HomeMy WebLinkAboutAgreement A-25-150 Amendment II to State Performance Agreement No. 21-10080.pdf STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES SCO ID'4260-2110080-A2 Agreement No. 25-150
STANDARD AGREEMENT-AMENDMENT
STD 273A(Rev.4/2020) AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number
® CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 25 PAGES 21-10080 A2
1.This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME
Department of Health Care Services
CONTRACTOR NAME
County of Fresno
2.The term of this Agreement is:
START DATE
July 1,2021
THROUGH END DATE
June 30,2026
3.The maximum amount of this Agreement after this Amendment is:
$0.00(Zero Dollars)
4.The parties mutually agree to this amendment as follows. All actions noted below.are by this reference made a part of the Agreement and
incorporated herein:
I.The effective date of this Amendment is the date approved by DHCS.
II.Purpose of amendment:This amendment extends the contract term end date by 12(twelve)months.All references to the former contract term of
July 1,2021 through June 30,2025 in any incorporated exhibit are hereinafter deemed to read July 1,2021 through June 30,2026.In addition,
Exhibit A-Program Specifications is replaced in its entirety.
III.Certain changes made in this amendment are shown as:Text Additions are displayed in bold and underline.Text deletions are displayed as strike
through text.
IV. All other terms and conditions shall remain the same.
All other terms and conditions shall remain the same.
IN WITNESS WHEREOF,THIS AGREEMENT HAS BEEN EXECUTED BV THE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME(if other than an individual,state whether a corporation,partnership,etc.)
County of Fresno
ZIP
CONTRACTOR BUSINESS ADDRESS CITY STATE
1925 E Dakota Ave. Fresno CA 93726
PRINTED NAME OF PERSON SIGNING TITLE
Ernest Buddy Mendes Chairman of the Board of Supervisors of the County of Fresno
CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
By_*CjM .iJL�s:,- U;CL,,. Deputy
Page 1 of 2
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES SCO ID'4260-2110080-A2
STANDARD AGREEMENT-AMENDMENT
STD 213A(Rev.4/2020) AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number
® CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 25 PAGES 21-10080 A2
STATE OF CALIFORNIA
CONTRACTING AGENCY NAME
Department of Health Care Services
CONTRACTING AGENCY ADDRESS CITY STATE ZIP
1501 Capitol Avenue,MS 4200 Sacramento CA 95814
PRINTED NAME OF PERSON SIGNING TITLE
Nga Pham Chief,Contract Services Section
CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED
-h > tSr :s
-
CALIFO NIA WARTMENT OF GENERAL SERVICES APPROVAL EXEMPTION(If Applicable)
2024 Budget Act-AB1812
Page 2 of 2
County of Fresno
21-10080 A2
Page 1 of 25
Exhibit A
Program Specifications
1. Service Overview
The California Department of Health Care Services (hereafter referred to as
DHCS or Department) administers the Mental Health Services Act, Lanterman-
Petris-Short (LPS) Act, Projects for Assistance in Transition from Homelessness
(PATH), Community Mental Health Services Block Grant (MHBG), Substance
Abuse Treatment and Prevention Block Grant (SABG), and Crisis Counseling
Assistance and Training Program (CCP) programs and oversees county
provision of community mental health services pursuant to the Bronzan-
McCorquodale Act. Contractor (hereafter referred to as County in this Exhibit)
must meet certain conditions and requirements to receive funding for these
programs and community mental health services.
This Agreement, which is County's performance contract, as required by Welfare
and Institutions Code (Welf. & Inst. Code) sections 5650, subd. (a), 5651, 5897,
and California Code of Regulations (Cal. Code Regs.), Title 9, section 3310, sets
forth conditions and requirements that County must meet in order to receive this
funding. This Agreement does not cover federal financial participation or State
general funds as they relate to Medi-Cal services provided through the Mental
Health Plan Contracts. County agrees to comply with all of the conditions and
requirements described herein.
DHCS shall monitor this Agreement to ensure compliance with applicable federal
and State law and applicable regulations. (Gov. Code, §§ 11180-11182; Welf. &
Inst. Code, §§ 5614, 5717, subd. (b), 5651, subd. (b)(10) & 14124.2, subd. (a).)
2. Service Location
The services shall be performed at appropriate sites as described in this contract.
3. Service Hours
The services shall be provided during times required by this contract.
