The URL can be used to link to this page

Home My WebLink AboutCalMHSA BHQIP Participation Agreement FULLY signed cover page 1271-BHQIP-2022-FC_FE.pdf DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC Agreement No. 22-343 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY PARTICIPATION AGREEMENT COVER SHEET 1. Fresno County("Participant")desires to participate in the Program identified below. Name of Program: Behavioral Health Quality Improvement Program (BHHIP) 2. California Mental Health Services Authority ("CaIMHSA") and Participant acknowledge that the Program will be governed by CaIMHSA's Joint Powers Agreement and its Bylaws, and by this participation agreement.The following exhibits are intended to clarify how the provisions of those documents will be applied to this particular Program. 0 Exhibit A Program Description and Funding 0 Exhibit B General Terms and Conditions 0 Exhibit C County Specific Scope of Services and/or Funding 0 Appendix A Work Order Form 3. The maximum amount payable under this Agreement is$200,590.00. 4. The term of the Program is upon execution through June 30, 2024. 5. Authorized Signatures: CaIMHSA DocuSigned by: Signed: Qmit. kiuj r Name (Printed): Dr.Arnie Miller, Psy.D., MFT 82DEFBAKCC446... Title: Executive Director Date: 8/17/2022 Participant:L County of Fresno Signed: OL Name (Printed): Brian Pacheco Title: Chairman of the Board of Supervisors Date:_ 07-a oa a of the County of Fresno ATTEST: BERNICE E. SEIDEL Clerk of the Board of Supervisors County of Fresno, State of California By Fresno County—Participation Agreement DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 Participation Agreement EXHIBIT A—PROGRAM DESCRIPTION I. Name of Program: Behavioral Health Quality Improvement Program II. Term of Program: Upon Execution through June 30, 2024 III. Program Objective and Overview: CaIMHSA will provide the below-described projects to support County Behavioral Health Plans in meeting select Milestones required to complete the California Advancing and Innovating Medi-Cal (CaIAIM) Behavioral Health Quality Improvement Program (BHQIP) deliverables. Projects are responsive to the BHQIP requirements under the following categories: • Payment Reform • Policy Changes • Data Exchange Participant(County)will select which BQHIP Projects in which they are participating from Table 1 below. TABLE 1 BQHIP REQUIRED SERVICES CATEGORYITEM# BQHIP REQUIREMENT 1 Payment Milestone 1a(iii): Subcontractor CaIMHSA will work with $6,900 Reform Boilerplates reflect new code set Participant to draft updated and claiming requirements subcontracted MHP and DMC- ODS provider boilerplate language to incorporate new code set(s) and claiming requirements. 2 Policy Milestone 2d(iv): Updated CaIMHSA will conduct a landscape $17,940 Changes Utilization Management Protocol analysis of documentation audit practices and draft an updated Utilization Management protocol to comply with best practices and updated documentation audit standards. 3 Data Milestone 3d(i): Finder File& CaIMHSA will collaborate with $17,250 Exchange Follow-up After Emergency Participants to receive and Department Visit for Alcohol and analyze Managed Care Plan (MCP) Other Drug Abuse or Dependence data for July 2022/July 2023 (FUA), Follow-up After Emergency measurement period. CaIMHSA Department Visit for Mental will analyze the data to establish Illness (FUM) and Participant baseline performance Pharmacotherapy for Opioid Use on FUA/FUM/POD. Disorder(POD) data analysis Fresno County—Exhibit A—Program Description and Funding Page 2 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 4 Data Milestone 3d(i), 3d(ii), 3d(iii) Using Participant baseline data $115,000 Exchange analysis as described above, CaIMHSA will support Participant in developing and implementing Performance Improvement Projects (identifying, implementing, and tracking interventions to improve performance related to measures indicated under Milestone 3d(i). These PIPS will be designed to conform to CaIEQRO PIP requirements. OPTIONAL SERVICES PROFESSIONAL SERVICES HOURLY RATE 1 Project Management Services $175 (General BHQIP Implementation Support) 2 Clinical Services (Clinical Training $200 and Policy Changes Implementation Support) Fresno County—Exhibit A—Program Description and Funding Page 3 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 Participation Agreement EXHIBIT B—General Terms and Conditions I. Definitions The following words,as used throughout this Participation Agreement,shall be construed to have the following meaning, unless otherwise apparent from the context in which they are used: A. CaIMHSA — California Mental Health Services Authority, a Joint Powers Authority (JPA) created by counties in 2009 at the instigation of the California Mental Health Directors Association to jointly develop and fund mental health services and education programs. B. Member — A County (or JPA of two or more Counties) that has joined CalMHSA and executed the CaIMHSA Joint Powers Agreement. C. Participant—Any County participating in the Program either as Member of CaIMHSA or under a Memorandum of Understanding with CaIMHSA. D. Program—The program identified in the Cover Sheet. II. Responsibilities A. Responsibilities of CaIMHSA: 1. Act as the Fiscal and Administrative agent for the Program. 2. Deliver services to support Participants in completing the California Advancing and Innovating Medi-Cal (CaIAIM) Behavioral Health Quality Improvement Program (BHQIP) requirements. 3. Manage funds received from, Participant in a manner consistent with the requirements of any applicable laws, regulations, guidelines and/or contractual obligations. 4. Provide regular fiscal reports to Participant and/or other public agencies with a right to such reports. 5. Comply with CaIMHSA's Joint Powers Agreement and Bylaws. B. Responsibilities of Participant: 1. Transfer required initial Program funds as specified in Exhibit C, Program Description and Funding, which Participant will pay within 30 days of execution of this agreement. Thereafter, remaining funds to be paid by Participant to CaIMHSA on a quarterly basis, upon receiving an invoice from CaIHMSA. 2. Submit a Work Order form for any additional professional services required by the Participant if identified post-contract execution. 