Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Accept and authorize the HHSA Director to sign Amendment II to Funding In Agreement 6256 (7460-CA MOBILE CRISIS-ELDORADO-01) with Advocates for Human Potential, Inc., for the Crisis Care Mobile Units Program (CCMU), administered by the California Department of Health Care Services (DHCS), to enhance HHSA Behavioral Health Division’s mobile crisis and non-crisis response services, which retroactively increases the award by $2,000,000 for a total amount not to exceed $2,200,000, extends the term of the Agreement from December 31, 2023 through June 30, 2025, and updates the Statement of Work;
2) Authorize the HHSA Director, or Behavioral Health Director, to execute further documents, and fiscal and programmatic reports relating to Agreement 6256, contingent upon approval by County Counsel and Risk Management, including Amendments which do not increase the maximum dollar of the Agreement; and
3) Approve and authorize the Chair to sign a Budget Transfer Request increasing State revenue by $2 million and increasing Professional Services and Fixed Assets by $2 million for Fiscal Year 2022-23 (4/5 vote required).
FUNDING: 100% California State funded DHCS CCMU Program Grant.
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DISCUSSION / BACKGROUND:
DHCS developed the Crisis Care Mobile Units Program (CCMU) to utilize $150 million in funding received from the Behavioral Health Continuum Infrastructure Program (BHCIP), and $55 million received from the Substance Abuse and Mental Health Services Administration through the Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA) to support and expand behavioral health mobile crisis and non-crisis services.
On July 22, 2021, DHCS released the Request for Applications (RFA) for CCMU Program Planning Grant funding to county and city behavioral health agencies. HHSA submitted an application and on October 11, 2021, was awarded $200,000 to develop an Action Plan to address the need of mobile crisis and non-crisis programs in the County. On June 14, 2022, the Board accepted this grant via Agreement 6256 with Advocates for Human Potential, Inc. (AHP), DHCS’ Administrative Entity appointed to oversee the CCMU Program funding (File ID: 21-1989).
HHSA worked to develop an Action Plan which would provide mobile behavioral health crisis services to youth individuals ages twenty-five (25) and under, as well as divert youth individuals from involvement in the criminal justice system. Allowable expenses under the CCMU Planning Grant included: staffing; consultant services; coordination with local and regional organizations; equipment, supplies, and software; and community needs assessments.
On December 8, 2022, DHCS awarded HHSA an additional $2,000,000 for CCMU Early Implementation and Base Allocation Funding, to be processed via an Amendment to the existing Funding In Agreement 6256 with AHP. On December 27, 2022, HHSA submitted a Statement of Work (SOW) to DHCS for the Implementation Phase of the Action Plan. The SOW provided a timeline of deliverables which includes the purchase of outreach vehicles and safety equipment for those vehicles, staff safety equipment, office and communication equipment for field use, emergency medication, and marketing materials. In addition, the SOW provided a timeline for data collection, analysis, and quarterly reporting.
Since Agreement 6256 was expiring on February 14, 2023, it was determined there was not sufficient time to process an amendment for Board approval to accept the additional funding. Agreement 6256 stipulated that AHP had the authority to extend the term without prior approval from the County. Therefore, Amendment I was executed by AHP on February 2, 2023, and approved by the Purchasing Agent on February 22, 2023. Amendment I extended the term through December 31, 2023, to allow sufficient time for HHSA to process the amendment and obtain Board approval.
HHSA requests the Board approve Amendment II to Agreement 6256 which extends the term through June 30, 2025, retroactively increases the award by $2,000,000 for a total award of $2,200,000 and updates the SOW to allow for CCMU Early Implementation and Base Allocation Funding.
ALTERNATIVES:
Should the Board decline to approve this recommendation, HHSA would be unable to receive $2 million in grant funds and would not meet deliverables outlined in its CCMU Action Plan approved by DHCS, resulting in a lack of behavioral health services and supports to young individuals in the community.
PRIOR BOARD ACTION:
1) 06/14/22, File ID 21-1989, HHSA, Advocates for Human Potential, 6256
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no General Fund Cost associated with this Agenda item. If approved, the Budget Transfer Request will increase revenue and appropriations in the Behavioral Health Division by $2,000,000 in Fiscal Year (FY) 2022-23. The budget transfer increases Professional Services by $1,076,080 for contracts and consulting services needed to establish these services. The budget transfer also increases Fixed Assets by $923,920 for two crisis response vehicles. This item is not requesting the vehicles get added to the fixed asset list as the vehicle purchases will occur in FY 2023-24 and have been included in the HHSA’s FY 2023-24 budget request.
CLERK OF THE BOARD FOLLOW UP ACTIONS
N/A
STRATEGIC PLAN COMPONENT:
Healthy Families
CONTACT
Olivia Byron-Cooper, MPH, Interim Director, Health and Human Services Agency