DATE: June 9, 2020
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Department of Behavioral Health Budget Resolutions
RECOMMENDED ACTION(S):
TITLE
1. Adopt Budget Resolution increasing the FY 2019-20 appropriations in the Mental Health (EPSDT) Org 5637 in the amount of $8,000,000 (4/5 vote).
2. Adopt Budget Resolution increasing the FY 2019-20 appropriations and estimated revenues in the Behavioral Health Org 56302007 in the amount of $8,000,000 (4/5 vote).
3. Adopt Budget Resolution increasing the FY 2019-20 appropriations in the Mental Health (Managed Care) Org 5636 in the amount of $3,000,000 (4/5 vote).
4. Adopt Budget Resolution increasing the FY 2019-20 appropriations and estimated revenues in the Behavioral Health Org 56302666 in the amount of $3,000,000 (4/5 vote).
REPORT
Approval of recommended actions one through four will allow the Department of Behavioral Health to continue funding various Substance Use Disorder (SUD), Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services, and specialty mental health services to eligible Medi-Cal beneficiaries.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. If the recommended actions are not approved, the Department will not have sufficient appropriations to continue funding State and Federal mandated services through the end of the fiscal year.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions.
Recommended actions one and two will increase FY 2019-20 appropriations in the Mental Health (EPSDT) Org 5637 ($8,000,000) using fund balance from the 2011 Special Revenue Fund and increase FY 2019-20 appropriations and estimated revenues in the Contracted Services-MH Org 56302007 in the amount of $8,000,000 by operating transfers in from Org 5637.
Recommended actions three and four will increase FY 2019-20 appropriations in the Mental Health (Managed Care) Org 5636 ($3,000,000) using fund balance from the 2011 Special Revenue Fund and increase FY 2019-20 appropriations and estimated revenue in the Contracted Services - MH Org 56302666 in the amount of $3,000,000 by an operating transfer in from Org 5636.
DISCUSSION:
The Fresno County Mental Health Plan provides specialty mental health services to Medi-Cal beneficiaries in Fresno County through a contract with the California Department of Health Care Services (DHCS), including Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services to Medi-Cal clients aged 0-21. Additionally, the Department opted in to the Drug Medi-Cal Organized Delivery System (DMC-ODS) that expands SUD services providing access to a full continuum of SUD benefits, which was approved by DHCS and implemented on January 1, 2019.
The Department has incurred expenses that are eligible for reimbursement with 2011 Realignment funds, which are available in the Special Revenue Fund, but unbudgeted in the current fiscal year. The recommended Budget Resolutions one through four will increase realignment appropriations and revenues needed to cover costs of Federal and State mandated specialty mental health and SUD services already rendered and allow for continued funding of these services through the end of the fiscal year.
OTHER REVIEWING AGENCIES:
The Behavioral Health Board was informed of the recommended budget resolutions at its May 20, 2020 Board Meeting.
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Budget Resolution 5637
On file with Clerk - Budget Resolution 56302007
On file with Clerk - Budget Resolution 5636
On file with Clerk - Budget Resolution 56302666
CAO ANALYST:
Ron Alexander