File #: 25-0113   
On agenda: 3/25/2025 Final action: 3/25/2025
Enactment date: Enactment #: Agreement No. 25-113, Agreement No. 25-114
Recommended Action(s)
 		1. Approve and authorize the Chairman to execute Second Amendment to Master Agreement No. 23-291 with Drug Medi-Cal certified providers, to update fee reimbursement schedules, with no change to the term of July 1, 2023, through June 30, 2027; and 2. Approve and authorize the Chairman to execute Second Amendment to Master Agreement No. 23-293 with Drug Medi-Cal certified providers, to update fee reimbursement schedules, with no change to the term of July 1, 2023, through June 30, 2027, or compensation maximum of $10,585,252.
Attachments: 1. Agenda Item, 2. Agreement A-25-113 Amendment II to Master Agreement No. 23-291, 3. Agreement A-25-114 Amendment II to Master Agreement No. 23-293, 4. Digital Signature Audit Report (Master Agt 23-291 MHS), 5. Digital Signature Certificate (Master Agt 23-291 TP), 6. Digital Signature Audit Report (Master Agt 23-293 MHS), 7. Digital Signature Certificate (Master Agt 23-293 TP)
DATE: March 25, 2025

TO: Board of Supervisors

SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health

SUBJECT: Amendments to Drug Medi-Cal and Non-Drug Medi-Cal Residential Substance Use Disorder Treatment Master Agreements

RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Second Amendment to Master Agreement No. 23-291 with Drug Medi-Cal certified providers, to update fee reimbursement schedules, with no change to the term of July 1, 2023, through June 30, 2027; and

2. Approve and authorize the Chairman to execute Second Amendment to Master Agreement No. 23-293 with Drug Medi-Cal certified providers, to update fee reimbursement schedules, with no change to the term of July 1, 2023, through June 30, 2027, or compensation maximum of $10,585,252.

REPORT
There is no additional Net County Cost associated with the recommended actions. Approval of the recommended actions will allow the Department of Behavioral Health (DBH) to update fee reimbursement schedules. The updated schedules will be effective April 1, 2025 and will increase the residential substance use disorder treatment service reimbursement fees for Comprehensive Addiction Programs, Inc, Westcare California Inc., and Fresno County Hispanic Commission. The second recommended action will also increase the funding allocation for Westcare California, Inc. using existing unallocated funds without increasing the maximum to Agreement No. 23-293 to address an increase in service volume. This item is countywide.

ALTERNATIVE ACTION(S):

If the Board does not approve the recommended actions, Contractors will continue to be reimbursed at current contracted rates.

FISCAL IMPACT:

There is no additional Net County Cost associated with the recommended actions. Recommended action one is an agreement that is reimbursed by the California Department of Health Care Services (DHCS) regardless of the volume, with no maximum compensation. The Department projects Drug Medi-Cal e...

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