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File #: 25-0586   
On agenda: 8/5/2025 Final action:
Enactment date: Enactment #:
Recommended Action(s)
Approve and authorize the Chairman to execute an Agreement with Central Star Behavioral Health, Inc. for a Transitional Age Youth (TAY) Continuum of Care program including Full-Service Partnership (FSP) for TAY ages 16-25 with serious emotional disturbance (SED) or serious mental illness (SMI) who qualify for Specialty Mental Health Services, and Intensive Case Management (ICM) and Outpatient (OP) levels of care for TAY ages 16-25 years who qualify for Specialty Mental Health Services, effective October 1, 2025, through June 30, 2030, which includes a base contract and two optional one-year extensions, total not to exceed $24,949,819.
Attachments: 1. Agenda Item, 2. On file with Clerk - Agreement with Central Star
DATE: August 5, 2025

TO: Board of Supervisors

SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health

SUBJECT: Agreement with Central Star Behavioral Health, Inc. for Transitional Age Youth Continuum of Care

RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with Central Star Behavioral Health, Inc. for a Transitional Age Youth (TAY) Continuum of Care program including Full-Service Partnership (FSP) for TAY ages 16-25 with serious emotional disturbance (SED) or serious mental illness (SMI) who qualify for Specialty Mental Health Services, and Intensive Case Management (ICM) and Outpatient (OP) levels of care for TAY ages 16-25 years who qualify for Specialty Mental Health Services, effective October 1, 2025, through June 30, 2030, which includes a base contract and two optional one-year extensions, total not to exceed $24,949,819.
REPORT
There is no Net County Cost associated with the recommended action. Approval of the recommended action would allow Central Star Behavioral Health, Inc. (Central Star) to provide specialty mental health services to TAY ranging from 16-25 years of age through the TAY Continuum of Care program and ensure Fresno County Department of Behavioral Health meets mandated network adequacy time and distance standards and Mental Health Services Act (MHSA) requirements as set by the Department of Health Care Services (DHCS). The proposed agreement will be funded by MHSA Community Systems and Supports (MHSA-CSS) funds, Mental Health Realignment, and Medi-Cal Federal and State funds with no Net County Cost. This item is countywide.

ALTERNATIVE ACTION(S):

There are no alternative actions. Should the recommended action not be approved, mental health services for high acuity TAY and their families would be eliminated, which would impact compliance with network adequacy time and distance requirements, and MHSA requirements set by the DHCS.

FISCAL IMPACT:

There is no increase in Net County...

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