DATE: April 22, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director Behavioral Health
SUBJECT: Amendment II to County Performance Agreement with DHCS
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute Amendment II to Agreement No. 21-296 (State Agreement #21-10080) and associated Generative Artificial Intelligence Reporting and Factsheet with the California Department of Health Care Services, extending the term by twelve months from July 1, 2025 to June 30, 2026 ($0); and
2. Approve and authorize the Department of Behavioral Health Director, or designee, to be the signatory and act as the Fresno County representative on behalf of the Board of Supervisors on the associated state agreement documents, with no change to the compensation amount or term.
REPORT
The recommended Amendment to the Performance Agreement with the California Department of Health Care Services (DHCS) will extend the term for an additional year. The Performance Agreement sets forth conditions and requirements that the County must meet in order to continue to receive funding for the Mental Health Services Act (MHSA) programs, Projects for Assistance in Transition from Homelessness (PATH) grant, Community Mental Health Block Grant (MHBG), and Substance Use Treatment and Prevention Block Grant (SUBG) programs as well as community mental health services provided with realignment funds, with no increase in Net County Cost. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the County's ability to collect reimbursement from DHCS for services provided to County persons served with mental health conditions and substance use disorders would be limited.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. There is no monetary consideration included in the DHCS Performance Agreement meant to establish terms and conditions by which the County must operate in orde...
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