DATE: April 7, 2026
TO: Board of Supervisors
SUBMITTED BY: Kirk Haynes, Chief Probation Officer
SUBJECT: First Amendment to Agreement No. A-25-538 with BluePath Health, Inc.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a First Amendment to Agreement No. A-25-538 with BluePath Health, Inc. for additional consultation and implementation support services to the Probation Department on the California Advancing and Innovating Medi-Cal Justice-Involved Initiative, to extend the term from May 1, 2026 to March 31, 2027, and increase the maximum compensation by $305,595 to total not to exceed $619,965.
REPORT
There is no Net County Cost associated with the recommended action. Approval of the recommended action will allow BluePath Health, Inc. (BluePath) to continue to support the Probation Department (Department)’s implementation of California Advancing and Innovating Medi-Cal (CalAIM) Justice-Involved (JI) Initiative, which provides services to Medi-Cal-eligible individuals up to 90 days pre-release to ensure continuity of care. The cost of the recommended amendment will be fully funded through the CalAIM JI Providing Access and Transforming Health (PATH) Capacity Building Program grant. This item applies countywide.
ALTERNATIVE ACTION(S):
If the recommended action is not approved, the Department will be unable to continue to retain BluePath, which may result in noncompliance with CalAIM JI re-entry requirements and delay the Department’s implementation efforts.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended action. The recommended amendment has a net increase of $305,595, which includes a decrease of $4,440 in the agreement maximum of $314,370, to reflect reduction of one site visit, and an increase of $310,035 for additional services under the recommended amendment. The new total maximum compensation of $619,965 is fully funded by CalAIM PATH grant funds. Sufficient appropriations and estimated revenues have been included in Probation’s Org 3440 FY 2025-26 Adopted Budget and will be requested for the remainder of the term.
DISCUSSION:
California is the first state to offer Medi-Cal services to youth and adults in correctional settings up to 90 days before release, expanding access beyond the traditional post-release model. Through a federal Medicaid 1115 waiver, Department of Health Care Services (DHCS) is establishing a coordinated reentry process to connect individuals with needed health care services upon release.
BluePath was designated by DHCS to provide technical assistance through the PATH Technical Assistance Marketplace, supporting government and community agencies in implementing CalAIM initiatives, including Enhanced Care Management (ECM), Community Supports, and JI services. In January 2025, BluePath began assisting the Department under Agreement No. D-25-131, which expired October 31, 2025. DHCS refocused PATH Marketplace funding to prioritize capacity-building for ECM and Community Supports.
On October 21, 2025, the Board approved an agreement with BluePath to continue providing consultation and implementation support, including policy development, readiness assessment, stakeholder engagement, and technical integration, to assist the Department in fulfilling the CalAIM JI mandate at the Juvenile Justice Campus.
If approved, the recommended amendment will allow BluePath to build on the foundational work already underway in the Agreement, and provide flexible, scalable support in areas such as readiness finalization, ECM pilot development, JI Portal training, billing optimization, implementation troubleshooting, and required grant reporting.
REFERENCE MATERIAL:
BAI 45, October 21, 2025
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - First Amendment to Agreement with BluePath Health, Inc.
On file with Clerk - Digital Signature Certificate
CAO ANALYST:
Fine Nai