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Health and Human Services Agency (HHSA) recommending the Board:
1) Authorize the Chair to execute Intergovernmental Agreement 25-50128 (Fenix 9782) with Department of Health Care Services (DHCS), a reimbursement-based revenue agreement with a “zero-dollar” maximum obligation, allowing the County as the Mental Health Plan (MHP) provider to not be limited to a specified reimbursement amount for Medi-Cal covered specialty mental health services (SMHS), for the retroactive term effective July 1, 2025, through December 31, 2026, along with the accompanying Contractor Certification Clause, which is required to be returned to DHCS with the Agreement;
2) Authorize the HHSA Director, or Chief Assistant Director to execute amendments to Agreement 9782 which does not increase Net County Cost; and
3) Authorize the HHSA Director, Chief Assistant Director, or Chief Financial Officer (as applicable) to execute programmatic, administrative and financial documents relating to the Agreement 9782.
FUNDING: SMHS are funded through federal Medi-Cal, with match funding from State General Fund, Mental Health Services Fund and 2011 Behavioral Health Realignment.
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DISCUSSION / BACKGROUND:
DHCS requires a MHP provider in each county to be responsible for providing or arranging for the provision of mandated services for Medi-Cal beneficiaries in their County, including but not limited to, inpatient and residential mental health treatment, as well as outpatient SMHS.
To meet this requirement, HHSA contracts with DHCS to serve as the MHP provider in El Dorado County, in accordance with the requirements of California Welfare and Institutions Code (WIC) Section 14680 through Section 14727. SMHS for adults are provided by County staff; however, SMHS for children have been provided by contracted Community Based Organization (CBO) providers since Fiscal Year (FY) 2006-07, in conjunction with support and oversight by HHSA Behavioral Health staff, which include, but is not limited to,...
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