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File #: 24-1411   
On agenda: 2/11/2025 Final action: 2/11/2025
Enactment date: Enactment #: Agreement No. 25-046, Agreement No. 25-047
Recommended Action(s)
1. Approve and authorize the Chairman to execute a Repayment Agreement with Mental Health Systems, Inc. dba TURN Behavioral Health Services for the recoupment of funds paid for substance use disorder residential treatment services found to be out of compliance for the FY 2019-20, effective upon execution through February 28, 2026, total not to exceed $30,165; and 2. Approve and authorize the Chairman to execute a Repayment Agreement with Central California Recovery, Inc. for the recoupment of funds paid for substance use disorder outpatient treatment services through Department of Health Care Services' cost reporting process for FY 2017-18, effective upon execution through February 28, 2026, total not to exceed $15,703.
Attachments: 1. Agenda Item, 2. Agreement A-25-046 MHS Provider Recoupment Repayment Agreement, 3. Agreement A-25-047 CCR Provider Recoupment Repayment Agreement, 4. Digital Signature Audit - MHS
DATE: February 11, 2025

TO: Board of Supervisors

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

SUBJECT: Repayment Agreements with Mental Health Systems, Inc. and Central California Recovery, Inc.

RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a Repayment Agreement with Mental Health Systems, Inc. dba TURN Behavioral Health Services for the recoupment of funds paid for substance use disorder residential treatment services found to be out of compliance for the FY 2019-20, effective upon execution through February 28, 2026, total not to exceed $30,165; and

2. Approve and authorize the Chairman to execute a Repayment Agreement with Central California Recovery, Inc. for the recoupment of funds paid for substance use disorder outpatient treatment services through Department of Health Care Services' cost reporting process for FY 2017-18, effective upon execution through February 28, 2026, total not to exceed $15,703.
REPORT
Approval of the first recommended action will allow Mental Health Systems, Inc. (MHS) to repay the Department over an extended term previously compensated services that have been identified as ineligible for reimbursement by the Department of Health Care Services (DHCS) after a review of the services provided. Approval of the second recommended action will allow Central California Recovery, Inc. (CCR) to repay the Department over an extended term previously compensated funds that have been found to be out of compliance with DHCS's cost reporting process. This item is countywide.

ALTERNATIVE ACTION(S):

If your Board does not approve the recommended actions, MHS and CCR would have to repay the owed funds immediately with a lump sum payment, which would create a financial hardship for both contractors.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended actions. The repayment agreements would allow Mental Health Systems, Inc. and Central California Recovery, Inc....

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