DATE: May 12, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Retroactive Amendment No. 1 to Agreement with The Fresno Center
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute retroactive Amendment No. 1 to Agreement 25-412 with The Fresno Center for culturally specific full-service partnership services, to reallocate funds within the Agreement effective January 1, 2026, with no change to the term of September 1, 2025 through June 30, 2030, or compensation maximum of $28,909,280.
REPORT
There is no additional Net County Cost associated with the recommended action which will allow for the continuation of full-service partnership services to be offered to targeted populations including Southeast Asian communities. The retroactive amendment will shift funds from the outpatient and intensive case management levels of care to the full-service partnership level of care retroactive to January 1, 2026 when the budget was exceeded, with no change to the maximum compensation. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, The Fresno Center will not have sufficient funds budgeted for the provision of Full-Service Partnership services which will impact their ability to provide treatment services and disrupt the recovery of persons with severe serious mental illnesses.
RETROACTIVE AGREEMENT:
The recommended amendment is retroactive to January 1, 2026 to authorize payment for invoices for the remainder of FY 2025-26. The budgets originally submitted by The Fresno Center and included in the agreement estimated that more services would be provided in the outpatient and intensive case management levels of care instead of the full-service partnership level of care. Services provided over the first five months of the agreement resulted in more full-service partnership services being provided than expected based on the needs of persons e...
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