County of Fresno - File #: 19-0503

• File #: 19-0503
• Name: Retroactive Amendments to Various Substance Use Disorder Ageements
• In control: Behavioral Health
• On agenda: 6/4/2019
• Final action: 6/4/2019
• Enactment #: Agreement No. 18-694-1, Agreement No. 18-622-1, Agreement No. 18-696-1
• Title: 1. Approve and authorize the Chairman to execute retroactive Amendment I to Master Agreement No. 18-694 for Substance Use Disorder Youth Treatment Services, effective January 1, 2019, with no change in term to June 30, 2023 and decreasing the maximum compensation by $513,333 to a total of $5,536,611. 2. Approve and authorize the Chairman to execute retroactive Amendment I to Agreement No. 18-622 with Mental Health Systems, Inc., for Substance Use Disorder and Mental Health Services for Incarcerated and Justice-Involved Youth, effective November 1, 2018, with no change in term to June 30, 2023 and increasing the maximum compensation by $513,333 to a total of $4,713,333. 3. Approve and authorize the Chairman to execute retroactive Amendment I to Agreement No. 18-696 with Promesa Behavioral Health Inc. for rural substance use disorder services, effective January 1, 2019, with no change in term to June 30, 2021 and increasing the maximum compensation by $175,000 to a total of $695,000.

Date	Action By	Action	Result
6/4/2019	Board of Supervisors	Conducted Hearings	Pass

DATE: June 4, 2019

TO: Board of Supervisors

SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health

SUBJECT: Retroactive Amendments to Various Substance Use Disorder Agreements

RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute retroactive Amendment I to Master Agreement No. 18-694 for Substance Use Disorder Youth Treatment Services, effective January 1, 2019, with no change in term to June 30, 2023 and decreasing the maximum compensation by $513,333 to a total of $5,536,611.

2. Approve and authorize the Chairman to execute retroactive Amendment I to Agreement No. 18-622 with Mental Health Systems, Inc., for Substance Use Disorder and Mental Health Services for Incarcerated and Justice-Involved Youth, effective November 1, 2018, with no change in term to June 30, 2023 and increasing the maximum compensation by $513,333 to a total of $4,713,333.

3. Approve and authorize the Chairman to execute retroactive Amendment I to Agreement No. 18-696 with Promesa Behavioral Health Inc. for rural substance use disorder services, effective January 1, 2019, with no change in term to June 30, 2021 and increasing the maximum compensation by $175,000 to a total of $695,000.
REPORT
Approval of the first and second recommended actions will allow for the reallocation of underutilized funds assigned to the youth outpatient substance use disorder (SUD) treatment program under Agreement No. 18-694 to the SUD treatment for justice-involved youth program under Agreement No. 18-622 where increased funding is needed to cover program costs not reimbursed by other funding sources; services are funded with Substance Abuse Prevention and Treatment (SAPT) Block Grant monies with no increase in Net County Cost.

Approval of the third recommended action will allow Promesa Behavioral Health (Promesa) to support expansion of its telehealth program to rural areas of Sanger, Orange Cove, and others as needs arise. There is no additional Net County Cos...