County of Fresno
21-10080 A2
Page 2 of 25
Exhibit A
Program Specifications
4. Project Representatives
A. The project representatives during the term of this Agreement will be:
Department of Health Care Service County of Fresno
Contract Manager: Ivan Bharrl Dawan Utonh+Susan L. Holt, Director
Waheeda Sabah Telephone: (559) 600-9180 9058
Telephone: (916) 345-7483 Fax: (559) 600-7673
Fax: (916) 440 7621 Email: duteGht@freSReGeURtyG-a.gov
Email: !yan.Bhard,^,ai(i Bhardwaj@dhGs.Ga.gov sholt(a-)_fresnocountyca.gov
Waheeda.Sabah dhcs.ca. ov
B. Direct all inquiries to:
Department of Health Care Services County of Fresno
Behavioral Health — Community Attention: Joseph Rangel
Services Division/Federal Grants 3133 N M;"hreek 1925 E Dakota
Section Avenue
Fresno, CA, 93703-93726
Attention: DeAnn Harrison
1501 Capitol Avenue, MS 2624 Phone: (559) 600-6055
P.O. Box Number 997413 Fax: (559) 600-7673
Sacramento, CA, 95899-7413 Email: rangeja@fresnocountyca.gov
Phone: (916) 345-8700
Email: DeAnn.Harrison@dhcs.ca.gov
C. Either party may make changes to the information above by giving written
notice to the other party. Said changes shall not require an amendment to
this Agreement.
5. General Requirements for Agreement
Welfare and Institutions Code section 5651, subdivision (b), provides specific
assurances, which are listed below, that must be included in this Agreement.
County shall:
A. Comply with the expenditure requirements of Welfare and Institutions Code
section 17608.05,
B. Provide services to persons receiving involuntary treatment as required by
Part 1 (commencing with section 5000) and Part 1.5 (commencing with
section 5585) of Division 5 of the Welfare and Institutions Code,
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
C. Comply with all of the requirements necessary for Medi-Cal reimbursement
for mental health treatment services and case management programs
provided to Medi-Cal eligible individuals, including, but not limited to, the
provisions set forth in Chapter 3 (commencing with section 5700) of Division 5
of the Welfare and Institutions Code, and submit cost reports and other data
to DHCS in the form and manner determined by the DHCS,
D. Ensure that the Local Mental Health Advisory Board has reviewed and
approved procedures ensuring citizen and professional involvement at all
stages of the planning process pursuant to Welfare and Institutions Code
section 5604.2,
E. Comply with all provisions and requirements in law pertaining to patient rights,
F. Comply with all requirements in federal law and regulation, and all
agreements, certifications, assurances, and policy letters, pertaining to
federally funded mental/behavioral health programs, including, but not limited
to, the Projects for Assistance in Transition from Homelessness grant,
Community Mental Health Services Block Grant, and Substance Abuse
Prevention and Treatment Block Grant programs.
G. Provide all data and information set forth in sections 5610 and 5664 of the
Welfare and Institutions Code,
H. If County elects to provide the services described in Chapter 2.5
(commencing with section 5670) of Division 5 of the Welfare and Institutions
Code, comply with guidelines established for program initiatives outlined in
this chapter, and
I. Comply with all applicable laws and regulations for all services delivered,
including all laws, regulations, and guidelines of the Mental Health Services
Act.
6. Services Authority
A. The Mental Health Services Act Program
1) Program Description
Proposition 63, which created the Mental Health Services Act (MHSA),
was approved by the voters of California on November 2, 2004. The
Mental Health Services (MHS) Fund, which provides funds to counties for
the implementation of its MHSA programs, was established pursuant to
Welfare and Institutions Code section 5890. The MHSA was designed to
expand California's public mental health programs and services through
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
funding received by a one percent tax on personal incomes in excess of
$1 million. Counties use this funding for projects and programs for
prevention and early intervention, community services and supports,
workforce development and training, innovation, plus capital facilities and
technological needs through mental health projects and programs. The
State Controller distributes MHS Funds to the counties to plan for and
provide mental health programs and other related activities outlined in a
county's three-year program and expenditure plan or annual update. MHS
Funds are distributed by the State Controller's Office to the counties on a
monthly basis.
DHCS shall monitor County's use of MHS Funds to ensure that the
County meets the MHSA and MHS Fund requirements. (Gov. Code §§
11180-11182; Welf. & Inst. Code, §§ 5651, subd. (b)(10), 5897, subd. (d),
& 14124.2, subd. (a).)
2) Issue Resolution Process
County shall have an Issue Resolution Process (Process) to handle client
disputes related to the provision of their mental health services. The
Process shall be completed in an expedient and appropriate manner.
County shall develop a log to record issues submitted as part of the
Process. The log shall contain the date the issue was received; a brief
synopsis of the issue; the final issue resolution outcome; and the date the
final issue resolution was reached.
