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File #: 24-0073   
On agenda: 2/20/2024 Final action: 2/20/2024
Enactment date: Enactment #: Agreement No. 24-081
Recommended Action(s)
Approve and authorize the Chairman to execute Amendment I to Agreement with Pacific Clinics to provide expanded Adolescent Community Treatment services to youth in Fresno County, effective upon execution with no change to the term of July 1, 2023, through June 30, 2024, or compensation maximum of $8,851,340.
Attachments: 1. Agenda Item, 2. Amendment to Agreement No. 23-280 with Pacific Clinics, 3. Errata Form & Redlined Agreement, 4. Agreement A-24-081 Revised Amendment to Agreement No. 23-280 with Pacific Clinics
DATE: February 20, 2024

TO: Board of Supervisors

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

SUBJECT: Amendment I to Agreement No. 23-280 with Pacific Clinics

RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment I to Agreement with Pacific Clinics to provide expanded Adolescent Community Treatment services to youth in Fresno County, effective upon execution with no change to the term of July 1, 2023, through June 30, 2024, or compensation maximum of $8,851,340.
REPORT
Approval of the recommended action will allow Pacific Clinics to add Intensive Case Management and Outpatient levels of care to their existing Full-Service Partnership (FSP) level of care services provided within their Adolescent Community Treatment services program. This expansion of services will fill a gap in services for youth who are not eligible for FSP level services but still require more than one contact per week. This would also allow youth to move through the levels of care without interruption in services as they transition through the levels of care within the agency.

ALTERNATIVE ACTION(S):

There is no viable alternative action. If your Board does not approve the recommended action, a gap in services provided in Fresno County to adolescent youth who do not meet criteria for the FSP level of care will remain and those individuals will continue to struggle to find the appropriate level of service for their intense needs.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended action. There is no change to maximum compensation within the recommended Amendment I. The current maximum for the entire contract period ($8,851,340) is fully offset with Medi-Cal Federal Financial Participation and Mental Health Services Act (MHSA) Community Services and Supports (CSS) funds. Sufficient appropriations and estimated revenues are included in the Behavioral Health Org 5630 FY 2023-24 Adopted Budget and will...

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