Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with California Mental Health Services Authority for the Mental Health Services Act Innovation Program
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with California Mental Health Services Authority for the Mental Health Services Act Innovation Program, extending the term of the agreement through June 30, 2022 with no change to the maximum amount.
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BACKGROUND:
On June 25, 2019, the Board approved an agreement between Behavioral Health and Recovery Services (BHRS) and California Mental Health Services Authority for the Mental Health Services Act Innovation Program - Tech Suite, now known as Help@Hand, for the term July 1, 2019 through June 30, 2020, in an amount not to exceed $2,452,525. Help@Hand is a statewide collaborative created to determine if and how digital applications (apps) for smartphones and other mobile devices fits within the behavioral health system of care.
DISCUSSION:
The California Mental Health Services Authority (CalMHSA), a Joint Powers Authority, was created by Counties in 2009 to jointly develop and fund mental health services and education programs. Currently, the CalMHSA acts as the fiscal and administrative agent for Help@Hand. As the fiscal and administrative agent, CalMHSA manages funds and provides regular fiscal reports, plans and updates to counties, stakeholders, and state agencies about Help@Hand. BHRS and community-based organizations coordinate local Help@Hand activities, including Help@Hand outreach, technology app vetting and selection, and serving as ambassadors of the program.
Help@Hand was recently extended by the State’s Mental Health Services Oversight Commission. As a result, it is now necessary to amend this current agreement with CalMHSA for Help@Hand activities to extend the term through June 30, 2022, with no change to the maximum amount.
Additionally, through this Memorandum, BHRS is informing the Board that a new budget model was approved by Help@Hand leadership, effective January 2020. The new model reallocates $1,480,096 to supplement local funds, providing a total of $2,899,738 for local Help@Hand implementation. Monies reallocated to the local funds component are not intended to be returned to Counties, but instead will be held with CalMHSA, which will make the expenditure on the Counties’ behalf. As such, per CalMHSA’s procurement process, Counties will be expected to indicate to CalMHSA how they would like to spend these funds on local implementation activities.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
It is anticipated that 100% of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA will be completed by CalMHSA.
PERFORMANCE MEASURE:
|
Measure |
FY 2020-21 Estimated |
FY 2021-22 Projected |
|
Percentage of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA that will be completed by CalMHSA. |
100% 5 of 5 items |
100% 5 of 5 items |
FISCAL IMPACT:
The amended term of the agreement is July 1, 2019 through June 30, 2022. The amount of the amended agreement remains unchanged, i.e. not to exceed $2,452,525, and was included in the BHRS FY 2019-20 Adopted Budget. Because the MHSA will fund 100% of the expenditures when incurred and expended by CalMHSA, there is no additional anticipated budgetary impact.