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File #: 21-1313    Version: 1
Type: Agenda Item Status: Approved
File created: 8/4/2021 In control: Board of Supervisors
On agenda: 8/31/2021 Final action: 8/31/2021
Title: Health and Human Services Agency (HHSA) recommending the Board: 1) Approve and authorize the HHSA Behavioral Health Director to sign and submit to State of California Department of Health Care Services (DHCS) the Initial Funding Request and Certification form for Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds in the amount of $250,000; 2) Delegate authority to the HHSA Behavioral Health Director, or designee, to execute any additional documents, contingent upon approval by County Counsel and Risk Management, including any extension(s) or amendment(s) thereto, related to those specific allocations for the DHCS BH-QIP; and 3) Authorize the HHSA Behavioral Health Director, or designee, or Agency Chief Fiscal Officer or designee, to execute any fiscal or programmatic reports for said funding allocations. FUNDING: 100% State General Fund.
Attachments: 1. A - Approved CRS BHIN 21-044, BH-QIP CalAIM 08/31/2021, 2. B - BHIN 21-044, BH-QIP CalAIM 08/31/2021
Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Approve and authorize the HHSA Behavioral Health Director to sign and submit to State of California Department of Health Care Services (DHCS) the Initial Funding Request and Certification form for Behavioral Health Quality Improvement Program (BH-QIP) Start-Up Funds in the amount of $250,000;
2) Delegate authority to the HHSA Behavioral Health Director, or designee, to execute any additional documents, contingent upon approval by County Counsel and Risk Management, including any extension(s) or amendment(s) thereto, related to those specific allocations for the DHCS BH-QIP; and
3) Authorize the HHSA Behavioral Health Director, or designee, or Agency Chief Fiscal Officer or designee, to execute any fiscal or programmatic reports for said funding allocations.

FUNDING: 100% State General Fund.
Body
DISCUSSION / BACKGROUND:
The Department of Health Care Services (DHCS) has created the Behavioral Health Quality Improvement Program (BH-QIP) to incentivize counties to prepare for changes under the California Advancing & Innovating Medi-Cal (CalAIM) initiative, as well as future programs requiring counties to build out new infrastructure and capacity. The BH-QIP will be structured as an incentive program, whereby counties will be required to achieve certain CalAIM implementation milestones to earn incentive payments. A total of $86,602,000 in CalAIM incentives are available from July 1, 2021 through June 30, 2024. For Fiscal Year (FY) 2021-22, Senate Bill (SB) 129 (Chapter 69; Statutes of 2021), authorized $21,750,000 in State General Fund for the BH-QIP. There will be two sets of payments to counties:

1. Start-up funding amount of $250,000 that will be available to each county in the first and second quarter of FY 2021-22; and
2. Quarterly incentive payments, available after January 2022, following a county’s submission of a DHCS approved implementation plan and the subsequent completion...

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