DATE: August 5, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Agreement with Pacific Clinics for a Children Continuum of Care Program
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with Pacific Clinics for a Children Continuum of Care program including Full-Service Partnership (FSP) for children ages 0-10 with serious emotional disturbance (SED) who qualify for Specialty Mental Health Services, and Intensive Case Management (ICM) and Outpatient (OP) levels of care for children ages 0-10 years who qualify for Specialty Mental Health Services, effective December 1, 2025, through June 30, 2030, which includes a base contract and two optional one-year extensions, total not to exceed $22,657,420.
REPORT
There is no Net County Cost associated with the recommended action. Approval of the recommended action would allow Pacific Clinics to provide specialty mental health services to children ages 0-10 years of age through the Children Continuum of Care program and ensure Fresno County Department of Behavioral Health meets mandated network adequacy time and distance standards and Mental Health Services Act (MHSA) requirements as set by the Department of Health Care Services (DHCS). The proposed agreement would be funded by MHSA Community Systems and Supports (MHSA-CSS) funds and Medi-Cal Federal and State funds with no Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
There are no alternative actions. Should the recommended action not be approved, mental health services for high acuity children and their families would be eliminated, which would impact compliance with network adequacy time and distance requirements, and MHSA requirements set by the DHCS.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended agreement will be funded with MHSA-CSS and Medi-Cal Federal Financial Participation (...
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