To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: Majority
SUBJECT:
title
County Medical Services Program Healthcare Infrastructure Development Matching Grant Application
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Authorize the Department of Health and Human Services - Behavioral Health to submit an application to the County Medical Services Program for Healthcare Infrastructure Development Matching Grant funding to support building a Behavioral Health Crisis Triage Center in Humboldt County;
2. Approve, and authorize the Chair of the Board to sign, the attached Letter of Commitment required to apply for County Medical Services Program Healthcare Infrastructure Development Matching Grant funding; and
3. Direct the Clerk of the Board to provide the Department of Health and Human Services - Behavioral Health with one (1) fully executed original copy of the attached Letter of Commitment for submission to the County Medical Services Program.
Body
SOURCE OF FUNDING:
Behavioral Health Fund; County Medical Services Program; American Rescue Plan Act; California Department of Health Care Services
DISCUSSION:
On January 24, 2023, the Humboldt County Board of Supervisors (“Board”) authorized the Department of Health and Human Services - Behavioral Health (“DHHS - Behavioral Health”) to submit a joint application with Mad River Community Hospital to the California Department of Health Care Services (“DHCS”) for Behavioral Health Continuum Infrastructure Program, Round 5: Crisis and Behavioral Health Continuum funding in order to build a Behavioral Health Crisis Triage Center in Humboldt County. The Board authorized the commitment of up to Three Million Dollars ($3,000,000.00) in County of Humboldt funding to meet the matching funds required by the DHCS Behavioral Health Continuum Infrastructure Program grant and authorized the County Administrative Officer to sign a grant match letter detailing the proposed funding structure of up to Three Million Dollars ($3,000,000.00).
On February 13, 2023, DHHS submitted a joint application with Mad River Community Hospital for Twelve Million Three Hundred Sixty-One Thousand Nine Hundred Eighteen Dollars ($12,361,918.00) to support building a Behavioral Health Crisis Triage Center in Humboldt County. The Behavioral Health Crisis Triage Center would provide crisis stabilization beds, mental health crisis residential beds, residential substance use disorder treatment beds and sobering cots. If awarded in Spring of 2023, the grant will require up to Three Million Dollars ($3,000,000.00) in matching funds.
In addition to unexpended American Rescue Plan Act funds, one (1) of the identified funding sources for this required match is the Healthcare Infrastructure Development Matching Grant offered by the County Medical Services Program (“CMSP”). The CMSP Healthcare Infrastructure Development Matching Grant was created by the CMSP Governing Board to help CMSP counties develop expanded facility capacity to provide healthcare and behavioral health services to underserved populations, including, without limitation, CMSP beneficiaries. This program provides funding to aid counties in meeting local financial match requirements of healthcare infrastructure funding opportunities provided by state, federal or other programs. A single county may apply for a one-time grant award of the lower of Five Hundred Thousand Dollars ($500,000.00) or a five percent (5%) match of the total project cost.
This item requests authorization for DHHS - Behavioral Health to apply for Five Hundred Thousand Dollars ($500,000.00) in CMSP Healthcare Infrastructure Development Matching Grant funds to support the local match required by the DHCS Behavioral Health Continuum Infrastructure Program application. Receipt of CMSP Matching Grant funds is contingent upon receipt of the DHCS grant funds. Notification of awards for the DHCS grant is anticipated in Spring of 2023. CMSP Matching Grant applications will be accepted on a rolling basis, beginning February 1, 2023 through June 30, 2023.
The CMSP grant application requires that the County Board of Supervisors provide a letter of commitment that commits the county to assuring that the healthcare infrastructure funded by the grant will be used for the intended purpose for the entire period required under the state grant for which it will be serve as match. The DHCS Behavioral Health Continuum Infrastructure Program requires the facility to serve as a crisis triage center for a period of at least thirty (30) years. Accordingly, this item requests a letter of commitment from the board stating that the facility will comply with all state and federal requirements as dictated by the DHCS grant, including a commitment to the provision of services and building use restrictions for thirty years after the project is placed in service.
FINANCIAL IMPACT:
There are no direct costs associated with the submission of an application for CMSP Healthcare Infrastructure Development Matching Grant funding except for staff time. If both the DHCS grant and the CMSP grant are awarded, required match will include up to One Million Five Hundred Thousand Dollars ($1,500,000.00) in American Rescue Plan Act funds (budget unit 3232-120200) redirected from a previously authorized broadband allocation. Sustainability of service provision at the site includes billing of Medi-Cal and private health insurance. If the grant is awarded, DHHS - Behavioral Health will return to the board with a supplemental budget.
STAFFING IMPACT:
There are no direct staffing impacts associated with the submission of an application for CMSP Healthcare Infrastructure Development Matching Grant funding.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by providing for and maintaining infrastructure, creating opportunities for improved safety and health, providing community-appropriate levels of service, seeking outside funding sources to benefit Humboldt County needs and facilitating public/private partnerships to solve problems.
OTHER AGENCY INVOLVEMENT:
Mad River Community Hospital
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to authorize DHHS - Behavioral Health to apply for CMSP Healthcare Infrastructure Development Matching Grant funding. However, this alternative is not recommended as it would limit the County of Humboldt’s ability to meet the local matching funds requirement of the DHCS grant and will hinder continued collaboration between DHHS - Behavioral Health and Mad River Community Hospital in pursuing critically needed behavioral health infrastructure.
ATTACHMENTS:
1. Letter of Commitment
2. County Medical Services Program Healthcare Infrastructure Development Matching Grant Application
PREVIOUS ACTION/REFERRAL:
Board Order No.: L-1
Meeting of: January 24, 2023
File No.: 22-1706