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Board Agenda Item 40
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DATE: June 18, 2024
TO: Board of Supervisors
SUBMITTED BY: Susan Holt, Director, Department of Behavioral Health
SUBJECT: Amendment 2 to Central Star Behavioral Health, Inc. Agreement 23-278,
Amendment 1 23-576 for Transition Age Youth Mental Health Services
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute Amendment 2 to Agreement with Central Star
Behavioral Health, Inc.to expand the existing Full Service Partnership to include Intensive Case
Management and Outpatient level services, effective July 1, 2024 with no change to the term of
July 1, 2023 through June 30, 2025, or maximum compensation of$6,896,782.
There is no additional Net County Cost associated with the recommended action, which will fill a gap in
services for Transition Age Youth (TAY)clients who have stepped down from Full Service Partnership (FSP)
level services but still require more than one contact per week. This would also allow youth to move through
the levels of care without interruption in services as they move through the levels of care within the same
agency under the TAY FSP program. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should the Board not approve the recommended action, the existing
TAY FSP program would not be able to expand to provide necessary outpatient and intensive case
management services to persons served in Fresno County.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. There is no increase in
maximum compensation; for FY 2024-25 it will remain at$3,023,391. The maximum compensation for the
entire contract term is $6,896,782. The Agreement is funded with Medi-Cal Federal Financial Participation,
Mental Health Realignment, and Mental Health Services Act(Community Services and Supports)funds.
Sufficient appropriations and estimated revenues are included in the Department's Org 5630 FY 2024-25
Recommended Budget. Actual costs will be determined by actual services provided.
DISCUSSION:
On June 20, 2023, your Board approved Service Agreement No. 23-278 with Central Star Behavioral Health,
Inc. to operate a licensed and credentialed FSP program to provide mental health services, supports, and
housing to the TAY population, ages 16 to 25. It was noted shortly after, a processing error occurred when
combining all documents for approval by your Board and the incorrect rates were inadvertently attached to
the original agreement(Exhibit G1). On October 24, 2023, your Board approved Amendment 1 No. 23-576 to
correct said error.
County of Fresno Page I File Number.24-0600
File Number:24-0600
Approval of the recommended action will amend the Agreement to correctly label previously incorrectly
labeled exhibits. These exhibits were labeled with systematic error labeling which will now be correct. The
update to the insurance requirements now include a clause for all County property under Contractor
possession to be insured with the County stated as the beneficiary. Services will now expand provision for
the target population into a Continuum of Care which shall include outpatient and intensive case
management service levels for individuals stepping down from the FSP program. This will aid individuals by
providing a supportive network, can provide validation, encouragement, and perspective.
OTHER REVIEWING AGENCIES:
The Fresno County Behavioral Health Board was informed of the recommended Amendment at the May 15,
2024 meeting.
REFERENCE MATERIAL:
BAI #36, October 24, 2023
BAI #44, June 20, 2023
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk-Amendment 2 to Agreement with Central Star
CAO ANALYST:
Ronald Alexander
County of Fresno page 2 File Number.24-0600