ($1,234,432).
RETROACTIVE AGREEMENT:
This recommended agreement is retroactive to April 11, 2023 to correct the FY 2022-23 provider allocation amounts in the Youth Treatment Services Amendment II and ensure providers are not billing for services in excess of the maximum compensation amount. This error impacted the Youth Treatment Services Amendment II that was taken to the Board on April 11, 2023 and was discovered after the item had been approved by the Board.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum compensation amount of the recommended agreement, Youth Treatment Service ($5,536,611), is fully funded by the Behavioral Health Realignment and the Substance Abuse Block Grant (SABG). The recommended action would provide a correction to the provider maximum allocation so that they are not in excess of the total compensation amount for the Youth Treatment Services master agreement for FY 2022-23. Sufficient appropriations and estimated revenues are included in the Department’s Org 5630 FY 2022-23 Adopted Budget and will be included in subsequent budget requests for the duration of the term.
DISCUSSION:
December 11, 2018, the Board approved Master Agreement No. 18-694 with Non-Drug Medi-Cal Youth Treatment Service vendors to provide outpatient alcohol and substance use disorder treatment services to Fresno County minors between the ages of 12 and 17 years old.
On June 4, 2019, the Board approved Amendment I to Agreement No. 18-694 to reallocate underutilized funds assigned to the youth outpatient substance use disorder (SUD) treatment program to the SUD treatment for justice-involved youth program under Agreement No.18-622.
On April 11, 2023, the Board approved Amendment II to Agreement No. 18-694 to update contract language in order to comply with various state-mandated requirements related to the Department of Health Care Services’ ongoing efforts implement of California Advancing and Innovating Medi-Cal (CalAIM).
The recommended amendment would correct an exhibit in the agreement that allocated funds to various providers in excess of the Youth Treatment Services maximum compensation amount for FY 2022-23. All other terms remain unchanged.
REFERENCE MATERIAL:
BAI #29, April 11, 2023
BAI #45, June 4, 2019
BAI #34, December 11, 2018
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment III to Master Agreement
CAO ANALYST:
Ronald Alexander