3) Revenue and Expenditure Report
County shall submit its Revenue and Expenditure Report (RER)
electronically to the Department and the Mental Health Services Oversight
and Accountability Commission by January 31 following the close of the
fiscal year in accordance with Welfare and Institutions Code sections 5705
and 5899, regulations, and DHCS-issued guidelines. The RER shall be
certified by the County's Behavioral Health Director (also referred to as
"mental health director"), using the DHCS-issued certification form (DHCS
Form 1820). Data submitted shall be full and complete. If the RER does
not meet the requirements, in accordance with the procedure in section 9
of this Agreement, DHCS may withhold payments from the MHS Fund
until the County submits a complete RER. (Welf. & Inst. Code, §§ 5655;
Cal. Code Regs., tit. 9, § 3510, subd. (a.)
4) Distribution and Use of Local Mental Health Services Funds:
a. Welfare and Institutions Code section 5891, subdivision (c), provides
that commencing July 1, 2012, on or before the 15th day of each
County of Fresno
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Exhibit A
Program Specifications
month, pursuant to a methodology provided by DHCS, the State
Controller shall distribute to County's Local Mental Health Services
Fund (MHS Fund) (established by County pursuant to Welfare and
Institutions Code section 5892, subdivision (f)) all unexpended and
unreserved funds on deposit as of the last day of the prior month in the
Mental Health Services Fund for the provision of specified programs
and other related activities.
b. The expenditure for Prevention and Early Intervention (PEI) may be
increased by County if DHCS determines that the increase will
decrease the need and cost for additional services to severely mentally
ill persons in County by an amount at least commensurate with the
proposed increase. (Welf. & Inst. Code, § 5892, subd. (a)(4).)
Local MHS Fund money distributed to counties by the State
Controller's Office includes funding for annual planning costs pursuant
to Welfare and Institutions Code section 5848. The total of these costs
shall not exceed five percent of the total annual revenues received for
the Local MHS Fund. The planning costs shall include money for
County's mental health programs to pay for the costs of having
consumers, family members, and other stakeholders participate in the
planning process, and for the planning and implementation required for
private provider contracts to be expanded to provide additional
services. (Welf. & Inst. Code, § 5892, subd. (c).)
c. County shall use Local MHS Fund monies to pay for those portions of
the mental health programs/services for children and adults for which
there is no other source of funds available. (Welf. & Inst. Code, §§
5813.5, subd. (b), 5878.3 subd. (a); Cal. Code Regs., tit. 9, § 3610,
subd. (d).)
d. County shall only use Local MHS Funds to expand mental health
services. These funds shall not be used to supplant existing State or
County funds utilized to provide mental health services. These funds
shall only be used to pay for the programs authorized in Welfare and
Institutions Code sections 5890 and 5892. These funds may not be
used to pay for any other program and may not be loaned to County's
general fund or any other County fund for any purpose. (Welf. & Inst.
Code, § 5891, subd. (a).)
e. All expenditures for County mental health programs shall be consistent
with a currently approved three-year program and expenditure plan or
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
annual update pursuant to Welfare and Institutions Code section 5847.
(Welf. & Inst. Code, §§ 5891, subd. (d), 5892, subd. (g).)
5) Three-Year Program and Expenditure Plan and Annual Updates:
a. County shall prepare and submit a three-year program and
expenditure plan, and annual updates, adopted by County's Board of
Supervisors, to the Mental Health Services Oversight and
Accountability Commission (MHSOAC) and DHCS within 30 calendar
days after adoption. (Welf. & Inst. Code, § 5847, subd. (a).) The three-
year program and expenditure plan and annual updates shall include
all of the following:
i. A program for PEI in accordance with Part 3.6 of Division 5 of
the Welfare and Institutions Code (commencing with section
5840). (Welf. & Inst. Code, § 5847, subd. (b)(1).)
ii. A program for services to children in accordance with Part 4 of
Division 5 of the Welfare and Institutions Code (commencing
with section 5850), to include a wraparound program pursuant
to Chapter 4 of Part 6 of Division 9 of the Welfare and
Institutions Code (commencing with section 18250), or provide
substantial evidence that it is not feasible to establish a
wraparound program in the County. (Welf. & Inst. Code, § 5847,
subd. (b)(2).)
iii. A program for services to adults and seniors in accordance with
Part 3 of Division 5 of the Welfare and Institutions Code
(commencing with section 5800). (Welf. & Inst. Code, § 5847,
subd. (b)(3).)
iv. A program for innovation in accordance with Part 3.2 of Division
5 of the Welfare and Institutions Code (commencing with
section 5830). (Welf. & Inst. Code, § 5847, subd. (b)(4).)
