DATE: June 30, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendment No. 3 to Participation Agreement No. 22-270 with the California Mental Health Services Authority
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 3 to the Participation Agreement No. 22-270 with the California Mental Health Services Authority, to revise the Agreement's budget, add additional prescriber subscriptions, and extend the term of specific Quality Assurance/Quality Improvement Analytics Program Offerings, effective upon execution, with no change to the term of July 1, 2022, through March 18, 2029, or compensation maximum of $10,806,504.
REPORT
There is no increase in Net County Cost associated with the recommended action. Approval of the recommended action will revise the Agreement's budget to reflect actual costs charged to CalMHSA by the Electronic Health Record (EHR) vendor, Streamline, add five (5) additional prescriber subscriptions, and extend the term of specific Quality Assurance/Quality Improvement Analytics Program Offerings. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the agreement's budget will not be revised and shall remain as defined by Amendment No. 1. The Department will also be unable to increase the number of medical professionals prescribing through the EHR. Additionally, the term of specific Quality Assurance/Quality Improvement Analytics Program Offerings will not be extended to June 30, 2026 and September 30, 2026.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. There is no change to the compensation maximum of $10,806,504. Services are funded with Federal Financial Participation (FFP), and Realignment. Sufficient appropriations and estimated revenues are included in the Department's Org 5630 FY 2026-27 Recommended Budget and will be included in su...
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