To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Grant Agreement #78-051-2 with California Department of Health Care Services (DHCS)
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director or designee, execute on behalf of the County Grant Agreement #78-051-2 with California Department of Health Care Services (DHCS) for providing Access and Transforming Health (PATH) Capacity and Infrastructure Transition, Expansion and Development (CITED) Grant - Round 4 funding in an amount not to exceed $2,714,912 to provide housing support through a bridge housing model for unhoused persons, and expand capacity for Short Term Post Hospitalization placements for Medi-Cal eligible, medically vulnerable individuals to develop and expand California Advancing and Innovating Medi-Cal (CalAIM) services in Contra Costa County for the period January 1, 2026 through December 31, 2026.
FISCAL IMPACT:
Approval of this Agreement will result in an amount not to exceed $2,714,912 from DHCS's CITED Program. No County match is required.
BACKGROUND:
This Round-4 funding from DHCS will help expand and develop CalAIM services in California. In calendar year 2022, there were 5,896 Contra Costa Health Plan (CCHP) patients who had at least one-episode of homelessness during the year. Additionally, 194 patients exited a county run shelter into housing without the tenancy sustaining supports (aftercare) necessary to prevent recurrence of homelessness. Currently, there is no streamlined way to access community support services, nor does County have the workforce in place to deliver these much-needed services. County's current system works in silos and with CITED funding, County can more seamlessly integrate services to create a more robust system of care that can address housing and health together. CITED funding will also enable health care and homeless service provide...
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