To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: Majority
SUBJECT:
title
Participation Agreement with the California Mental Health Services Authority Regarding the County of Humboldt’s Continued Involvement in the Inter-Member Transfer Program
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Waive the requirements of the Humboldt County Nuclear-Free Ordinance with regard to the attached participation agreement with the California Mental Health Services Authority;
2. Approve, and authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute, the attached participation agreement with the California Mental Health Services Authority regarding the Humboldt County Department of Health and Human Services - Behavioral Health’s continued involvement in the Inter-Member Transfer Program for the period of July 1, 2023 through June 30, 2025;
3. Authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to, and any other agreements, certifications, attestations and documents directly associated with, the attached participation agreement with California Mental Health Services Authority, after review and approval by County Counsel, Risk Management and the County Administrative Office; and
4. Direct the Clerk of the Board to provide the Department of Health and Human Services - Contract Unit with one (1) fully executed, certified copy of the Board order related to this item.
Body
SOURCE OF FUNDING:
Behavioral Health Fund (1170-424)
DISCUSSION:
Under Section 14717.1 of the California Welfare and Institutions Code, when a foster youth needing specialty mental health services is placed in a County other than where they currently reside, responsibility for, including the cost of, providing specialty mental health services promptly transfers from the county of original jurisdiction (“sending county”) to the county in which the foster youth has been transferred (“receiving county”). This is known as “presumptive transfer.”
Under the California Mental Health Services Authority’s (“CalMHSA”) Inter-Member Transfer Program, participating counties have agreed that the sending county remains responsible for reimbursing the receiving county for county match dollars after specialty mental health services are provided or arranged by the receiving county. Under this program, CalMHSA acts as a fiscal agent for participating counties to make and receive transfer payments of county match dollars.
The attached participation agreement with CalMHSA will allow the County of Humboldt to reimburse county match dollars to receiving counties for services provided to Humboldt County youth. Additionally, the attached participation agreement provides the ability for the County of Humboldt to receive partial reimbursement when foster youth are presumptively transferred to Humboldt County and receive specialty mental health services. In order to participate, the Humboldt County Department of Health and Human Services - Behavioral Health (“DHHS - Behavioral Health”) must maintain a sufficient account balance with CalMHSA, and those funds will be used for the reimbursement to receiving counties for services provided to Humboldt County youth who have been presumptively transferred. It should be noted that the attached participation agreement with CalMHSA comes to the Board after the start date thereof due to inadvertent delays that occurred during the contract development process.
Accordingly, DHHS - Behavioral Health recommends that the Board of Supervisors approve, and authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute, the attached participation agreement with CalMHSA regarding the County of Humboldt’s involvement in the Inter-Member Transfer Program for the period of July 1, 2023 through June 30, 2025. It is also recommended that the Board authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to the attached participation agreement with CalMHSA, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to ensure continued participation in the Inter-Member Transfer Program.
FINANCIAL IMPACT:
|
Expenditures (1170-424) |
FY23-24 |
FY24-25 Projected |
|
Budgeted Expenses |
$41,166.23 |
$35,000.00 |
|
Total Expenditures |
$41,166.23 |
$35,000.00 |
|
Funding Sources (1170-424) |
FY23-24 Adopted |
FY24-25 Projected* |
|
State/Federal Funds |
$41,166.23 |
$35,000.00 |
|
Total Funding Sources |
$41,166.23 |
$35,000.00 |
*Projected amounts are estimates and are subject to change.
Receiving counties will incur full expenditure for services provided to Humboldt County youth who have been presumptively transferred. Upon approval, the CalMHSA Inter-Member Transfer Program will reimburse the receiving county’s county cost share of adjudicated Medi-Cal claims for these services. Likewise, the County of Humboldt may be reimbursed for services provided to youth presumptively transferred to Humboldt County.
Expenditure appropriations related to the attached participation agreement with CalMHSA have been included in the approved fiscal year 2023-2024 budget for DHHS - Behavioral Health Administration budget unit 1170-424. As a result, approval of the attached participation agreement with CalMHSA will not impact the Humboldt County General Fund.
STAFFING IMPACT:
Approval of the attached participation agreement with CalMHSA will not impact current staffing levels.
STRATEGIC FRAMEWORK:
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
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the attached participation agreement with CalMHSA regarding the County of Humboldt’s involvement in the Inter-Member Transfer Program. However, this alternative is not recommended due to a lack of other options for the County of Humboldt to send and receive reimbursement for specialty mental health services in a timely manner.
ATTACHMENTS:
1. Participation Agreement with California Mental Health Services Authority Regarding the County of Humboldt’s Involvement in the Inter-Member Transfer Program
PREVIOUS ACTION/REFERRAL:
Board Order No.: D-16
Meeting of: 06/14/2022
File No.: 22-704