DATE: March 3, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director of Department of Behavioral Health
SUBJECT: Amendment No. 1 to Agreement with Kings View
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. 25-586 with Kings View to include Drug Medi-Cal Organized Delivery System language within the community behavioral health crisis response services agreement, effective upon execution with no change to the term of December 1, 2025 through June 30, 2030, or compensation maximum of $51,200,693.
REPORT
There is no additional Net County Cost associated with the recommended action. The agreement with Kings View inadvertently excluded references to payments being made through the Drug Medi-Cal Organized Delivery System (DMC-ODS), thereby limiting the scope of payment provisions to only Specialty Mental Health Services (SMHS). Approval of the recommended action will allow the Department to adhere to Department of Health Care Services (DHCS) mandated Medi-Cal Mobile Crisis Benefit Services included in Behavioral Health Information Notice (BHIN) 23-025 and utilize the Drug Medi-Cal Organized Delivery System (DMC-ODS) as a funding source for the substance use services. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. If your Board does not approve the recommended action, the Department will not be in compliance with Department of Health Care Services (DHCS) mandated services for mobile crisis response and crisis intervention services for DMC-ODS.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum compensation of the recommended Agreement ($51,200,693) will be fully offset with Mental Health Realignment, California Health Facilities Financing Authority (CHFFA) grant funding, Mental Health Services Act Prevention and Early Intervention (MHSA-PEI), Medi-Cal Federal Financial Participation (FFP) revenue and Drug Medi-Cal FFP revenue. Sufficient appropriations and estimated revenues are included in the Department of Behavioral Health Org 5630 FY 2025-26 Adopted Budget and will be included in subsequent budget requests for the duration of the term.
DISCUSSION:
On November 18, 2025, the Board approved Agreement No. 25-586 with Kings View to provide community behavioral health crisis response services. These services include mandated mobile crisis response, crisis intervention, law-enforcement co-response, short-term support, and community referrals and linkages. Mobile crisis response is a required benefit under Specialty Mental Health Medi-Cal and the Drug Medi-Cal Organized Delivery System (DMC-ODS).
Agreement No. 25-586 transitioned from a cost-reimbursement model to a hybrid structure incorporating both fee-for-service and cost reimbursement. The recommended action updates Exhibit C and Exhibit C - Attachment A to add DMC-ODS as a funding source. This amendment does not change the contract maximum, fiscal year amounts, or the scope of work.
Since December 1, 2025, there have been 1,181 unique Specialty Mental Health Services and zero DMC-ODS services.
OTHER REVIEWING AGENCIES:
The Behavioral Health Board was notified of this amendment at the March 2026 meeting.
REFERENCE MATERIAL:
BAI #38, November 18, 2025
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Amendment No. 1 to Agreement No. 25-586 with Kings View
CAO ANALYST:
Ronald W. Alexander Jr.