Counties shall expend funds for their innovation programs upon
approval by the Mental Health Services Oversight and
Accountability Commission. (Welf. & Inst. Code, § 5830, subd.
(e)•)
V. A program for technological needs and capital facilities needed
to provide services pursuant to Part 3 of Division 5 of the
Welfare and Institutions Code (commencing with section 5800),
Part 3.6 of Division 5 of the Welfare and Institutions Code
(commencing with section 5840), and Part 4 of Division 5 of the
County of Fresno
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Exhibit A
Program Specifications
Welfare and Institutions Code (commencing with section 5850).
All plans for proposed facilities with restrictive settings shall
demonstrate that the needs of the people to be served cannot
be met in a less restrictive or more integrated setting. (Welf. &
Inst. Code, § 5847, subd. (b)(5).)
vi. Identification of shortages in personnel to provide services
pursuant to the above programs and the additional assistance
needed from the education and training programs established
pursuant to Part 3.1 of Division 5 of the Welfare and Institutions
Code (commencing with section 5820). (Welf. & Inst. Code, §
5847, subd. (b)(6); Cal. Code Regs., tit. 9, § 3830, subd. (b).)
vii. Establishment and maintenance of a prudent reserve to ensure
the County program will continue to be able to serve children,
adults, and seniors that it is currently serving pursuant to Part 3
of Division 5 of the Welfare and Institutions Code (commencing
with section 5800), Part 3.6 of Division 5 of the Welfare and
Institutions Code (commencing with section 5840), and Part 4 of
Division 5 of the Welfare and Institutions Code (commencing
with section 5850), during years in which revenues for the Local
MHS Fund are below recent averages adjusted by changes in
the State population and the California Consumer Price Index.
(Welf. & Inst. Code, § 5847, subd. (b)(7).)
viii. Certification by County's Behavioral Health Director, which
ensures that County has complied with all pertinent regulations,
laws, and statutes of the MHSA, including stakeholder
participation and non-supplantation requirements. (Welf. & Inst.
Code, § 5847, subd. (b)(8).)
ix. Certification by County's Behavioral Health Director and
County's Auditor-Controller that the County has complied with
any fiscal accountability requirements as directed by DHCS, and
that all expenditures are consistent with the requirements of the
MHSA pursuant to California Code of Regulations, Title 9,
sections 3500 and 3505. (Welf. & Inst. Code, § 5847, subd.
(b)(9).)
b. County shall include services in the programs described in section 6,
subparagraphs A, 5.a.i. through 5.a.v., inclusive, to address the needs
of transition age youth between the ages of 16 and 25 years old,
County of Fresno
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Exhibit A
Program Specifications
including the needs of transition age foster youth. (Welf. & Inst. Code,
§ 5847, subd. (c).)
c. County shall prepare expenditure plans for the programs described in
section 6, subparagraphs A, 5.a.i. through 5.a.v., inclusive, and annual
expenditure updates. Each expenditure plan and annual update shall
indicate the number of children, adults, and seniors to be served, and
the cost per person. The expenditure update shall also include
utilization of unspent funds allocated in the previous year and the
proposed expenditure for the same purpose. (Welf. & Inst. Code, §
5847, subd. (e).)
d. County's three-year program and expenditure plan and annual updates
shall include reports on the achievement of performance outcomes for
services provided pursuant to the Adult and Older Adult Mental Health
System of Care Act, Prevention and Early Intervention, and the
Children's Mental Health Services Act, which are funded by the Local
MHS Fund and established jointly by DHCS and the MHSOAC, in
collaboration with the County Behavioral Health Directors Association
of California. (Welf. & Inst. Code, § 5848, subd. (c).) County contracts
with providers shall include the performance goals from the County's
three-year program and expenditure plan and annual updates that
apply to each provider's programs and services.
e. County's three-year program and expenditure plan and annual update
shall consider ways to provide services to adults and older adults that
are similar to those established pursuant to the Mentally III Offender
Crime Reduction Grant Program. Funds shall not be used to pay for
persons incarcerated in State prison or parolees from State prisons.
(Welf. & Inst. Code, § 5813.5, subd. (f).)
6) Planning Requirements and Stakeholder Involvement:
a. County shall develop its three-year program and expenditure plan and
annual update with local stakeholders, including adults and seniors
with severe mental illness, families of children, adults, and seniors with
severe mental illness, providers of services, law enforcement
agencies, education, social services agencies, veterans,
representatives from veterans organizations, providers of alcohol and
drug services, health care organizations, and other important interests.
