HomeMy WebLinkAboutAgreement A-23-239 Amendment I to CalMHSA Participation Agreement No. 22-343.pdf Agreement No. 23-239
1271-BHQIP-2022-FC-Al
Behavioral Health Quality Improvement Program
May 5, 2023
CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY
PARTICIPATION AGREEMENT AMENDMENT
COVER SHEET
1. Fresno County("Participant")desires to participate in the Program identified below.
Name of Program: Behavioral Health Quality Improvement Program
2. This Participation Agreement Amendment modifies the terms of the attached Exhibits, as set
forth below. Exhibit A of the initial Participation Agreement remains in full force and effect and
Revised Exhibit A adds services to the agreement.Section II,Subsection B and Section V of
Exhibit B are being modified with the language included in Revised Exhibit B.The unmodified
sections of Exhibit B of the initial Participation Agreement remain in full force and effect. Exhibit
C is being replaced in its entirety by Revised Exhibit C, including Revised Appendix A. And
Revised Appendix B is being added.
3. All other terms of Participation Agreement No. 1271-BHQIP-2022-FC shall remain in full force
and effect.
Authorized Signatures:
CaIMHSA
Signed: Name(Printed): Dr.Arnie Miller, Psy.D., MFT
Title: Executive Director Date:
Participant: FRESNO COUNTY
Signed: Name(Printed): /Sal Quintero
Title:Chairman of t e Board of Supervisors Date: fo/(o�Z 3
of the County of Fresno
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
ByA Yae. Deputy
Fresno County-Participation Agreement Amendment
1271-13HQIP-2022-FC-A1
Behavioral Health Quality Improvement Program
May 5, 2023
Revised Exhibit A
ADDED SERVICES
CaIMHSA is offering the following Optional Subject Matter Expert(SME) Services as defined below:
• Fiscal/Payment Reform—Individualized and/or Group County support around modeling fiscal
impact of Payment Reform, contract support, and other fiscal consultation services as
requested.
• Interoperability-Guidance on data systems management, BHQIP deliverables, and consulting
and/or configuring on coordination and integration of systems operations across county
agencies.
• Data Analytics— Not otherwise accounted for in fixed Scopes of Work related to BHQIP
Deliverables.
• Ad Hoc Services-Other service requested by the county at an hourly rate of$200 may be
submitted via a Work Order.
PROFESSIONAL SERVICES HOURLY
RATE
Fiscal/Payment Reform Subject Matter Expert $200
Services
Interoperability Subject Matter Expert Services $200
Data Analytics Subject Matter Expert Services $200
Ad Hoc Services $200
OPTIONS FOR THE PROCUREMENT OF SERVICES
Flexible Spending Account-Counties may purchase hours up to a maximum pre-determined amount,
which can be used for any services as identified above. For counties who provided funding via the initial
Participation Agreement,funds will be rolled into a single flexible spending account. Over the course of
the term of the initial Participation Agreement and this Amendment, if changes to services are required
or reallocation of funding is needed,those changes can be made via a work order by an authorized
county staff. See Appendix A.
Fresno County-Participation Agreement Amendment
1271-13HQIP-2022-FC-A1
Behavioral Health Quality Improvement Program
May 5, 2023
Revised Exhibit B
II. Responsibilities
B. Responsibilities of Participant:
1. Services Post-Contract Execution (Amendment) -Submit a Work Order form for
any additional professional services hourly funding required by the Participant if
identified post-contract execution.
2. Provide CalMHSA with a County Staff authorized to reallocate services as needed
and reallocate hourly funding amount for the initial Agreement and this
Amendment one via a work order. Please identify your authorized county staff in
Appendix B, with the following information:
Name
Title
Phone
Email Address
NOTE:Two people maximum.
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.
6. Comply with applicable laws, regulations, guidelines, contractual agreements,
JPAs, and bylaws.
V. Fiscal Provisions
A. Funding required from Participant will not exceed the amount stated in Revised Exhibit C.
B. Initial Program Funding — Initial payment was issued to CaIMHSA in an amount up to
$200,000 as previously specified in Exhibit C, of initial Participation Agreement.
C. Additional Funds—This Amendment shall reflect current funds with CaIMHSA and added
funding,to be provided by the Participant(County), as specified in Revised Exhibit C.
D. Payments-Payments to CalMHSA shall consist of equal quarterly payments commencing
thirty days after the execution of this Amendment.
