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File #: 20-0291    Version: 1
Type: Agenda Item Status: Approved
File created: 2/19/2020 In control: Board of Supervisors
On agenda: 4/21/2020 Final action: 4/21/2020
Title: Health and Human Services Agency recommending the Board: 1) Adopt and authorize the Chair to sign Resolution 075-2020, to delegate authority to the Director of the Health and Human Services Agency to execute amendments to specified Behavioral Health Service Provider Agreements so that vendors may be paid a monthly average payment in advance to temporarily alleviate cash-flow issues, contingent upon approval by County Counsel and Risk Management, without change to the term or maximum obligation of any agreement; and 2) Approve and authorize that each of these amendments will have a retroactive effective date of March 1, 2020. FUNDING: State and Federal funding with varied percentages based on the clientele eligibility and type of services being provided.
Attachments: 1. A - Approved CRS for Resolution, 2. B - Resolution, 3. Executed Resolution 075-2020
Related files: 21-0545, 21-0169, 21-0543, 21-0544, 21-0546
Title
Health and Human Services Agency recommending the Board:
1) Adopt and authorize the Chair to sign Resolution 075-2020, to delegate authority to the Director of the Health and Human Services Agency to execute amendments to specified Behavioral Health Service Provider Agreements so that vendors may be paid a monthly average payment in advance to temporarily alleviate cash-flow issues, contingent upon approval by County Counsel and Risk Management, without change to the term or maximum obligation of any agreement; and
2) Approve and authorize that each of these amendments will have a retroactive effective date of March 1, 2020.

FUNDING: State and Federal funding with varied percentages based on the clientele eligibility and type of services being provided.
Body
DISCUSSION / BACKGROUND:
On March 19, 2020, Governor Newsom signed Executive Order N-33-20 resulting in Californian’s observing the Stay-In-Place order. This has resulted in a significant impact not only to the economic viability of service provider organizations but also their ability to provide services in accordance with service agreements held by and between their organization and the County of El Dorado.

In response to issues identified by the service provider network, the Health and Human Services Agency (HHSA) is recommending the Board adopt and authorize the attached Resolution thereby delegating authority to the Director of the HHSA to amend certain agreements to pay a monthly average payment in advance for a limited period of time to ensure sustainability of the service provider network for the Behavioral Health program.

HHSA has identified four (4) fee-for-service agreements that may be paid a monthly average payment in advance to alleviate cash flow issues. These amendments would have a retroactive effective date of March 1, 2020, and would reimburse the provider based on the average monthly payment amount from the period of July 2019 through February 2020. In the event the actua...

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