DATE: December 17, 2024
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Retroactive Amendment No. 5 to Master Agreement 20-236 for Individual and Group Providers for the Fresno County Mental Health Plan
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Amendment No. 5 to Master Agreement for Individual and Group Providers for the Fresno County Mental Health Plan, reflecting the name change of Karina Cisneros to Karina Baca, effective July 1, 2023 with no change to the term of July 1, 2020 through June 30, 2025 and increasing the maximum by $1,500,000 to a total of $28,739,838.
REPORT
There is no additional Net County Cost associated with approval of the recommended action, which will increase the maximum compensation for the agreement retroactive to July 1, 2023. The increase in compensation will address the increase in reimbursable services rendered by providers on the master agreement. The recommended action will also reflect the name change of an individual provider from Karina Cisneros to Karina Baca. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Department would not be able to reimburse all services rendered by providers for FY 2023-24. The County would not be able to bill Medi-Cal for those services.
RETROACTIVE AGREEMENT:
The recommended amendment is retroactive to July 1, 2023. The Department implemented CalAIM in FY 2023-24 which changed the method by which providers are reimbursed under the Master Agreement. The Department did not have sufficient historical information to estimate the total reimbursable services which were rendered for this master agreement resulting in the maximum compensation being exceeded.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The combined increase of $1,500,000 for FY 2023-24 and 2024-25 increases the total maximu...
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