To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Participation Agreement #74-672-2 with California Mental Health Services Authority
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute, on behalf of the County Participation Agreement #74-672-2 with California Mental Health Services Authority (CalMHSA), a government agency, to pay CalMHSA an amount not to exceed $376,488 for County to participate in the Psychiatric Inpatient Concurrent Review (PICR) project and for CalMHSA to act as the fiscal and administrative agent for the project for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Agreement will result annual contractual service expenditure of up to $376,488 funded 100% by Proposition 30 funds.
BACKGROUND:
The purpose of this Participation Agreement is to grant CalMHSA the authority to act as the fiscal and administrative agent on behalf of the County as part of the Greater Bay Area Regional Partnership. In order to access the matching funds provided by the State, counties must participate as a regional County partnership with the agreement of providing about 30% matching funds, while the State provides 70% of the funds. Contra Costa Behavioral Health Services, as part of the Greater Bay Area Regional Partnership had communicated its intent to the State in participating in this program prior to the onset of the pandemic along with other Bay Area counties as a manner to amplify educational loan repayment to address workforce needs.
On July 12, 2022, the Board of Supervisors approved Participation Agreement #74-672 with CalMHSA, in an amount not to exceed $398,419, for participation in PICR project for the period August 1, 2023 through December 31, 2024.
On December 17, 2024, the Board of Supervisors approved Participation Amendment Agreement #74-672-1,with CalMHSA to increase the payment limit by $100,408 to a new payment limit of $498,827 to allow the County to continue to participate in the PICR project and extend the termination date from December 31, 2024 to June 30, 2025.
Approval of Participation Agreement #74-672-2 will allow County to continue to participate in the PICR project, through June 30, 2026. This Contract includes a mutual indemnification provision to hold harmless both parties for any claims arising out of the performance of this Contract. This Contract is late due to prolonged negotiations between the Division and Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, Contra Costa County will not be allowed to participate in the PICR project and subsequently will not have access to review and authorization administered by CALMHSA which is required for all psychiatric inpatient hospital services and psychiatric health facility services administered by CALMHSA.