DATE: May 26, 2020
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Participation Agreement with California Mental Health Services Authority for the Third Sector Multi-County Full-Service Partnership Innovation Project
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a Participation Agreement with the California Mental Health Services Authority for Third Sector Multi-County Full-Service Partnership Innovation Project, effective upon execution through November 30, 2021, total not to exceed $840,000; and
2. Approve and authorize the Department of Behavioral Health Director, or designee, to be the signatory and act as the Fresno County representative on behalf of the Board of Supervisors on associated California Mental Health Services Authority Third Sector Multi-County Full-Service Partnership Innovation Project related reports and forms, without modifying the maximum compensation.
REPORT
Approval of the first recommended action will assign funding to the California Mental Health Services Authority (CalMHSA) to act as a fiscal intermediary and provide program management and oversight for the Third Sector Multi-County Full-Service Partnership Innovation Project (TSMFIP). Approval of the second recommended action will allow the Department of Behavioral Health Director to sign related reports and forms, without modifying the maximum compensation, and act as a representative of the County. This service will be funded with Mental Health Services Act (MHSA) Innovations (INN) funds, with no increase in Net County Cost.
ALTERNATIVE ACTION(S):
Should your Board not approve the first recommended action, the Department of Behavioral Health would not be able to participate in TSMFIP and therefore wouldn’t receive any data and assistance to develop, implement, and evaluate Full-Service Partnerships (FSPs) to be more outcomes-oriented and client-centric. The funds that have been approved for this specific project would revert to the state as they had been approved for use in this plan/project. If the second recommended action is not approved, the Department will return to the Board for all necessary action regarding reports and forms. This may cause a delay in providing and delivering services.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. Services are fully funded with MHSA INN funds. The total cost to operate the Multi-County Full-Service Partnership Innovation Project is approximately $4,700,000. Fresno County’s share of cost is $840,000. The share of cost is inclusive of the 9% administrative fee of total program funding due to CalMHSA. The participating counties will pay their agreed upon share of cost directly to CalMHSA. Sufficient appropriations and estimated revenues are included in DBH’s Org 5630 FY 2019-20 Adopted Budget and will be requested in subsequent fiscal year budgets for the duration of the contract term.
DISCUSSION:
On September 14, 2010, your Board approved Agreement No. 10-489 with the California Mental Health Services Authority (CalMHSA), authorizing the Department to join the CalMHSA Joint Powers Authority (JPA), to develop, implement, administer and provide fiscal oversight of Mental Health Services Act (MHSA) statewide projects.
On June 18, 2019, your Board approved Fresno County’s MHSA FY 2018-19 Annual Update, which included the addition of a new Multi-County FSP Innovation project. The project will provide evaluation services and improvement plans to participating counties. Fresno County’s share of cost of $840,000 will be funded with Innovation (INN) funds which were subject to reversion if INN funds were not spent or encumbered by June 30, 2019.
The recommended Participation Agreement will grant CalMHSA authority to contract with Third Sector for services on behalf of the County. Third Sector will lead counties in the development of a multi-county Innovation Project that aims to shift the way counties develop, implement, and evaluate FSPs to a more outcomes-oriented, client-centric approach. This project was in part a response to the Commission and counties’ joint realization that the California struggles to consistently deliver on the promise of FSP: to partner with the most at-risk mental health clients, providing a “whatever it takes” standard of care that helps individuals achieve fuller, more independent lives. Other participating counties include San Mateo, Ventura, Siskiyou, Sacramento, and San Bernardino.
Upon approval by your Board, the recommended Participation Agreement will become effective upon execution through November 30, 2021 with the option for early termination in which either party may withdraw from the program upon a six-month written notice, or extend as deemed appropriate with prior written notice and the availability of funds. Upon cancellation, termination or other conclusions of this contract, any County funds remaining undisbursed after CalMHSA satisfies all obligations arising from the administration of the program shall be returned to the County.
REFERENCE MATERIAL:
BAI #36, June 18, 2019
BAI #57, June 13, 2013
BAI #39, September 14, 2010
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with CalMHSA
CAO ANALYST:
Ronald W. Alexander