DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Fresno County Mental Health Services Act Annual Update 2022-2023
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Department of Behavioral Health to submit the Fresno County Mental Health Services Act Annual Update 2022-2023 to the California Department of Health Care Services and the California Mental Health Services Oversight and Accountability Commission.
REPORT
Approval of the recommended action will allow the Department of Behavioral Health to submit the Fresno County Mental Health Services Act (MHSA) Annual Update 2022-2023 to the California Department of Health Care Services (DHCS) and the California Mental Health Services Oversight and Accountability Commission (MHSOAC) by June 30, 2022. The MHSA Annual Update is required per Welfare & Institutions Code (W&IC), section 5847. The section describes the Annual Update process, whereby the County outlines the MHSA-funded programs and services according to community stakeholder input and the Community Program Planning Process (CPPP), per Title 9, California Code of Regulations (CCR), sections (§§) 3300 and 3200.060. The programs and services are provided to behavioral health clients, their family members and target populations throughout the County, with no increase to Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Your Board may choose not to approve the MHSA Annual Update; however, this action would prevent the County from having any spending authority related to its MHSA funds in FY 2022-23 and all MHSA-funded services would halt until an Annual Update is approved. This would result in failure to adhere to the required statutes. Additionally, non-approval may place some MHSA funds at risk of reversion to DHCS as the funds are subject to expenditure time limits. Further, if your Board recommends significant changes to the plan, the Department will be required to re-engage the community through a stakeholder process and submit the changes for 30-day public comment, further delaying the submission of the plan.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. MHSA funding allows for full reimbursement of direct and indirect program and service costs. The projected funds for the Annual Update were included in the previously approved FYs 2020-2023 Three-Year Plan. Your Board approved the plan on April 13, 2021. The recommended Annual Update updates the projected budgets as follows:
FYs 2020-2021 through 2022-2023
FY 2020-2021: $ 95,445,625
FY 2021-2022: $ 90,211,943
FY 2022-2023: $ 90,684,760
TOTAL $276,342,328
The recommended Annual Update describes FY 2022-23 costs of $90,684,760 after the addition of several programs that were approved by your Board during FY 2021-22. The related agreements are brought before the Board as separate items.
DISCUSSION:
The Department is required to submit a new Three-Year Plan every three years and annual updates yearly for approval by the governing body, your Board, before submission to DHCS.
The proposed Annual Update was completed with significant input from the community. Counties are required to develop their plans through a CPPP (Title 9, CCR, §§ 3200.060 and 3300) which includes robust and meaningful stakeholder engagement.
In October 2021, the Department hosted four virtual community planning meetings in English, Spanish, and Hmong. In addition, three more virtual follow-up sessions were held in December 2021. The plan was posted for a 30-day Public Comment period from January 15, 2022 through February 16, 2021. A Public Hearing was held on February 16, 2022.
The Department’s current MHSA Three-Year Plan was developed to focus on sustainability from FY 2020-21 through FY 2022-23. The recommended Annual Update supports that commitment. The Department will continue to engage in improvement activities, including program evaluations to ensure the continued provision of high-quality and outcomes-driven services to residents of the County in a coordinated manner.
This Annual Update includes a Prevention and Early Intervention (PEI) Three-Year Evaluation Report. This evaluation covers the period of FY 2018-2019 through FY 2020-2021.
OTHER REVIEWING AGENCIES:
On February 16, 2022, the Behavioral Health Board held a public hearing simultaneously hosted virtually on three different platforms (WebEx, Facebook, and YouTube). On the same date, the Behavioral Health Board voted unanimously to accept the Fresno County MHSA Annual Update 2022-2023 and recommended it for presentation to your Board for final approval.
REFERENCE MATERIAL:
BAI #37, April 13, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - MHSA Annual Update 2022-2023
CAO ANALYST:
Sonia M. De La Rosa