DATE: October 20, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Agreement with Hope & Healing Family Therapy Center, Inc.
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with Hope & Healing Family Therapy Center, Inc. for Adult Day Rehabilitation and Day Treatment Intensive services, effective upon execution through June 30, 2031, which includes a two-year and nine-month base contract and two optional one-year extensions, total not to exceed $5,625,355.
REPORT
There is no additional Net County Cost associated with the recommended action. The recommended action will allow the Department to provide Adult Day Rehabilitation (DR) and Day Treatment Intensive (DTI) services to individuals ages 18 and older. DR/DTI services are provided as outpatient services and shall be provided to Medi-Cal beneficiaries showing medical necessity for Specialty Mental Health Services (SMHS). The County is required to provide DR and DTI services which are included as SMHS as detailed in California Code of Regulations. Title 9, §1810.247 for County Behavioral Health Plans. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department would be unable to provide DR and DTI services to Medi-Cal beneficiaries. Without this agreement, the County will remain out of compliance with regulations which may result in sanctions and loss of Medi-Cal revenue.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum cost of the recommended DR and DTI Services Agreement ($5,625,355) will be funded with Medi-Cal Federal Financial Participation (FFP) and Realignment funds. Sufficient appropriations and estimated revenues are included in the Department’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. Actual cos...
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