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  Consent-Health & Human Services   #   28.    
Board of Supervisors Adult & Aging  
Meeting Date: 07/24/2018  
Brief Title:    DHCS Mental Health Plan amendment and New Agreement
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Sandra Sigrist, Adult & Aging Branch Director, Health and Human Services Agency, x8794

Subject
Approve first amendment and renewal agreement with Department of Health Care Services for the provision of specialty mental health services to eligible Medi-Cal beneficiaries, changing the end date of the current agreement from June 30, 2018 to June 30, 2017 and renewing the zero-dollar agreement for the term July 1, 2017 through June 30, 2022. (No general fund impact) (Larsen)
Recommended Action
  1. Approve first amendment (State Agreement Number 12-89408) with Department of Health Care Services to change the end date of the existing contract from June 30, 2018 to June 30, 2017, with no change in funding for the period May 1, 2013 through June 30, 2017;
     
  2. Approve renewal agreement (State Agreement Number 17-94627) with Department of Health Care Services for the provision of specialty mental health services to eligible Medi-Cal beneficiaries of Yolo County for the period July 1, 2017 through June 30, 2022, with a zero contract amount. This agreement is on file with the Clerk of the Board; and
     
  3. Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to sign and execute any additional forms, documents and/or amendments as necessary relating to this agreement, provided there are no significant programmatic or financial changes.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
 
Reason for Recommended Action/Background
This Agreement is in accordance with the Welfare and Institutions (Welf. & Inst.) Code § 14680 through §14726. Welf. & Inst. Code § 14712 directs the California Department of Health Care Services (DHCS) to implement and administer Managed Mental Health Care for the delivery of specialty mental health services to Medi-Cal eligible residents of this state through contracts with mental health plans. DHCS and Yolo County Health and Human Services Agency agree to operate the Mental Health Plan (MHP) for Yolo County. No provision of this contract is intended to obviate or waive any requirements of applicable law or regulation. In the event a provision of this contract is open to varying interpretations, the contract provision shall be interpreted in a manner that is consistent with applicable law and regulation.
 
There have been significant changes to this renewal agreement to conform to the updated federal Medicaid Managed Care regulations. DHCS has worked closely with the Centers for Medicare and Medicaid Services (CMS) and the County Behavioral Health Directors Association (CBHDA) of California on the development of this contract. CMS approved this version of the MHP contract. CMS approval of the contract is required pursuant to the Medicaid Managed Care regulations. This renewal agreement is in effect retroactively with a term of July 1, 2017 to June 30, 2022, because many of the requirements in the updated Medicaid Managed Care regulations became effective and applicable on July 1, 2017.
 
The new MHP contract also differs from the current contract in that it is a zero-dollar contract.  The MHP’s authority to be paid is established in accordance with Chapter 3, Part 2, Division 5 of the Welfare and Institution Code along with Sections 5600, 5750, 5650, and Government Code Sections 11138, 14705 and 14718. Therefore, it is not necessary to develop and include individual county funding estimates for the five-year term of the contract.
 
In order to avoid overlapping contract terms, DHCS also requests approval of this first amendment. This amendment will only change the end date of the existing contract from June 30, 2018 to June 30, 2017.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this renewal Agreement and Amendment as to form.
Competitive Bid Process
Not applicable to state agreements.

Fiscal Information
Potential fiscal impact (see notes in explanation section below)
Fiscal Impact of this Expenditure
Total cost of recommended action $0
Amount budgeted for expenditure $0
Additional expenditure authority needed $0
One-time commitment     Yes
Source of Funds for this Expenditure
General Fund $0
Further explanation as needed
No county general funds are directly required by this action. However, by signing this agreement Yolo County agrees to provide services to all Medi-Cal eligible beneficiaries, even if these funds and the amount of realignment are insufficient. Once this agreement is in place, these services become an entitlement to Yolo County Medi-Cal beneficiaries regardless of the level of funding provided by the State. The MHP’s authority to be paid is established in accordance with the Welfare and Institution Code, therefore, it is not necessary to develop and include individual County funding estimates for the five-year term of the contract.
Attachments
Att. A. Amendment
Att. B. New Agreement

Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 07/18/2018 11:16 AM
Financial Services Tom Haynes 07/18/2018 11:36 AM
County Counsel Hope Welton 07/18/2018 12:26 PM
Form Started By: ccontreras Started On: 03/28/2018 10:04 AM
Final Approval Date: 07/18/2018
Level double AA conformance,
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