Agenda

Return

C. 22

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	November 1, 2022

Contra

Costa

County

Subject:

Agreement #29-533-6 with the California Department of Health Care Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/01/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Suzanne Tavano, 925-957-5212
cc:	Marcy Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: November 1, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Standard Agreement #29-533-6 (State #22-20098) with the California Department of Health Care Services, to pay the County for specialty mental health services for Medi-Cal eligible residents of Contra Costa County, for the period from July 1, 2022 through June 30, 2027.

FISCAL IMPACT:

The County will be paid for services in accordance with Chapter 3, Part 2, Division 5 of the Welfare and Institutions Code along with Sections 5600, 5750, 5650 and Government Code Sections 11138, 14705, and 14718. Rates are set forth in the agreement for the Managed Mental Health Care Project for Medi-Cal eligible residents of Contra Costa County, and no County match is required.?

BACKGROUND:

The goal of the managed care project is to provide covered mental health services, including medication support, day treatment intensive, day rehabilitation, crisis intervention, crisis stabilization, adult residential treatment, crisis residential, psychiatric health facility and targeted case management services. Covered mental health services include psychiatric inpatient treatment and early periodic screening, diagnosis and treatment (EPSDT) supplemental specialty mental health services. The County has been contracting with the State for these services since April 1, 2012.

On October 1, 2013, the Board of Supervisors approved Standard Agreement #29-533-2 with the Department of Health Care Services for the provision of Managed Mental Health Care for Medi-Cal eligible resident of Contra Costa County in an amount not to exceed $8,113,337,000, for the period from May 1, 2013 thought June 30 2018.

On August 7, 2018, the Board of Supervisors approved Amendment Agreement #29-533-3 and Standard Agreement #29-533-4 with the California Department of Mental Health and Health Care Services (now known as California Department of Health Care Services), to continue Managed Mental Health Care for Medi-Cal Eligible resident of Contra Costa County through June 30, 2022.

On April 26, 2022, the Board of Supervisors approved Amendment Agreement #29-533-5 to update terms and conditions to comply with federal regulations with no change in the term through June 30, 2022.

Approval of Agreement #29-533-6 will allow the County to continue to receive funds to support the Managed Mental Health Care Project through June 30, 2027, to ensure continuity of specialty mental health services, including agreeing to indemnify and hold the State harmless for any claims arising out of the County’s performance under the agreement.

This agreement was received by the Behavioral Health Division on July 20, 2022, which did not give the department the opportunity to request Board authorization prior to the effective date. Additionally, due to program staff oversight, the execution of the contract was further delayed.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved, the County will not be able to continue providing managed mental health care services to Medi-Cal eligible residents of Contra Costa County.