To: Board of Directors
From: Dr. Grant Colfax, Health Services Director
Report Title: Amendment #74-657-2 with California Mental Health Services Authority (CalMHSA)
?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 Amendment #74-657-2 with California Mental Health Services Authority (CalMHSA), a California joint powers agency, effective December 16, 2025, to amend Participation Agreement (County Contract #74-657, as amended by County Contract #74-567-1 (Amendment No. 1)), to increase the payment limit by $226,526 from $4,570,830 to a new payment limit of $4,797,356, to participate in CalMHSA's contract with Streamline Healthcare Solutions, LLC, in additional program offerings, for a hosted mental health services electronic healthcare record system with no change in the term ending March 20, 2029.
FISCAL IMPACT:
This Amendment will result in additional contractual service expenditures of up to $226,526 over a 3-year period and will be funded as budgeted by the department in FY's 2025-29 100% by Alcohol and Other Drug Services (AODS). (No rate increase)
BACKGROUND:
This Amendment (Amendment No. 2) meets the California Department of Health Care Services-mandated payment reform requirements of California Advancing and? Innovating Medi-Cal (CalAIM) which the County must meet by providing SmartCare Base, a semi-statewide hosted, mental health services enterprise health record system provided by Streamline Healthcare Solutions, LLC, to act as a catalyst for better use of data to drive performance outcomes. SmartCare Base is a fully integrated, web-based Electronic Health Records (EHR) system designed for program, billing, and revenue management to support core business requirements and address all regulatory requirements specific to the State of California by establishing consistent workflows, configuration, and functional...
Click here for full text