DATE: December 9, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Participation Agreement with the California Mental Health Services
Authority for External Quality Review Audit Support
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a Participation Agreement with the California Mental Health Services Authority for External Quality Review Audit and Performance Improvement Projects Support Program, effective January 1, 2026 through December 31, 2026, total not to exceed $41,300; and
2. Approve and authorize the Department of Behavioral Health Director, or designee, to be the signatory and act as the Fresno County representative on behalf of the Board of Supervisors on associated California Mental Health Services Authority External Quality Review Audit and Performance Improvement Projects Support related reports and forms, without modifying the maximum compensation.
REPORT
Approval of the first recommended action will assign funding to the California Mental Health Services Authority (CalMHSA) to provide technical support for External Quality Review (EQRO) Audit. This support will assist the County in meeting the EQRO reporting requirements for Fiscal Year (FY) 2025-26. Approval of the second recommended action will allow the Department of Behavioral Health Director, or designee, to sign related reports and forms, without modifying the maximum compensation, and act as a representative of the County. The services are funded with Planning and Quality Management funds, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the County will not receive any EQRO audit support for FY 2025-26 and the quality of the County's performance data and compliance will not be externally validated. The County would be out of compliance and may face administrative and/or monetary sanctions from the Dep...
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