Title
Health and Human Services Agency, Mental Health Division, recommending the Board:
1) Approve and authorize the Chair to sign Standard Agreement 16-93110 (County Agreement 097-M1710) with the California Department of Health Care Services that establishes the conditions and requirements the County must meet in order to receive funding from the State for the Community Mental Health Services Block Grant, the Mental Health Plan Agreement, Mental Health Services, as well as Projects for Assistance in Transition from Homelessness for the term July 1, 2016 through June 30, 2017;
2) Authorize the Chief Administrative Officer, or designee, to execute further documents relating to Standard Agreement 16-93110, if any, provided that the amendments do not eliminate the funding streams, do not change the term, and contingent upon approval by County Counsel and Risk Management; and
3) Authorize the Health and Human Services Agency Director, or designee, to continue to administer Agreement 16-93110 and execute any subsequent documents relating to said Agreement, including programmatic reports.
FUNDING: There is no funding included in this Agreement; however, it establishes the requirements to receive funding from various mental health funding sources.
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DEPARTMENT RECOMMENDATION:
Health and Human Services Agency (HHSA) recommends approval of Agreement 16-93110 (County Agreement 097-M1710) with the California Department of Health Care Services (DHCS) as it ensures County eligibility for funding under the Mental Health Services Act (MHSA), Projects for Assistance in Transition from Homelessness grant (PATH) and Community Mental Health Services Block Grant (MHBG). Failure to execute this Agreement jeopardizes the County’s eligibility for approximately $6,486,545 in funding under the aforementioned funding streams.
DISCUSSION / BACKGROUND:
The Health and Human Services Agency, Mental Health Division has received funding from the State for mental health services via a variety of grants and allocations for many years and is authorized to act as the Mental Health Plan for the residents of the County via contract with the State Department of Health Care Services (DHCS).
The DHCS administers the MHSA, PATH, and MHBG grants, as well as community mental health services paid for with realignment funds and Medi-Cal fee-for-service reimbursement. The County is authorized to act as the Mental Health Plan (MHP) via an Agreement with DHCS, and is responsible for the mental health services provided to eligible residents of El Dorado County. This Agreement establishes the terms, conditions, and requirements that the County must meet in order to receive funding for providing and/or contracting with sub-contractors for the aforementioned services. Additionally, except for the Mental Health Realignment dollars and the Medi-Cal fee-for-service reimbursement, each of these revenue streams is a separate Agreement through DHCS.
ALTERNATIVES:
This agreement makes the County eligible to receive the Community Mental Health Services Block Grant, Mental Health Plan Agreement, Mental Health Services, as well as Projects for Assistance in Transition from Homelessness. If this agenda item is approved, agreements or agreements under delegated authority to the HHSA Director for these programs will come to the Board at a later time (agreements under delegated authority to the HHSA Director are reported to the Board once a year). In the event this Agreement is not approved by the Board, there is no revenue available to replace the approximately $6,486,545 in funding that would be at risk. Mandated programs and associated staff will be unfunded and the County will be unable to provide mental health services to residents of the County.
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Concurrence by County Counsel, Risk Management, and Information Technologies.
CAO RECOMMENDATION:
It is recommended that the Board approve this item.
FINANCIAL IMPACT:
There is no remuneration associated with this Agenda Item. However, it provides access to annual State and Federal grants, allocations, Mental Health Realignment, and Medi-Cal reimbursement. Sufficient appropriations are included in the Fiscal Year (FY) 2016-2017 Budget.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of the Chair on two (2) originals of Agreement 097-M1710 and three (3) originals of Form CCC-307.
2) Clerk of the Board to return two (2) Minute Orders
3) Clerk of the Board to return all documents to HHSA Contracts Unit at 3057 Briw Road.
STRATEGIC PLAN COMPONENT:
This Agreement reflects HHSA’s Strategic Plan Goal Number 2: Fiscal Responsibility: To develop and sustain Agency resources through thoughtful planning and efficient practices, and foster accountability and ownership at all levels of the Agency.
CONTACT
Patricia Charles-Heathers, Ph.D., Assistant Director of Health Services