To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Participation Agreement Amendment #74-649-3 with California Mental Health Services Authority
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Participation Agreement Amendment #74-649-3 with California Mental Health Services Authority (CalMHSA), a public entity, effective June 29, 2025, to amend Participation Agreement #74-649-2, to increase the payment limit by $15,422, from $30,844 to a new payment limit of $46,266 and extend the termination date from June 30, 2025 to June 30, 2026 for additional administrative agent services to contract with California Department of State Hospitals (DSH) for access and use of state hospital bed utilization on behalf of County.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $15,422 and will be funded 100% by Mental Health Realignment funds. (No rate increase)
BACKGROUND:
For many years Contra Costa County has joined a consortium of counties in contracting with CalMHSA who negotiates rates and terms with the DSH on behalf of California counties. Participation is not mandatory but is greatly preferred to ensure conformity with other participants and streamlining negotiations and limiting costs. The State hospital program is focused on streamlining administration and contracting between the DSH and counties. CalMHSA provides expertise in negotiating rates, terms and conditions of psychiatric bed utilization at the State hospitals. In addition, CalMHSA explores alternatives to State hospital usage as many counties are experiencing wait times for care.
The purpose of this Participation Agreement is to grant CalMHSA the authority to contract with DSH for state hospital bed utilization on behalf of county and to define roles and responsibilities between CalMHSA and Participants in the context of a MOU between CalMHSA and DSH. The County has been contracting with CalMHSA since July 2021. Per Administrative Bulletin 600.3 intergovernmental agencies are exempt from Solicitation requirements.
On December 12, 2023, the Board of Supervisors approved Participation Agreement #74-649-2 with CalMHSA in the amount of $30,844 to act as administrative agent with the DSH for access and use of state hospital bed resources on behalf of County and to evaluate and implement collaborative opportunities in the development of programs for the period from July 1, 2023 through June 30, 2025.
Approval of Participation Agreement Amendment #74-649-3 will allow the Contractor to provide additional administrative agent services on behalf of the County through June 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, the County will not have access to Contractor’s administrative agent services for state hospital bed utilization.