HomeMy WebLinkAboutAgreement A-25-114 Amendment II to Master Agreement No. 23-293.pdf Agreement No. 25-114
1 AMENDMENT NO. 2 TO SERVICE AGREEMENT
2 This Amendment No. 2 to Service Agreement ("Amendment No. 2") is dated
3 March 25, 2025 and is between each Contractor listed in Exhibit A-11 titled "Non-DMC
4 Residential Treatment Vendor List," (each a "Contractor" and collectively as "Contractors"), and
5 the County of Fresno, a political subdivision of the State of California ("County").
6 Recitals
7 A. County is authorized through its Substance Use Prevention, Treatment and Recovery
8 Services Block Grant (SUBG) Application with the California Department of Health Care
9 Services ("DHCS" or"State") to subcontract for Residential Substance Use Disorder (SUD)
10 treatment services in Fresno County.
11 B. County is authorized to contract with privately operated agencies for the provision of
12 alcohol and other drug treatment services, pursuant to Title 9, Division 4 of the California Code
13 of Regulations and Division 10.5 (commencing with Section 11750) of the California Health and
14 Safety Code.
15 C. Contractors are certified by the State to provide services required by the County.
16 D. On June 20, 2023, the County and the Contractors entered into Non-Drug Medi-Cal
17 (Non-DMC) Residential Treatment Master Agreement, which is County Agreement No. 23-293
18 ("Agreement")for the provision of Residential SUD treatment services in Fresno County.
19 E. On June 4, 2024, the County and the Contractors entered into Amendment No. 24-263
20 to the Agreement ("Amendment No. 1"), to amend various subsections of the Agreement to
21 update provider reporting requirements to align with California Advancing and Innovating Medi-
22 Cal (CaIAIM) initiatives and the County's new Electronic Health Record system; and add
23 Contractor participation requirements for State efforts to improve culturally responsive care
24 delivery.
25 F. The Director of the Department of Behavioral Health previously revised Contractors'
26 rates through a Department issued letter effective July 1, 2024 through the authority given in
27 Section 15.1 of the Agreement and replaced Exhibit J-1 with Revised Exhibit J-I.
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1 G. The County and the Contractors now desire to amend Revised Exhibit J-I, SUD DMC
2 Residential Service Rates, to memorialize the previous rate increase authorized by the Director,
3 and to increase reimbursement rates to the newly set minimum reimbursement rates for the
4 following Contractors: (1) Fresno County Hispanic Commission On Alcohol and Drug Abuse
5 Services, Inc., (2) Westcare California Inc., and (3) Comprehensive Addiction Programs, Inc..
6 H. The County and Contractor WestCare California, Inc. desire to increase the maximum
7 compensation for WestCare California, Inc. as stated on Exhibit A-II, Non-DMC Residential
8 Treatment Vendor List to account for the rate increase.
9 The parties therefore agree as follows:
10 1. All references in the Agreement to "Exhibit A-I" shall be deemed references to "Exhibit A-
11 II." Exhibit A-II is attached and incorporated by this reference.
12 2. The Agreement is extended for the first one-year extension period from July 1, 2025 to
13 June 30, 2026 as provided in Section 3.2 of the Agreement.
14 3. All references in the Agreement to "Exhibit J-I" and "Revised Exhibit J-I" shall be deemed
15 references to "Exhibit J-11." Exhibit J-11 is attached and incorporated by this reference.
16 4. The Contractor represents and warrants to the County that:
17 a. The Contractor is duly authorized and empowered to sign and perform its obligations
18 under this Amendment.
19 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
20 to do so and his or her signature on this Amendment legally binds the Contractor to
21 the terms of this Amendment.
22 5. The parties agree that this Amendment may be executed by electronic signature as
23 provided in this section.
24 a. An "electronic signature" means any symbol or process intended by an individual
25 signing this Amendment to represent their signature, including but not limited to (1) a
26 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
27 electronically scanned and transmitted (for example by PDF document) version of an
28 original handwritten signature.
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1 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
2 equivalent to a valid original handwritten signature of the person signing this
3 Amendment for all purposes, including but not limited to evidentiary proof in any
4 administrative or judicial proceeding, and (2) has the same force and effect as the
5 valid original handwritten signature of that person.
6 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
7 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
8 2, Title 2.5, beginning with section 1633.1).
9 d. Each party using a digital signature represents that it has undertaken and satisfied
10 the requirements of Government code section 16.5, subdivision (a), paragraphs (1)
11 through (5), and agrees that each other party may rely upon that representation.