E. Funding — Funding shall be applied to service hours as defined by the Participant via a
fully executed Work Order, see Appendix A; however, it is understood the Participants
will assess service needs over the course of time and will have the flexibility to reallocate
services and reallocate funding via a work order.These changes can only be made by the
authorized staff per Appendix B, of this Amendment. If the Participant does not request
an adjustment of hours via the submission of Appendix A,the current hourly designations
will remain the same as previously stated in the original agreement or most recent
amendment.
Fresno County-Participation Agreement Amendment
1271-13HQIP-2022-FC-A1
Behavioral Health Quality Improvement Program
May 5, 2023
F. Administrative Fee: The total flexible service funds, as defined in Revised Exhibit C, are
inclusive of an administrative fee, which is equal to 15% and only applied to any new
service costs added to the flexible spending account as defined in Exhibit C.
G. Refunds - Any unused funds from the initial Participation Agreement, will be fully
reimbursed based at the end of the project period as defined in the Exhibit B of the initial
Participation Agreement. For service requests via a work order, refunds will be less the
administrative fee, equal to 15% and only applied to any new service costs added to the
flexible spending account as defined in Exhibit C.
H. Annual Rate Adjustments—Cost of Living Adjustments (COLA),for to the rates as defined
in Revised Exhibit A Added Services,and the initial Participation Agreement,shall be made
per annum.
Fresno County-Participation Agreement Amendment
1271-BHQI P-2022-FC-Al
Behavioral Health Quality Improvement Program
May 5, 2023
REVISED Exhibit C
HOURSPIVI CURRENT D•
TOTAL HOURS PURCHASED 60
TOTAL HOURS INCURRED 4.75
TOTAL HOURS REMAINING 55.25
HOURSCLINICAL CURRENT D•
TOTAL HOURS PURCHASED 165
TOTAL HOURS INCURRED 0
TOTAL HOURS REMAINING 165
HOURLY •
ADDITIONAL SERVICE COSTSCOSTS
TOTAL CURRENT HOURLY COSTS $831.25
INCURRED* (SPENT)
TOTAL CURRENT HOURLY COSTS $42,668.75
REMAINING*
NEW SERVICE HOUR COSTS** 0
NEW TOTAL FOR FLEXIBLE SPENDING $42,668.75
ACCOUNT
(TOTAL CURRENT HOURLY COSTS
REMAINING* + NEW SERVICE HOUR
COSTS)
*Inclusive of all current agreement hourly offerings (Project Management and Clinical Hours)
**As defined in Exhibit A.
Fresno County-Participation Agreement Amendment
1271-B H QI P-2022-FC-Al
Behavioral Health Quality Improvement Program
May S, 2023
THIS IS A TEMPLATE FOR FUTURE USE - DO NOT FILL OUT
REVISED • . ORDER • .
Participant (County) Fresno
Term Start Date End Date
SELI ION L NEW SERVICE HOURSTO BE UTILIZED
NEW SERVICES HOURLY RATE NEW QUANTITY OF HOURS DESIGNATED TOTAL COST OF HOURS
Fiscal/Payment Reform $200/HR
Clinical Services $200/HR
Project Management $175/HR
Interoperability $200/HR
Data Analysis $200/HR
Ad Hoc Services $200/HR
TOTAL*
*Cannot exceed the amount listed in Revised Exhibit C of Agreement# 1271-BHQIP-2022-FC-Al.
**Per Fiscal Provision,Section C, Counties may choose to adjust their designation of hours via a Work Order Form.
***TOTAL cost is inclusive of a 15%administrative fee.
Fresno County-Participation Agreement Amendment
1271-BHQIP-2022-FC-A1
Behavioral Health Quality Improvement Program
May 5, 2023
Appendix A Authorized Signatory:
Signed: Name (Printed): Susan Holt, LMFT
Title: Fresno County Behavioral Health Director Date:
Appendix A Authorized Signatory(Alternate):
Signed: Name (Printed):
Title: Date:
Fresno County-Participation Agreement Amendment
1271-B H QI P-2022-FC-Al
Behavioral Health Quality Improvement Program
May 5, 2023
APPENDIX B—Authorized Signatories
Please identify the authorized county staff with authority to make service hour requests and reallocate funding to different Service Categories as
needed by Participant.
Appendix A Authorized Signatory:
Name: Susan Holt, LMFT
Title: Fresno County Behavioral Health Director
Phone: 559-600-9058
Email Address: sholt@fresnocountyca.gov
Signature:
Date:
Appendix A Authorized Signatory(Alternate):
Name:
Title:
Phone:
Email Address:
Signature:
Date:
Fresno County-Participation Agreement Amendment