To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: Majority
SUBJECT:
title
Memorandum of Understanding with Partnership HealthPlan of California Regarding the Coordination of Mental Health Services in Humboldt County
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute the attached memorandum of understanding with Partnership HealthPlan of California regarding the coordination of mental health services in Humboldt County;
2. Authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to the attached memorandum of understanding with Partnership HealthPlan of California, after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Direct the Clerk of the Board to return one fully executed original copy of the attached memorandum of understanding with Partnership HealthPlan of California to the Department of Health and Human Services - Contract Unit for further processing
Body
STRATEGIC PLAN:
The recommended actions support the following areas of the Board of Supervisors’ Strategic Plan:
Area of Focus: Safe & Healthy Communities
Strategic Plan Category: 1002- Remove barriers to quality healthcare
DISCUSSION:
As part of the state budget for fiscal year 2012-2013, the State of California authorized expansion of Medi-Cal managed care into counties that had previously provided Medi-Cal benefits on a fee-for-service basis only. On May 14, 2013, the Humboldt County Board of Supervisors (“Board”) adopted Ordinance 2501 authorizing the County of Humboldt to join the Partnership HealthPlan of California, a regional County Organized Health System model of Medi-Cal managed care.
As a condition of the contract with the California Department of Health Care Services, Partnership HealthPlan of California is required to execute a memorandum of understanding with the Humboldt County Department of Health and Human Services - Behavioral Health (“DHHS - Behavioral Health”) describing the responsibilities of the County of Humboldt and Partnership HealthPlan of California in the delivery of mental health services to Medi-Cal beneficiaries who are served by both parties. A memorandum of understanding between DHHS - Behavioral Health and Partnership HealthPlan of California was previously approved by the Board on Aug. 19, 2014, and subsequently amended in 2019 with minor changes.
The attached memorandum of understanding with Partnership HealthPlan of California has been updated to comply with the requirements set forth in recent federal Medicaid managed care rules and Partnership HealthPlan of California’s 2024 agreement with the Department of Health Care Services. The attached memorandum of understanding with Partnership HealthPlan of California will fully replace the previous version thereof and allow for the continued coordination of mental health services in Humboldt County to ensure continuity of care for mutual clients and avoid duplication of services.
SOURCE OF FUNDING:
Behavioral Health Fund (1170-424-640000, 515000, 515120, and 507085)
FINANCIAL IMPACT:
|
Expenditures (1170-424) |
FY24-25 Adopted |
FY25-26 Projected* |
|
Budgeted Expenses |
$47,152,405.00 |
$47,152,405.00 |
|
Total Expenditures |
$47,152,405.00 |
$47,152,405.00 |
|
Funding Sources (1170-424) |
FY24-25 Adopted |
FY25-26 Projected* |
|
State/Federal Funds |
$47,152,405.00 |
$47,152,405.00 |
|
Total Funding Sources |
$47,152,405.00 |
$47,152,405.00 |
*Projected amounts are estimates and are subject to change.
Expenditures related to the County of Humboldt’s obligations regarding the provision of specialty mental health services have been included in the approved fiscal year 2024-2025 budgets for DHHS - Behavioral Health budget unit 1170-424 in the total amount of $47,152,405. Funding for the provision of specialty mental health services is available through federal and state Medi-Cal participation and state Mental Health Services Act and Realignment revenues received by DHHS - Behavioral Health.
STAFFING IMPACT:
Approval of the attached memorandum of understanding with Partnership HealthPlan of California will not impact current staffing levels.
OTHER AGENCY INVOLVEMENT:
California Department of Health Care Services
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the attached memorandum of understanding with Partnership HealthPlan of California regarding the coordination of mental health services in Humboldt County. However, this alternative is not recommended since it would not allow DHHS - Behavioral Health to coordinate mental health programs and services in accordance with applicable local, state and federal laws, regulations and standards.
ATTACHMENTS:
1. Memorandum of Understanding with Partnership HealthPlan of California
PREVIOUS ACTION/REFERRAL:
Meeting of: 5/14/13; 8/19/14
File No.: C-9, 14-0629