12 e. This Amendment is not conditioned upon the parties conducting the transactions
13 under it by electronic means and either party may sign this Amendment with an
14 original handwritten signature. This Amendment may be signed in counterparts, each
15 of which is an original, and all of which together constitute this Amendment.
16 6. This Amendment may be signed in counterparts, each of which is an original, and all of
17 which together constitute this Amendment.
18 7. The Agreement as amended by this Amendment No. 2 is ratified and continued. All
19 provisions of the Agreement and not amended by this Amendment No. 2 remain in full force and
20 effect. This Amendment No. 2 is effective April 1, 2025.
21 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 2 on the date stated in the introductory
2 clause.
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CONTRACTOR COUNTY OFFRESNO
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5 SEE FOLLOWING SIGNATURE PAGES
6 Ernest Buddy Mendes, Chairman of the Board
of Supervisors of the County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
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By: --
11 Deputy
12 For accounting use only:
13 Org No.: 56302081
Account No.:7295
14 Fund No.:0001
Subclass No.:10000
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1 The parties are signing this Amendment No. 2 to Agreement No. 23-293 on the date
2 stated in the introductory clause.
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Provider: COMPREHEN VEADDICTION PROGRAMS, INC.
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By
s
7 Print Name:
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9 Title:
Chairman of the Board, President, or Vice President
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11 Date: 2�
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14 By
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Print Name:
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17 Title:
18 ecretary(of Corporation Assistant Secretary,
Chief Financial Officer, or Assistant Treasurer
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20 Date:
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I The parties are signing this Amendment No. 2 to Agreement No..23-293 on the date
2 stated in the introductory clause.
3 FRESNO COUNTY HISPANIC COMMISSION ON ALCOHOL AND
Provider:4 DRUG ABUSE-SERVICE, -INC
5 _ y
By-
7 Print Name: AWedo C. Vasquez
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9 Title: Chairman
Chairman of the Board, President,or Vice President
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11 Date: March 5, 2025
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14 BY
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Print Name: bovA. o pet
16 p�
17 Title: V v� l✓�G`rCN
18 Secretary(of Corporation),Assistant Secretary,
Chief Financial Officer, or Assistant Treasurer
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20 Date: Mec-C�1 ?
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1 The parties are signing this Amendment No. 2 to Agreement No. 23-293 on the date
2 stated in the introductory clause.
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Provider: MENTAL HEALTH SYSTEMS, INC.
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By
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7 Print Name: James C Callaghan Jr
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g Title: CEO
Chairman of the Board, President, or Vice President
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11 Date: 03/04/25
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bava Tamer
14 By I avid tanner IMar 4,202514:22 PST)
15 Print Name: David Tanner
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17 Title: VP Corporate Finance
18 Secretary (of Corporation), Assistant Secretary,
Chief Financial Officer, or Assistant Treasurer
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20 Date: 03/04/25
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1 The parties are signing this Amendment No. 2 to Agreement No. 23-293 on the date
2 stated in the introductory clause.
3 Provider: TURNING POINT OF CENTRAL CALIFORNIA, INC.
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By
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7 Ryan Banks
Print Name:
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Chief Executive Officer
9 Title:
Chairman of the Board, President, or Vice President
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11 Date: 03/05/2025 PST
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14 By
15 Bruce Tyler
Print Name:
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17 Title: CIO/Interim CFO
18 Secretary (of Corporation), Assistant Secretary,
Chief Financial Officer, or Assistant Treasurer
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03/05/2025 PST
20 Date:
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Document[D:40 911310617e5c7e368fcic469fc43c190e6f47b9b658d27cOta8084b848
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I The parties are signing this Amendment No. 2 to Agreement No. 23-293 on the date
2 stated in the introductory clause.
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Provider: WESTCARE CALIFORNIA, INC.
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By
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7 Print Name:\%RWn ���►r�S
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g Title: t f 3u
Chairman of the Board, President, or Vice President
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11 Date: 3/4/25
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14 By
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Print ame:\\A ,rt 0
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17 Title: crc Gt c <<_
18 Secretary (of Corporation), Assistant Secretary,
Chief Financial Officer, or Assistant Treasurer
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20 Date: C)(2,1 U-±1 l n2G 2" 1
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Fresno County Department of Behavioral Health Exhibit A-II
Provider Maximum Annual Allocations
Non-DMC Residential Vendor List
VENDOR CONTACT PHONE NUMBER/FAX EMAIL TYPE OF BUSINESS Contract Max Contract Max Contract Max Contract Max
FY 2023-24 FY 2024-25 FY 2025-26 FY 2026-27
Comprehensive Addiction Programs Inc.