Counties shall demonstrate a partnership with constituents and
stakeholders throughout the process that includes meaningful
stakeholder involvement on mental health policy, program planning,
and implementation, monitoring, quality improvement, evaluation, and
budget allocations. County shall prepare and circulate a draft plan and
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
update for review and comment for at least 30 calendar days to
representatives of stakeholder interests and any interested party who
has requested a copy of the draft plans. (Welf. & Inst. Code, § 5848,
subd. (a); Cal. Code Regs., tit. 9, §§ 3300, 3310, 3315 & 3320.)
b. County's mental health board, established pursuant to Welfare and
Institutions Code section 5604, shall conduct a public hearing on the
County's draft three-year program and expenditure plan and annual
updates at the close of the 30 calendar day comment period. Each
adopted three-year program and expenditure plan or annual update
shall summarize and analyze substantive recommendations and
describe substantive changes to the three-year program and
expenditure plan and annual updates. The County's mental health
board shall review the adopted three-year program and expenditure
plan and annual updates and recommend revisions to the County's
mental health department. (Welf. & Inst. Code, § 5848, subd. (b); Cal.
Code Regs., tit. 9, § 3315.)
c. The County shall provide for a Community Planning Process as the
basis for developing the Three-Year Program and Expenditure Plans
and updates. The County shall designate positions and or units
responsible for the overall Community Program Planning Process;
coordination and management of the Community Program Planning
Process; ensuring stakeholders have the opportunity to participate;
ensuring that stakeholders reflect the diversity of the demographics of
the County; and providing outreach to clients and their family
members. The Community Program Planning process shall, at a
minimum, include involvement of clients and their family members in all
aspects of the Process; participation of stakeholders; and training, as
needed, to County staff and stakeholders, clients, and family members
regarding the stakeholder process. (Cal. Code Regs., tit. 9, § 3300.)
County of Fresno
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Exhibit A
Program Specifications
d. The County shall adopt the following standards in planning,
implementing, and evaluating the programs and/or services provided
with MHSA funds:
i. Community Collaboration, as defined in California Code of
Regulations, Title 9, section 3200.060
ii. Cultural Competence, as defined in section 3200.100;
iii. Client Driven, as defined in section 3200.050;
iv. Family Driven, as defined in section 3200.120;
v. Wellness, Recovery and Resilience focused; and
vi. Integrated Service Experiences for clients and their families, as
defined in section 3200.190.
The planning, implementation and evaluation process includes, but is
not limited to, the Community Program Planning Process; development
of the Three-Year Program and Expenditure Plans and updates; and
the manner in which the County delivers services and evaluates
service delivery. (Cal. Code Regs., tit. 9, § 3320.)
7) County Requirements for Handling MHSA Funds
a. County shall place all funds received from the State MHS Fund into a
Local MHS Fund. The Local MHS Fund balance shall be invested
consistent with other County funds and the interest earned on the
investments shall be transferred into the Local MHS Fund. (Welf. &
Inst. Code, § 5892, subd. (f).)
b. When accounting for all receipts and expenditures of MHSA funds,
County must adhere to uniform accounting standards and procedures
that conform to the Generally Accepted Accounting Principles (GAAP),
as prescribed by the State Controller in California Code of Regulations,
Title 2, division 2, chapter 2, subchapter 1, Accounting Procedures for
Counties, sections 901-949, and a manual, which is currently entitled
"Accounting Standards and Procedures for Counties" and available at
http://www.sco.ca.gov/pubs_guides.htm1, (Gov. Code, § 30200),
County of Fresno
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Exhibit A
Program Specifications
except County shall report as spent the full cost of an asset purchased
with Capital Facilities and Technological Needs funds.
8) Department Compliance Investigations:
a. DHCS may investigate County's performance of the Mental Health
Services Act related provisions of this Agreement and compliance with
the provisions of the Mental Health Services Act, and relevant
regulations. In conducting such an investigation, DHCS may inspect
and copy books, records, papers, accounts, documents and any
writing, as defined by Evidence Code section 250, that is pertinent or
material to the investigation of the County. For purposes of this
Paragraph, "provider" means any person or entity that provides
services, goods, supplies or merchandise, which are directly or
indirectly funded pursuant to MHSA. (Gov. Code, §§ 11180, 11181, &
11182; Welf. & Inst. Code, §§ 5651, subd. (b)(9), 5897, subd. (d), &
14124.2.)
