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Health and Human Services Agency (HHSA) recommending the Board adopt and authorize the Chair to sign Resolution 066-2024, authorizing the following allocation changes in HHSA, to support HHSA Behavioral Health and Public Health Divisions:
1) Deletion of 1.0 Full Time Equivalent (FTE) Limited Term Administrative Analyst I/II allocation;
2) Addition of 5.0 FTE Administrative Analyst I/II allocations;
3) Addition of 1.0 FTE Fiscal Technician allocation;
4) Addition of 5.0 FTE Mental Health Worker I/II allocations;
5) Addition of 3.0 FTE Mental Health Clinician IA/IB/II allocations;
6) Addition of 1.0 FTE Sr. Administrative Analyst allocation; and
7) Addition of 0.5 FTE Office Assistant I/II allocation.
FUNDING: State, Federal, and Realignment Funding, see the Financial Impact section for further detail.
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DISCUSSION / BACKGROUND:
The HHSA Personnel Allocations additions or deletion in this agenda request are being requested in order to meet new and emerging HHSA/County obligations, which include reporting, monitoring and data sharing measures, imposed by the Department of Health Care Services (DHCS) under the California Advancing and Innovating Medi-Cal (CalAIM) program, MHSA, and new State regulations. CalAIM and MHSA Reform are statewide initiatives implemented by the DHCS. The HHSA Behavioral Health Division (BHD) has a contractual obligation to meet the requirements of these initiatives.
Subsequently, DHCS, through the initiation of CalAIM, has placed new reporting requirements on County Mental Health Plans (MHP), which in the County, HHSA BHD serves as the MHP. Further, CalAIM has also increased Substance Use Disorder (SUD) program obligations on data tracking and reporting related to network adequacy, performance measures, and healthcare information exchange. Within the County, SUD programs/services are managed by the BHD. The SUD program provides substance use treatment services to eligible community members, which requires clerical support t...
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