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, 2025 through June 30, 2026, in an aggregate amount not to exceed $8,316,849.
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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 (FFS) payment structure, BHRS paid its Mental Health and Substance Use Disorder providers on a 1/12th basis, and BHRS's previous contracts reflected that payment structure. In FY 2024-25, BHRS, as required by CalAIM, introduced FFS 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 periodic reconciliations from the 1/12th payments to the actual units and services delivered (i.e., FFS).
DISCUSSION:
In some cases, BHRS providers' FFS volumes have exceeded projections, and their current agreements do not provide sufficient funding from the County. For these providers, BHRS is seeking this Board's approval to amend their respective agreements, as listed in detail on Attachment A, in order to ensure that they have sufficient funding to continue providing essential ser...
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