Executive Director (559)492-1373 information@capfresno.org 501(c)3 Non-profit Corporation $351,000 $351,000 $351,000 $351,000
Remit to:
2445 W.Whitesbridge Ave. Fax:(559)223-2898
Fresno,Ca 93706
Fresno County Hispanic Commission on Alcohol
and Drug Abuse Services,Inc.
Remit to: Executive Director (559)268-6480 info@hispaniccommission.org 501(c)3 Non-profit Corporation $225,000 $225,000 $225,000 $225,000
1414 W Kearney Blvd
Fresno,Ca 93706
Mental Health Systems,Inc.
Remit to: Chief Executive Officer (858)573-2600 contact@turnbhs.org 501(c)3 Non-profit Corporation $135,000 $135,000 $135,000 $135,000
9465 Farnham St. Chief Financial Officer
San Diego,Ca 92123
Turning Point of Central California,Inc. Chief Executive Officer (559)732-8086 info@tpocc.org 501(c)3 Non-profit Corporation $110,000 $110,000 $110,000 $110,000
Remit to:
P.O.Box 7447
Visalia,Ca 93290
WestCare California,Inc.
Remit to: Chief Operating Officer (559)251-4800 infoca@westcare.com 501(c)3 Non-profit Corporation $495,800 $525,000 $525,000 $525,000
1900 N.Gateway Blvd Fax:(559)453-7827
Fresno,Ca 93727
Non-DMC Withdrawal Management Vendor List
VENDOR PHONE NUMBER TYPE OF BUSINESS Contract Max Contract Max Contract Max Contract Max
FY 2023-24 FY 2024-25 FY 2025-26 FY 2026-27
Comprehensive Addiction Programs Inc.
Remit to: Executive Director (559)492-1373 information@capfresno.org 501(c)3 Non-profit Corporation See Above See Above See Above See Above
2445 W.Whitesbridge Ave. Fax:(559)223-2898
Fresno,Ca 93706
Mental Health Systems,Inc.
Remit to: Chief Executive Officer (559)251-4800 contact@turnbhs.org 501(c)3 Non-profit Corporation See Above See Above See Above See Above
9465 Farnham St. Chief Financial Officer
San Diego,CA 92123
WestCare California,Inc.
Remit to: Chief Operating Officer (559)251-4800 infoca@westcare.com 501(c)3 Non-profit Corporation See Above See Above See Above See Above
1900 N.Gateway Blvd Fax:(559)453-7827
Fresno,CA 93727
$ 1,316,800 $ 1,346,000 $ 1,346,000 $ 1,346,000
**A list of current provider sites can be found at:
https://www.fres nocou ntyca.gov/Depa rtments/Behaviora I-Hea lth/Ca re-Services/Progra ms-Services/Substa nce-Use-Disorder-Services
Revised 04/2025
Exhibit J-II
Fresno County Department of Behavioral Health
Non-DMC Residential/Withdrawal Management Treatment Compensation Approved
Rates by Modality/Provider
Effective 04.01.2025
Residential 3.1 Rate
Comprehensive Addiction Programs $ 168.00
Fresno County Hispanic Commission $ 168.00
Mental Health Systems $ 177.69
Turning Point-Quest House $ 183.40
WestCare-Bakersfield $ 168.44
WestCare Fresno $ 168.00
Withdrawal Management 3.2
Comprehensive Addiction Programs $ 149.64
Mental Health Systems $ 131.19
WestCare Fresno $ 169.30
Residential 3.3
WestCare Fresno $ 234.60
Residential 3.5
Comprehensive Addiction Programs $ 176.00
Mental Health Systems $ 177.69
Turning Point-Quest House $ 194.33
WestCare-Bakersfield I $ 176.00
WestCare Fresno $ 176.00
Provider Rate Per
Provider Type Hour
Physicians Assistant $421.99
Nurse Practitioner $467.89
RN $382.18
Pharmacist $450.39
MD(typically in SUD system of care) $940.90
Psychologist/Pre-licensed Psychologist $378.40
LPHA(MFT,LCSW,LPCC)/Intern or Waivered $244.88
LPHA(MFT,LCSW,LPCC)
Alcohol and Drug Counselor $203.11
Medical Assistant $138.01
Licensed Vocational Nurse $200.77
Licensed Psychiatric Technician $172.11
Occupational Therapist $325.96
Peer Recovery Specialist $193.44
Flat Rate Type Unit Maximum Units That Can Be Billed Rate
Interactive Complexity 15 min per unit 1 per allowed procedure per provider per $18.32
Sign Language/Oral Interpretive Services 15 min per unit lVariable $30.92
Revised 04/01/2025 1 of 1