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File #: 25-0306   
On agenda: 5/6/2025 Final action:
Enactment date: Enactment #: Agreement No. 25-169
Recommended Action(s)
Approve and authorize the Chairman to execute Amendment No. 4 to Master Agreement No. 24-441 to update Psynergy Programs, Inc. rate sheet with no change to the term of July 1, 2023 through June 30, 2025, or compensation maximum of $13,500,000.
Attachments: 1. Agenda Item, 2. Agreement A-25-169 Amendment No. 4 to Master Agreement
DATE: May 6, 2025

TO: Board of Supervisors

SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health

SUBJECT: Amendment No. 4 to Master Agreement for Specialized Residential Mental Health Services

RECOMMENDED ACTION:
TITLE
Approve and authorize the Chairman to execute Amendment No. 4 to Master Agreement No. 24-441 to update Psynergy Programs, Inc. rate sheet with no change to the term of July 1, 2023 through June 30, 2025, or compensation maximum of $13,500,000.
REPORT
Approval of the recommended action will allow the Department of Behavioral Health to update the rate sheet for Psynergy Programs, Inc. (Psynergy) to align with the current Department reimbursement process. In addition, approval will also include payment for the Supplemental Social Security Income (SSI)/State Supplementary Payment (SSP) equivalent for basic services for non-benefited persons served (persons currently not receiving federal funding from SSI/SSP). This item is countywide.

ALTERNATIVE ACTION:

Should your Board not approve the recommended action, the Department would not be able to appropriately reimburse Psynergy the SSI equivalent for basic services for non-benefited persons served.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended action. The maximum compensation in FY 2024-25 is $7,000,000. The maximum compensation for the term is $13,500,000. The agreement is funded with Mental Health Realignment. Sufficient appropriations and estimated revenues are included in the Department's Org 5630 FY 2024-25 Adopted Budget. Actual costs will be determined by actual services provided.

DISCUSSION:

On August 20, 2019, the Board approved Master Agreement No. 19-406 with licensed and credentialed facilities to provide specialized residential mental health services for County persons served, as mandated by the Welfare and Institutions Code (WIC) and California Code of Regulations (CCR) Title 22.

On June 30, 2023, the Board approved Supersed...

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