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Home My WebLink AboutAgreement A-23-239 Amendment I to CalMHSA Participation Agreement.pdf DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 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 DocuSigned by. Signed: 5r, &(*t, N(It ' Name(Printed): Dr.Arnie Miller, Psy.D., MFT 82EKFBAKCC446... Title: Executive Director Date: 6/7/2023 Participant: FRESNO COUNTY Signed: Name(Printed): /Sal Quintero Title:Chairman of t e Board of Supervisors Date: 4/6LZ 3 of the County of Fresno ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,State of California ByA as-_ Deputy Fresno County-Participation Agreement Amendment DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 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 DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 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 DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 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 DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 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 DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 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 DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 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 DocuSign Envelope ID:7A267869-81C1-49F9-BB7D-ACBFB55C9B72 1271-BHQIP-2022-FC-A1 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