DATE: November 17, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendment No. 1 to Agreement with Central Star Behavioral Health,
Inc.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement No. A-25-379 with Central Star Behavioral Health, Inc. to revise exhibits A - C to align with Behavioral Health Service Act requirements for Full-Service Partnerships, effective December 1, 2026, with no change to the term of October 1, 2025 through June 30, 2030 and reducing the maximum compensation by $739,830 to a total of $24,209,989.
REPORT
There is no additional Net County Cost associated with the recommended action. The recommended action will amend the agreement with Central Star Behavioral Health, Inc. to revise the Scope of Work, Behavioral Health Requirements, Outcomes, Financial Terms and Conditions, and the contract expenditure limits to align Full-Service Partnership (FSP) services with Behavioral Health Service Act (BHSA) requirements. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department would be unable to implement the State-mandated requirements of BHSA, including the County’s three-year Integrated Plan and the associated FSP program regulations. The current Agreement would remain in effect; however, the current Mental Health Services Act (MHSA) funding will no longer be available.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum cost of the recommended Agreement ($24,209,989) will be funded with Medi-Cal Federal Financial Participation, BHSA funds, and Mental Health Realignment funds. Sufficient appropriations and estimated revenues are included in the Department of Behavioral Health’s Org 5630 FY 2026-27 Adopted Budget and will be included in future budget requests for the duration of the term of the Agreement. Act...
Click here for full text