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File #: 26-107    Version: 1 Name:
Type: Consent Item Status: Passed
File created: 12/30/2025 In control: BOARD OF SUPERVISORS
On agenda: 1/13/2026 Final action: 1/13/2026
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract with County of Orange Healthy Care Agency, to facilitate the provision of Specialty Mental Health Services for Medi-Cal eligible foster children and youth under 21 years of age who are placed in out-of-county Short-Term Residential Therapeutic Program facilities for the period August 1, 2024 through June 30, 2026. (Local County match)
To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Letter of Agreement #78-100 with County of Orange Healthy Care Agency
?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 Letter of Agreement #78-100 with County of Orange Healthy Care Agency, a government agency, to facilitate Specialty Mental Health Services (SMHS) at out-of-county Community Treatment Facility (CTF), Group Home (GH), and Short-Term Residential Therapeutic Program (STRTP) services for Medi-Cal eligible foster child or youth under twenty-one (21) years of age, for the period August 1, 2024 through June 30, 2026.

FISCAL IMPACT:
Approval of this Letter of Agreement will result in reimbursement of Local Share of Medi-Cal claims necessitated by Assembly Bill (AB) 1051. County of Orange Healthy Care Agency will bill County for the amount of the County's local match (Intergovernmental Transfer) as indicated on the Department of Healthcare Services (DHCS) 835 file (DCHS Payment and Explanation of Benefits file) for the provision of SMHS related services to Medi-Cal eligible foster child or youth under twenty-one (21) years of age. (Local Match required).

BACKGROUND:
The California legislature recognizes the need to ensure that foster children overcome barriers to care that may result when responsibility for providing or arranging for youth who are placed outside of their county of original jurisdiction, are able to access specialty mental health services in a timely manner, as mandated by AB 1051.The goal is to establish responsibility for providing or arranging for SMHS, shall promptly transfer from the county of original jurisdiction ("County of Jurisdiction") to the county in which the foster child resides ("County of Residence"). This Agreement will facilitate the need to have the ability to quickly place foster child...

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