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File #: 22-0238    Version: 1
Type: Agenda Item Status: Approved
File created: 1/27/2022 In control: Board of Supervisors
On agenda: 3/8/2022 Final action: 3/8/2022
Title: Health and Human Services Agency (HHSA) recommending the Board adopt and authorize the Chair to sign Resolution 041-2022 to: 1) Approve the deletion of one (1.0) vacant Full Time Equivalent (FTE) Administrative Technician allocation; and 2) Approve the addition of one (1.0) FTE Administrative Analyst I/II allocation in the Health and Human Services Agency. FUNDING: 50% Behavioral Health Quality Improvement Plan (BH QIP) funding for the California Advancing and Innovating Medi-Cal (CalAIM) (Department of Health Care Services Grant through Fiscal Year 2023-24), 30% Federal, 10% State/ Mental Health Services Act (MHSA), and 10% Realignment. After BH QIP expires, 60% Federal, 25% State/ MHSA and 15% Realignment.
Attachments: 1. A - Approved CRS Admin Analyst 03/08/22, 2. B - Personnel Allocation Reso - Admin Analyst 03/08/22, 3. Executed Resolution 041-2022
Related files: 21-0922, 21-1519, 21-0994
Title
Health and Human Services Agency (HHSA) recommending the Board adopt and authorize the Chair to sign Resolution 041-2022 to:
1) Approve the deletion of one (1.0) vacant Full Time Equivalent (FTE) Administrative Technician allocation; and
2) Approve the addition of one (1.0) FTE Administrative Analyst I/II allocation in the Health and Human Services Agency.

FUNDING: 50% Behavioral Health Quality Improvement Plan (BH QIP) funding for the California Advancing and Innovating Medi-Cal (CalAIM) (Department of Health Care Services Grant through Fiscal Year 2023-24), 30% Federal, 10% State/ Mental Health Services Act (MHSA), and 10% Realignment. After BH QIP expires, 60% Federal, 25% State/ MHSA and 15% Realignment.
Body
DISCUSSION / BACKGROUND:
On June 22, 2021, the Board of Supervisors approved the Fiscal Year (FY) 2021-22 Personnel Allocation Resolution #064-2021, thereafter amended September 28, 2021 by Resolution 124-2021 which reflects HHSA’s personnel allocations for FY 2021-22.

Starting January 2022, and with full implementation by 2027, the Department of Health Care Services (DHCS) is implementing a significant Medi-Cal program change thru the California Advancing and Innovating Medi-Cal (CalAIM) project which includes significant changes to the Behavioral Health billing and revenue management. CalAIM is a multi-year initiative by DHCS to improve the quality of life and health outcomes of populations requiring behavioral health services by implementing broad delivery system, program, and payment reform across the Medi-Cal program. As the state unrolls this system change, and as counties begin understanding how the changes may impact Behavioral Health Departments, it has been determined that administrative staffing isn't positioned to meet the upcoming shift in program expectations and monitoring. As such, and to meet some of the upcoming workload impacts related to CalAIM, the state is providing counties with funding for the development of CalAIM s...

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