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Health and Human Services Agency recommending the Board:
1) Approve non-financial State Agreement 21-10079 (County Agreement 5819) and the accompanying Certification Form CCC 04/2017 with the California Department of Health Care Services that establishes terms and conditions for the provision of mental health services, with a retroactive effective date of July 1, 2021 through June 30, 2024; and
2) Authorize and delegate authority to the Health and Human Services Agency Director, or designee, to execute this Agreement and further documents relating to Standard Agreement 5819, if any, provided that amendments do not eliminate the funding streams, and contingent upon approval by County Counsel and Risk Management.
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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DISCUSSION / BACKGROUND:
Agreement 5819 is a renewal of State Agreement 18-95241 (County Agreement 4408) with the California Department of Health Care Services (DHCS), which was approved by the Board on December 10, 2019. Agreement 4408 expired June 30, 2021. Otherwise known as the Performance Plan, Agreement 5819 was received from DHCS on June 25, 2021 and was immediately processed by Health and Human Services Agency (HHSA) staff for submission to the next available Board Agenda. It is retroactive to July 1, 2021, bridging the gap between the expiration of Agreement 4408 and receipt of DHCS’ new Performance Plan.
HHSA receives funding from the State for mental health services my means of a variety of grants and allocations, and is authorized to act as the Mental Health Plan (MHP) for the residents of the County per Agreement 17-94580 (County Agreement 3190). DHCS administers the Mental Health Services Act, Lanterman-Petris-Short Act, Projects for Assistance in Transition from Homelessness, Community Mental Health Services Block Grant, Substance Abuse Treatment and Prevention Block Grant, and the Crisis Counseling Assistance and Training Program; and oversees the County provision of community mental health services pursuant to the Bronzan-McCorquodale Act. This Agreement establishes the terms, conditions, and requirements that the County must meet in order to receive funding for providing, and/or contracting with subcontractors, for the aforementioned services. Additionally, except for Mental Health Realignment dollars and the Medi-Cal fee-for-services reimbursement, each of these revenue streams is a separate Agreement through DHCS.
ALTERNATIVES:
In the event this Agreement is not approved by the Board, there would be no revenue available to replace over $13 million 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.
PRIOR BOARD ACTION:
1) 12/10/19, 19-1676, HHSA DHCS Performance Plan Agreement, 4408
2) 12/05/17, 17-1195, HHSA DHCS Agreement 279-M1810 (17-94520) - Performance Agreement.
3) 08/14/18, 18-1110, HHSA DHCS Agreement 3190 (17-94580) - Mental Health Plan.
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Information Technologies, and Risk Management.
CAO RECOMMENDATION:
Approve as recommended.
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.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on three (3) original Agreements #5819, and three (3) originals of Form CCC 04/2017.
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:
County Strategic Plan, Healthy Communities: Improved health, well-being and self-sufficiency of El Dorado County communities, residents and visitors.
CONTACT
Don Semon, Director