DATE: April 21, 2026
TO: Board of Supervisors
SUBMITTED BY: Paul Nerland, County Administrative Officer
SUBJECT: Budget Resolutions and Revenue Agreement with CalViva Health and Health Net Community Solutions, Inc.
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute an Agreement with CalViva Health and Health Net Community Solutions, Inc. for Medi-Cal Grant Funding, effective upon execution through December 31, 2026, total not to exceed $343,089;
2. Adopt Budget Resolution increasing appropriations and estimated revenues for the FY 2025-26 Medi-Cal - HHIP & IPP Org 0129 in the amount of $343,089 (4/5 vote); and
3. Adopt Budget Resolution increasing appropriations and estimated revenues for FY 2025-26 Office of Housing and Homelessness Org 5428 in the amount of $343,089 (4/5 vote)
REPORT
There is no additional Net County Cost associated with the recommended actions. Approval of the first recommended action will authorize the Chairman to execute an agreement with CalViva Health and Health Net Community Solutions, Inc. (HealthNet) which will provide funding to support administrative and operational costs needed to initiate the Department's Flexible Housing Subsidy Pool (Flex Pool) project, support the Collaborative Applicant role, and support the costs associated with the 2026 Point-in-Time Count. Approval of the second and third recommended actions will adopt budget resolutions to provide the budgetary tools necessary to administer the Medi-Cal grant funding in support of homelessness response activities. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board elect not to approve the recommended actions, the County would forfeit $343,089 in grant funds that would be used to support homelessness response in Fresno County.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The recommended agreement will provide $343,089 in grant funds which will be disbursed in two installments...
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