3. Provide CaIMHSA and any other parties deemed necessary with requested information and assistance in order to fulfill the purpose of the Program. 4. Cooperate by providing CaIMHSA with requested information and assistance in order to fulfill the purpose of the Program. 5. Provide feedback on Program performance. Fresno County—Exhibit 8— General Terms and Conditions Page 4 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 6. Comply with applicable laws, regulations, guidelines, contractual agreements, JPAs, and bylaws. III. Duration,Term, and Amendment A. The term of the Program is upon execution through June 30, 2024. B. This Agreement may be supplemented, amended, or modified only by the mutual agreement of CaIMHSA and the Participant,expressed in writing and signed by authorized representatives of both parties. IV. Withdrawal, Cancellation,and Termination A. Participant may withdraw from the Program and terminate the Participation Agreement upon six (6) months' written notice. Notice shall be deemed served on the date of mailing. B. The withdraw of a Participant from the Program shall not automatically terminate its responsibility for its share of the expense and liabilities of the Program. The contributions of current and past Participants are chargeable for their respective share of unavoidable expenses and liabilities arising during the period of their participation. C. Upon cancellation,termination,or other conclusion of the Program,any funds remaining undisbursed after CaIMHSA satisfies all obligations arising from the administration of the Program shall be returned to Participant. Unused funds paid for a joint effort will be returned pro rata to Participant in proportion to payments made. Adjustments may be made if disproportionate benefit was conveyed on particular Participant. Excess funds at the conclusion of county-specific efforts will be returned to the particular County that paid them. V. Fiscal Provisions A. Funding required from Participant will not exceed the amount stated in Exhibit C, County Specific Scope of Work and/or Funding. B. Payment Terms— a. Upon Execution of Agreement— Initial funding amount, minimum of$200,000 or as defined in Exhibit C. b. Subsequent Payments — If applicable, Participant shall pay CaIMHSA on a quarterly basis upon receipt of a CaIMHSA invoice for deliverables completed. Payable within 30 days of receipt of CalMHSA invoice. VI. Limitation of Liability and Indemnification A. CaIMHSA is responsible only for funds as instructed and authorized by participants. CaIMHSA is not liable for damages beyond the amount of any funds which are identified on the cover page of this Agreement, without authorization or contrary to Participant's instructions. B. CaIMHSA is not undertaking responsibility for assessments, creation of case or treatment plans, providing or arranging services, and/or selecting, contracting with, or supervising providers (collectively, "mental health services"). Participant will defend and indemnify Fresno County—Exhibit 8— General Terms and Conditions Page 5 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 CaIMHSA for any claim,demand,disallowance,suit,or damages arising from Participant's acts or omissions in connection with the provision of mental health services. Fresno County—Exhibit 8— General Terms and Conditions Page 6 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 Participation Agreement EXHIBIT C—County Specific Scope of Services and Funding ITEM • ' • TOTAL # (MARK WITH 1 Payment Reform CaIMHSA will work with $6,900 X $6,900 Participant to draft updated subcontracted MHP and DMC-ODS provider boilerplate language to incorporate new code set(s) and claiming requirements. 2 Policy Changes CaIMHSA will conduct a $17,940 X $17,940 landscape analysis of documentation audit practices and draft an updated Utilization Management protocol to comply with best practices and updated documentation audit standards. 3 Data Exchange CaIMHSA will collaborate $17,250 X $17,250 with Participants to receive and analyze Managed Care Plan (MCP) data for July 2022/July 2023 measurement period. CaIMHSA will analyze the data to establish Participant baseline performance on FUA/FUM/POD. 4 Data Exchange Using Participant baseline $115,000 X $115,000 data analysis as described above, CaIMHSA will support Participant in developing and implementing Performance Improvement Projects (identifying, implementing, and tracking interventions Fresno County Exhibit C— County Specific Scope and Funding Page 7 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 to improve performance related to measures indicated under Milestone 3d(i). These PIPs will be designed to conform to CaIEQRO PIP requirements. PROFESSIONAL SERVICES* HOURLY Number of TOTAL RATE Hours 1 Project Management (General BHQIP $175 60 $10,500 Implementation Support) 2 Clinical (Clinical Training and Policy Changes $200 165 $33,000 Implementation Support) GRAND TOTAL $200,590 *NOTE: If the Participant is in need of additional professional services post-contract execution, the Participant must complete and submit a work-order form to CaIMHSA found in Appendix A. Fresno County Exhibit C— County Specific Scope and Funding Page 8 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQI P-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 Appendix A WORK • •D -BHQIP ADDITIONAL PROFESSIONAL SERVICES Participant (County) Funding Timeframe Start Date End Date [Commencement and termination dates for this Work Order.] Total Funding Amount $0,000,000.00 TOTALSERVICES •URS NEEDED HOURLY RATE TOTAL Project Management Services (General BHQIP Implementation $175 Support) Clinical Services (Clinical Training and Policy Changes $200 Implementation Support) Fresno County Appendix A— Work Order Page 9 of 10 DocuSign Envelope ID:963EDBAF-8689-4DC7-B514-6079A4CC48DC 1271-BHQIP-2022-FC Behavioral Health Quality Improvement Program April 21, 2022 PARTICIPATION AGREEMENT BETWEEN THE COUNTY OF FRESNO AND CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY Agreement No: 1271-BHQIP-FC Term: Upon execution through June 30, 2024 FOR FRESNO COUNTY ACCOUNTING USE ONLY: Fund/Subclass: 0001/10000 Organization: 56302005 ($200,590) Account/Program 7295/0 Fresno County Appendix A— Work Order Page 10 of 10