Legislation Details

File #: 26-2163    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 5/6/2026 In control: BOARD OF SUPERVISORS
On agenda: 5/19/2026 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with La Cheim School, Inc., to increase the payment limit by $2,395,526 to an amount not to exceed $7,092,636 and extend the term through December 31, 2026 to provide additional Medi-Cal specialty mental health services including therapeutic behavioral services and short-term residential treatment program services, for seriously emotionally disturbed youth who are wards of the County or are in danger of being placed away from their families. (50% Federal Medi-Cal; 50% Mental Health Realignment)
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To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #24-133-87 with La Cheim School, Inc.
?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 Contract Amendment/Extension #24-133-87 with La Cheim School, Inc., a non-profit corporation, effective June 30, 2026, to amend Contract #24-133-86, to increase the payment limit by $2,395,526, from $4,697,110 to an amount not to exceed of $7,092,636, and to extend the termination date from June 30, 2026 to December 31, 2026, to provide additional Medi-Cal specialty mental health services including Therapeutic Behavioral Services (TBS) and short-term residential treatment program (STRP) services, for Seriously Emotionally Disturbed (SED) youth who are wards of the County or are in danger of being placed away from their families.

FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $2,395,526 and will be funded 50% by Federal Medi-Cal revenues and 50% Mental Health Realignment. (Rate increase)

BACKGROUND:
This Contract meets the social needs of County's population by providing Medi-Cal specialty mental health services including TBS services, short-term residential treatment program (STRP), and school-based intensive therapeutic mental health services to all special education students attending County's nonpublic school (NPS), for children and adolescents across the County. Youth eligible for services are between the ages of 3 and 21, presenting with severe maladaptive behavior issues, mental health disorders, and are in danger of being placed away from their families, outside of their homes. Youth are often close to becoming part of the County's foster care system or being placed in the county's juvenile hall. Eligible individuals are determined by the Federal...

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