9) County Breach, Plan of Correction and Withholding of State Mental Health
Funds:
a. If DHCS determines that County is out-of-compliance with the Mental
Health Services Act related provisions of this Agreement, DHCS may
request that County submit a plan of correction, including a specific
timeline to correct the deficiencies, to DHCS. (Welf. & Inst. Code, §
5897, subd. (e).)
b. In accordance with Welfare and Institutions Code section 5655, if
DHCS considers County to be substantially out-of-compliance with any
provision of the Mental Health Services Act or relevant regulations,
including all reporting requirements, other than timely submission of a
complete Revenue and Expenditure Report, the director shall order
County to appear at a hearing before the Director or the Director's
designee to show cause why the Department should not take
administrative action. County shall be given at least twenty (20) days'
notice before the hearing.
c. If the Director determines that there is or has been a failure, in a
substantial manner, on the part of County to comply with any provision
of the Welfare and Institutions Code or its implementing regulations,
and that administrative sanctions are necessary, the Department may
County of Fresno
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Exhibit A
Program Specifications
invoke any, or any combination of, the following sanctions per Welfare
and Institutions Code section 5655:
i. Withhold part or all State mental health funds from County.
ii. Require County to enter into negotiations with DHCS to agree on a
plan for County to address County's non-compliance.
iii. Bring an action in mandamus or any other action in court as may
be appropriate to compel compliance. Any action filed in
accordance with the section shall be entitled to a preference in
setting a date for hearing.
B. Bronzan-McCorquodale Act
1) Description
The Bronzan-McCorquodale Act realigned responsibility for administration
of community mental health services, for the indigent population, to
counties (Welf. & Inst. Code, § 5600) and provided a dedicated funding
source. The County's primary goal in using the funds is to provide an
array of treatment options to seriously emotionally disturbed children and
adults who have a serious mental disorder, in every geographic area, to
the extent resources are available to the County. (Welf. & Inst. Code, §§
5600.3, 5600.35, 5600.4) The mission of California's mental health
system shall be to enable persons experiencing severe and disabling
mental illnesses and children with serious emotional disturbances to
access services and programs that assist them, in a manner tailored to
each individual, to better control their illness, to achieve their personal
goals, and to develop skills and supports leading to their living the most
constructive and satisfying lives possible in the least restrictive available
settings. (Welf. & Inst. Code, § 5600.1)
2) County Obligations
County shall comply with all requirements in the Bronzan McCorquodale
Act (Welf. & Inst. Code, § 5600 et. Seq.) and specifically, county shall
comply with the following:
a. County shall fund children's services pursuant to the requirements of
Welfare and Institutions Code sections 5704.5 and 5704.6.
b. County shall comply with reporting requirements developed by the
Department. (Welf. & Inst. Code, §§ 5610, 5664, 5614, subd. (b)(4))
c. To the extent resources are available, County shall maintain the
program principles and array of treatment options required under
County of Fresno
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Exhibit A
Program Specifications
Welfare and Institutions Code sections 5600.2 to 5600.9, inclusive.
(Welf. & Inst. Code, § 5614, subd. (b)(5))
d. County shall report data to the state required by the performance
outcome systems for adults and children. (Welf. & Inst. Code, §§ 5610,
5664, 5614, subd. (b)(6))
C. Lanterman-Petris-Short Act
1) Description
The Lanterman-Petris-Short (LPS) Act was enacted to end indefinite
involuntary commitment of persons with mental health disorders and to
provide prompt evaluation and treatment, to establish consistent personal
rights standards, and to provide services in the least restrictive setting for
individuals served under the Act. (Welf. & Inst. Code § 5001.) Pursuant to
Welfare and Institutions Code section 5400, DHCS administers the LPS
Act and may adopt standards as necessary.
2) Reporting and Data Submission Requirements
a. The County shall maintain data on the number of persons admitted for
72-hour evaluation and treatment, 14-day and 30-day periods of
intensive treatment, and 180-day post-certification intensive treatment,
the number of persons transferred to mental health facilities pursuant
to Section 4011.6 of the Penal Code, the number of persons for whom
temporary conservatorships are established, and the number of
persons for whom conservatorships are established in the County.
(Welf. & Inst. Code § 5402, subds. (a)-(b).) Upon request from DHCS,
the County shall provide the aforementioned data or other information,
records, and reports, which DHCS deems necessary for the purposes
of Welfare and Institutions Code section 5402. (Id, at subd. (b).)
b. The County shall maintain data on the number of persons whose rights
were denied under the LPS Act and the right or rights which were
denied. Quarterly, the County shall provide DHCS with a report of the
number of persons whose rights were denied under the LPS Act and
shall identify the right or rights which were denied. (Welf. & Inst. Code
§ 5326.1.)
