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Health and Human Services Agency (HHSA) recommending the Board:
1) Adopt and authorize the Chair to sign Resolution 082-2023 delegating authority to the HHSA Director or Behavioral Health Director, to accept annual funding allocations, and execute all necessary documents required to secure and maintain the Projects for Assistance in Transition from Homelessness (PATH) and Community Mental Health Block Grant (MHBG) allocations issued by the Department of Health Care Services (DHCS) through June 30, 2024, contingent upon approval by County Counsel and Risk Management;
2) Delegate authority to the HHSA Director or Behavioral Health Director to execute additional documents related to those specific allocations and any amendments thereto, that do not increase Net County Cost, contingent upon approval by County Counsel and Risk Management; and
3) Approve and authorize the HHSA Agency Chief Fiscal Officer to execute any required fiscal reports for said funding allocations.
FUNDING: Federal and State funding.
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DISCUSSION / BACKGROUND:
The Board of Supervisors Policy A-6, Grant Applications, establishes the Board as the sole authority for accepting grant awards and approving grant agreements. Over the years, and in accordance with said policy, HHSA has presented many funding/revenue agreements, grants, and other funding allocations to the Board for approval.
The DHCS issues at least two (2) annual revenue allocations/agreements to HHSA that require signature by the HHSA Director or HHSA Director of Behavioral Health. These include, but may not be limited to the PATH and MHBG allocations, as defined below:
PATH Funding
PATH funds are specifically designated for outreach, case management, staff training, referrals to primary health services, job training and relevant housing services for homeless clients of the Behavioral Health Division. Historically these requirements have been successfully fulfilled via subaward contracts with local providers.
MHBG Funding
Since 1997, the MHBG funds have been used in collaboration with other public and private organizations such as the HHSA Social Services programs and the El Dorado County Office of Education to address the needs of children/adolescents with serious emotional disturbance.
MHBG is comprised of funds to: 1) support the County in carrying out plans for providing comprehensive community mental health services to adults (age 18 and over) with serious mental illnesses, and to children (under age 18) with serious emotional disturbances; 2) provide treatment to patients diagnosed with dual disorders (psychiatric disorders along with alcohol and other drug use disorders); and 3) provide treatment to adolescents and young adults who experience psychotic symptoms or a psychotic episode for the first time.
Each of the referenced DHCS allocations require the HHSA Director or HHSA Behavioral Health Director’s signature. To ensure that these annual funding agreements issued by the DHCS are executed timely and to ensure the continuation of essential services, HHSA is recommending the Board adopt and sign the attached Resolution delegating authority to the HHSA Director or Behavioral Health Director to accept and execute these funding allocations/agreements.
ALTERNATIVES:
Disapproval of the Resolution will mean that HHSA will present these allocations individually to the Board to accept funding and request that the Board delegate signature authority to the HHSA Director or Behavioral Health Director to sign all necessary documents to secure the funding.
PRIOR BOARD ACTION:
1) 06/21/22, 22-0813, HHSA BH Director Signing Authority, Resolution FY 2022-23
2) 06/08/21, 21-0571, HHSA 2021-2022 BH Signature authority delegation resolution 049-2021
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with these revenue allocations/agreements. Sufficient appropriations have be included in HHSA’s Fiscal Year 2023-24 Budget request.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain the Chair’s signature on one (1) original of the Resolution.
2) Clerk of the Board to return one (1) certified Resolution to Health and Human Services Agency, Contracts Unit via email at hhsa-contracts@edcgov.us.
STRATEGIC PLAN COMPONENT:
Good Governance, Healthy Communities
CONTACT
Olivia Byron-Cooper, MPH, Interim Director, Health and Human Services Agency