Agenda

Return

C. 44

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	July 12, 2022

Contra

Costa

County

Subject:

Grant Application in Support of the Behavioral Health Continuum Infrastructure Project and/or the Community Care Expansion Program

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/12/2022

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, 925-957-5201
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: July 12, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to apply for grant funding made available by the State Department of Health Care Services and California Department of Social Services, for one or more projects in response to the Behavioral Health Continuum Infrastructure Project (BHCIP) and the Community Care Expansion (CCE), for the purchase and/or renovation of facilities to serve Medi-Cal eligible clients, behavioral health clients, and/or recipients of social security insurance or social security disability insurance (SSI/SSD).

FISCAL IMPACT:

If awarded, County will receive funds from the State of California Department of Health Care Services for BHCIP or the Department of Social Services through their administrator, Advocates for Human Potential, for the purchase or remodel of public behavioral health facilities or a range of shelter options for recipients of SSI/SSD. County will be responsible for 10% match of the entire project cost. County-owned real property may be used as match. Additionally, if awarded, County will agree to maintain the use of the property for a period of 30 years for BHCIP funded projects and 20 years for CCE funded projects.

BACKGROUND:

The State of California has invested $2.2 billion to develop and expand community behavioral health treatment facilities through a competitive grant program through the Department of Health Care Services (DHCS) for Medi-Cal beneficiaries and an additional $805M in funding for a competitive grant program through the California Department of Social Services (CDSS) to develop adult and senior care facilities for individuals receiving Social Security Income (SSI). These combined infrastructure programs represent the largest provision of resources for behavioral health infrastructure in the state’s history.

Contra Costa Behavioral Health has conducted a qualitative and quantitative needs assessment with community stakeholders to identify needs for BHCIP facility development and determined that crisis and longer-term residential treatment programs, both secure and voluntary, for adults with serious mental illness, many of whom have a co-occurring substance use disorder and/or are involved with the criminal justice system are our primary needs.

Applications for CCE are accepted on a rolling basis until funds are expended. There is currently a round of BHCIP funding (Round 4) targeted towards children and youth with applications due in August. The next round (Round 5) of BHCIP applications is likely to open in August and close on October 31 deadline with awards in January 2023. Round 6 is likely to open in October and close on December 31 with awards in March 2023.

Applications for both purchase of real estate and development and/or remodel costs require site control of the property, including a deed or executed purchase agreement, as well as preliminary plans (e.g., schematic design); reasonable project budget and timeline with identified development team (i.e., contractor, architect, engineer, etc.); proposed facility types with plan for licensure and certification; and commitment from CCBHS to fund Medi-Cal services at the location. Health Services intends to work with County Public Works to facilitate obtaining these requirements in the case of County directed projects and will seek partnership from local agencies who may submit projects on their own behalf when and if appropriate.

County is not obligated to accept funds from any award that is made. The Division will return to the Board of Supervisors for approval of any projects that may be awarded, acceptance of the award, and any terms and conditions required by the award.

CONSEQUENCE OF NEGATIVE ACTION:

County would not receive funds to invest in behavioral health care infrastructure or housing options for Medi-Cal eligible behavioral health clients and/or recipients of SSI/SSD.