County of Fresno
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Exhibit A
Program Specifications
c. The County shall collect information and submit reports to DHCS as
specified in Welfare and Institutions Code section 5326.15, subdivision
(a).
3) Laura's Law
If the County operates an Assisted Outpatient Treatment Program
pursuant to Welfare and Institution Code, Division 5, Part 1, Chapter 2,
Article 9, (Laura's Law), it shall be required to comply with all applicable
statutes including, but not limited to, Welfare and Institutions Code
sections 5345 through 5349.1, inclusive. In addition, a county or group of
counties that has a Laura's Law program shall:
a. Maintain and provide data to DHCS regarding the services the county
provides under Laura's Law. (Welf. & Inst. Code § 5348 (d).) The
report shall include an evaluation of the effectiveness of the strategies
employed by each program in reducing homelessness and
hospitalization of persons in the program and in reducing involvement
with local law enforcement by persons in the program. The County
shall maintain and include in the report to DHCS all of the information
enumerated in Welfare and Institutions Code section 5348, subdivision
(d), paragraphs (1) through (14).
b. Pay for the provision of services under Welfare and Institutions Code
sections 5347 and 5348 using funds distributed to the counties from
the Mental Health Subaccount, the Mental Health Equity Subaccount,
and the Vehicle License Collection Account of the Local Revenue
Fund, funds from the Mental Health Account and the Behavioral Health
Subaccount within the Support Services Account of the Local Revenue
Fund 2011, funds from the Mental Health Services Fund when
included in county plans pursuant to Section 5847, and any other funds
from which the Controller makes distributions to the counties for those
purposes. (Welf. & Inst. Code § 5349.)
D. Projects For Assistance In Transition From Homelessness Program (42
U.S.C. §§ 290cc-21 -290cc-35, inclusive)
Pursuant to Title 42 of the United States Code, sections 290cc-21 through
290cc-35, inclusive, the State of California has been awarded federal
homeless funds through the federal McKinney Projects for Assistance in
Transition from Homelessness (PATH) formula grant. The PATH grant funds
community based outreach, mental health and substance abuse
County of Fresno
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Exhibit A
Program Specifications
referral/treatment, case management and other support services, as well as a
limited set of housing services for the homeless mentally ill.
County shall submit its Request for Application (RFA) responses and required
documentation specified in DHCS' RFA to receive PATH funds. County shall
complete its RFA responses in accordance with the instructions, enclosures
and attachments available on the DHCS website at:
http://www.dhcs.ca.gov/services/MH/Pages/PATH.aspx.
If County applied for and DHCS approved its request to receive PATH grant
funds, the RFA, County's RFA responses and required documentation, and
DHCS' approval constitute provisions of this Agreement and are incorporated
by reference herein. County shall comply with all provisions of the RFA and
the County's RFA responses.
The PATH grant is a federal award within the meaning of Title 2 Code of
Federal Regulations part 200. This contract is a subaward to County. County
is a subrecipient and subject to all applicable requirements in Title 2 Code of
Federal Regulations part 200 and Title 45 Code of Federal Regulations part
75, including, but not limited to, the County requirement to have a single audit
performed for PATH funds in accordance with the audit requirements in Title
2 Code of Federal Regulations part 200, subpart F, or Title 45 Code of
Federal Regulations part 75.
E. Community Mental Health Services Grant Program (42 U.S.C. § 300x-1 et
seq.)
Pursuant to Title 42 United States Code section 300x et seq., the State of
California has been awarded the federal Community Mental Health Services
Block Grant funds, known as Mental Health Block Grant (MHBG). County
mental health agencies utilize MHBG funding to provide a broad array of
mental health services within their mental health system of care (SOC)
programs. These programs provide services to the following target
populations: children and youth with serious emotional disturbances (SED)
and adults and older adults with serious mental illnesses (SMI).
County shall submit its RFA responses and required documentation specified
in DHCS' RFA to receive MHBG funding. County shall complete its RFA
responses in accordance with the instructions, enclosures and attachments.
If County applied for and DHCS approved its request to receive MHBG grant
funds, the RFA, County's RFA responses and required documentation, and
DHCS' approval constitute provisions of this Agreement and are incorporated
County of Fresno
21-10080 A2
Page 16 of 25
Exhibit A
Program Specifications
by reference herein. County shall comply with all provisions of the RFA and
the County's RFA responses.
