DATE: June 10, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Master Agreement for Augmented Board and Care Services
RECOMMENDED ACTION(S):
TITLE
1. Under Administrative Policy No. 34 for competitive bids or requests for proposals (AP 34), determine that an exception to the competitive bidding requirement under AP 34 is satisfied and a suspension of competition is warranted due to unusual or extraordinary circumstances, and that the best interests of the County would be served by entering into the Master Agreement given the non-competitive nature of Master Agreements; and
2. Approve and authorize the Chairman to execute a Master Agreement with licensed adult residential facilities for Augmented Board and Care Services, effective July 1, 2025, not to exceed five consecutive years, which includes a three-year base contract and two optional one-year extensions, total not to exceed $12,000,000.
REPORT
There is no additional Net County Cost associated with the recommended actions, which will allow the Department to contract with licensed adult residential facilities certified to provide Augmented Board and Care (ABC) services. These facilities are licensed to provide Specialty Mental Health Services in conjunction with residential services sufficient to support needs resulting from an inability to perform activities of daily living for serious mental illness (SMI) conserved adults. This item is countywide.
ALTERNATIVE ACTION(S):
Should the recommended actions not be approved, the Department would be unable to place persons at licensed facilities certified to provide augmented board and care services. Existing individuals served by the expiring contract would experience a gap in services and the Department would be left without a contracted provider to provide ABC services, leading to inappropriate placement and care for Fresno County persons served. This could include higher, more costly levels of ...
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