Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health, and Recovery Services
Subject: Authorizing the Chief of San Mateo County Health or Designee to Execute Agreements with Mental Health and Substance Use Disorder Contracted Providers that Require an Increase to their Agreement Maximum Obligations Due to Increased CalAIM Fee for Service
RECOMMENDATION:
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Adopt a resolution authorizing the Chief of San Mateo County Health, or designee(s), to execute agreements and negotiate amendments with Mental Health and Substance Use Disorder Contracted Providers for the increase in CalAIM fee-for-service units, for each contract listed in Attachment A, for the term of July 1, 2024 through June 30, 2025, in an aggregate amount not to exceed $5,002,244.
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BACKGROUND:
Mental Health and Substance Use Disorder contracts provide essential services to our County clients. Prior to implementation of the fee-for-service payment structure, BHRS paid its Mental Health and Substance Use Disorder providers on the basis of a monthly payment equal to 1/12th of the annual contract amount and BHRS's previous contracts reflected that payment structure. In FY 2024-25, BHRS, as required by CalAIM, introduced fee-for-service payments to these contracted providers, which requires that these providers be paid for all units of services delivered. Therefore, BHRS entered into updated agreements with these providers for quarterly reconciliations from the 1/12th payments to the actual units and services delivered (i.e., fee-for-service). In some cases, the provider fee-for-service volumes have surpassed expectations, and the updated reconciliation agreements do not provide for sufficient funding from the County to the contractor.
DISCUSSION:
To accommodate payments for these service volume increases, FY 2024-25 contract maximum obligati...
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