County of Fresno - File #: 17-0149

• File #: 17-0149
• Name: Amendment I to Master Agreement with licensed and credentialed facilities
• In control: Behavioral Health
• On agenda: 4/4/2017
• Final action: 4/4/2017
• Enactment #: Agreement No. 16-294-1, Resolution No. 17-191, Resolution No. 17-192
• Title: 1. Approve and authorize the Chairman to execute Amendment I to Master Agreement No. 16-294 with licensed and credentialed mental health facilities for additional beds and services for adults with severe and persistent mental conditions, effective upon execution through June 30, 2021 and increasing the maximum by $29,853,355 to a total of $90,003,355. 2. Adopt Budget Resolution increasing FY 2016-17 appropriations in the 1991 Realign - Health Org 5243 in the amount of $3,202,228 (4/5 vote). 3. Adopt Budget Resolution increasing FY 2016-17 appropriations and estimated revenues in the Behavioral Health Org 5630 in the amount of $3,202,228 (4/5 vote).

Date	Action By	Action	Result
4/4/2017	Board of Supervisors	Conducted Hearings	Pass

DATE: April 4, 2017

TO: Board of Supervisors

FROM: Dawan Utecht, Director, Department of Behavioral Health

SUBJECT: Amendment to Master Agreement with licensed and credentialed facilities

RECOMMENDED ACTIONS:
TITLE
1. Approve and authorize the Chairman to execute Amendment I to Master Agreement No. 16-294 with licensed and credentialed mental health facilities for additional beds and services for adults with severe and persistent mental conditions, effective upon execution through June 30, 2021 and increasing the maximum by $29,853,355 to a total of $90,003,355.

2. Adopt Budget Resolution increasing FY 2016-17 appropriations in the 1991 Realign - Health Org 5243 in the amount of $3,202,228 (4/5 vote).

3. Adopt Budget Resolution increasing FY 2016-17 appropriations and estimated revenues in the Behavioral Health Org 5630 in the amount of $3,202,228 (4/5 vote).
REPORT
Approval of the first recommended action will allow the Department of Behavioral Health to increase placement beds and services for adults with severe and persistent mental health conditions through licensed and credentialed facility service providers, pursuant to Welfare and Institutions Code (WIC), section (?) 5000 et seq. and Title 22 of California Code of Regulations (CCR), ??72001, et seq. Additionally, the increase includes the mandated 3.5% annual increase for Skilled Nursing Facilities (SNF) designated as Institutions of Mental Disease (IMDs). The recommended budget resolutions will allow existing Mental Health Realignment revenues to fund the FY 2016-17 demand for additional beds and services, with no increase in Net County Cost.

ALTERNATIVE ACTION(s):

There are no viable alternative actions. The County is required by the WIC and CCR Title 22 to provide appropriate level of care placements for adults living with persistent and severe mental health conditions, in secured, licensed and credentialed facilities. Without the recommended increase in funding for this Master Agreement,...