Process section, below, to solicit a provider for children’s outpatient mental health treatment services, including intensive outpatient mental health services (“Intensive Services”.) Intensive Services are focused home and community-based services targeting children and youth under the age of 21 with high levels of need. One aspect of Intensive Services program is the provision of services through a Wraparound Program (Wraparound Program.) The Wraparound Program provides tailored community-based intervention services to meet the needs to families with children under the age of 21 who are either wards, dependents, or at risk of placement in a congregate care facility. Some of services provided via the Wraparound Program are eligible services under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) benefit to Medi-Cal eligible children and adolescents in our community.
The resulting agreement was awarded to Victor Community Support Services and on November 6, 2018, the County and Victor Community Support Services entered into Agreement No. 18-243, which provided an initial term of September 1, 2018 through June 30, 2019, with four optional extensions for FY’s 2019-20 ($743,500), 2020-21 ($743,500), 2021-22 ($743,500) and 2022-23 ($743,500). The County has exercised all the available optional extensions under Agreement No. 18-243.
California Advancing and Innovating Medi-Cal (CalAIM) Initiative
In January 2022, California Department of Health Care Services (DHCS) rolled out the CalAIM initiative that aims to provide broad delivery system program and payment reform across the Medi-Cal system. The goal is transformation of the Medi-Cal delivery system, moving it towards a population health approach that prioritizes prevention and whole person care. Focus shifts from compliance to quality and performance metrics. Specialty Mental Health Services (SMHS) requirements and policies pursuant to the CalAIM initiative were updated, and as a result of these updates, the County is required to revise the terms and conditions in the provider agreements for these services. In preparation for this system wide change, the County has been working closely with CalMHSA who has been providing the County and other SMHS Medi-Cal counties with technical assistance around the CalAIM initiative.
On or about June 27, 2023, the County and Victor Community Support Services entered into a one-year renewal agreement for the provision of children’s outpatient intensive mental health services in an amount not-to-exceed $560,675 for the period of July 1, 2023 through June 30, 2024.
On or about October 10, 2023, the County amended the Agreement to add CWS-WRAP funding in the amount of $182,825 for FY 2023-24 for a new contract maximum of $743,500.
HHSA requests approval of this second amendment which adds additional Medi-Cal funding in the amount of $172,275 for FY 2023-24.
Performance Measures
The Performance Measures were included in the underlying Agreement and are not being revised at this time.
This Agreement stared on July 1, 2023, so their performance measure data available thus far indicates Victor Community Support Services has performed satisfactorily under this Agreement. Victor Community Support Services also performed satisfactorily over the prior contracted period term (2018-2023).
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