DATE: April 7, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendment No. 1 to Agreement with Fresno County Superintendent of
Schools
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. A-25-092 with Fresno County Superintendent of Schools for a multi-tiered system of supports model, revising Exhibit C effective upon execution with no change to the term of July 1, 2025, through June 30, 2030, and increasing the maximum by $38,215,225 to a total of $188,215,225.
REPORT
There is no additional Net County Cost associated with the recommended action. The recommended action will allow the Department to continue to provide a multi-tiered system of supports, including Specialty Mental Health Services (SMHS), integrated with school resources, reducing barriers to access. Through this increase to the maximum compensation, Fresno County Superintendent of Schools (FCSS) will be able to continue the provision of services without delay, including individual therapy, group therapy, and other related mental health services, provided in the home, hub locations, schools sites and other locations throughout the community. The revision of Exhibit C includes the increase to the maximum compensation and updates invoicing requirements to align with Department standards. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department will be unable to reimburse FCSS for any additional services provided once the current maximum compensation is reached. FCSS is currently projected to exceed the previously anticipated volume of services in the upcoming fiscal year, resulting in potential denials of services, creating a barrier in services for more than 3,000 persons served in Fresno County. The recommended action serves to increase the maximum compensation accordingly to account for the increased volume of se...
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