DATE: November 17, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Participation Agreement with the California Mental Health Services
Authority for Quality Assurance/Quality Improvement Analytics Program
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with California Mental Health Services Authority for the Quality Assurance/Quality Improvement Analytics Program, effective upon execution through December 31, 2027, total not to exceed $339,111; and
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 Quality Assurance/Quality Improvement Analytics Program 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 the External Quality Review (EQR) Audit. This support will assist the County in meeting the EQR reporting requirements for Fiscal Year (FY) 2026-27. 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 by Quality Management administrative 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 EQR audit support for FY 2026-27, and the quality of the County’s performance data and compliance cannot be externally validated as required. The County would be out of compliance and may face administrative and/or monetary sanctions from the Department of Health Care Services (DHCS...
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