The MHBG is a federal award within the meaning of Title 2 Code of Federal
Regulations part 200. This contract is a subaward to County. County is a
subrecipient and subject to all applicable requirements in Title 2 Code of
Federal Regulations part 200 and Title 45 Code of Federal Regulations part
75, including, but not limited to, the County requirement to have a single audit
performed for MHBG funds in accordance with the audit requirements in Title
2 Code of Federal Regulations part 200, subpart F, or Title 45 Code of
Federal Regulations part 75.
F. Substance Abuse Prevention And Treatment Block Grant Program (42
U.S.C. § 300x-1 et seq.)
Pursuant to Title 42 United States Code section 300x et seq., the State of
California has been awarded the federal Substance Abuse Treatment and
Prevention Block Grant funds (known as SABG). County Alcohol and Other
Drug Programs utilize SABG funding to provide a broad array of alcohol and
other drug program treatment and prevention services within their system of
care programs.
County shall submit its RFA responses and required documentation specified
in DHCS' RFA to receive SABG funding. County shall complete its RFA
responses in accordance with the instructions, enclosures and attachments.
If County applied for, and DHCS approved its request to receive SABG funds,
the RFA, County's RFA responses and required documentation, and DHCS'
approval constitute provisions of this Agreement and are incorporated by
reference herein. County shall comply with all provisions of the RFA and the
County's RFA responses.
The SABG is a federal award within the meaning of Title 2 Code of Federal
Regulations part 200. This contract is a subaward to County. County is a
subrecipient and subject to all applicable requirements in Title 2 Code of
Federal Regulations part 200 and Title 45 Code of Federal Regulations part
75, including, but not limited to, the County requirement to have a single audit
performed for SABG funds in accordance with the audit requirements in Title
2 Code of Federal Regulations part 200, subpart F, or Title 45 Code of
Federal Regulations part 75.
G. Crisis Counseling Assistance And Training Program (42 U.S.C. § 5183)
Pursuant to Title 42 United States Code section 5183, and upon the issuance
of a Presidential declaration of a major disaster, the State of California may
County of Fresno
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Exhibit A
Program Specifications
be awarded Federal Emergency Management Agency (FEMA) funding for the
Crisis Counseling Assistance and Training Program (CCP). The CCP
supports short-term interventions that involve assisting disaster survivors in
understanding their current situation and reactions, mitigating stress,
developing coping strategies, providing emotional support, and encouraging
linkages with other individuals and agencies that help survivors in their
recovery process. These funds are used to provide services to all individuals
affected during a disaster.
1) The CCP is comprised of three funding terms:
a. Immediate Services Program (ISP) — Funding is provided for the CCP
for 60 days from the date of the Presidential declaration.
b. Immediate Services Program Extension (ISP Extension) — Funding is
provided to cover the period from the day after the end of the ISP to
the award date of the Regular Services Program (RSP).
c. Regular Services Program (RSP) — Funding is provided for 9 months
from award date to continue and expand the provision of crisis
counseling program services.
2) Participation in the CCP is optional. County's request to the State of
California that it apply for CCP funding on behalf of the County shall be
County's agreement to comply with all applicable federal and State
requirements, including the FEMA or Substance Abuse and Mental Health
Services Administration (SAMHSA) approved funding application and
budget; applicable requirements in the Notice of Award (from FEMA or
SAMHSA) to the State, including special and standard program conditions
or terms, supplemental grant information, and the federal Health and
Human Services Grants Policy Statement; 44 Code of Federal
Regulations part 206.171, 42 Code of Federal Regulations part 38 and
FEMA or SAMHSA CCP secondary guidance that is in effect on the date
County receives the award of funding.
3) The CCP is a federal award within the meaning of Title 2 Code of Federal
Regulations part 200. This contract is a subaward to County. County is a
subrecipient and subject to all applicable requirements in Title 2 Code of
Federal Regulations part 200 and Title 45 Code of Federal Regulations
part 75, including, but not limited to, the County requirement to have a
single audit performed for CCP funds in accordance with the audit
requirements in Title 2 Code of Federal Regulations part 200, subpart F,
or Title 45 Code of Federal Regulations part 75. CCP Funding shall not
be used to supplant existing resources. County expenditure of CCP
Funds are subject to State and federal oversight, including on-sight
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
program performance reviews and federal audits. (44 C.F.R. § 206.171(k)
& 42 C.F.R. § 38.9.)
4) For reference, FEMA Crisis Counseling Assistance and Training Program
(FEMA secondary guidance), is accessible at the following link:
https://www.samhsa.gov/dtac/ccp-toolkit.
7. Reporting and Data Submission Requirements
County shall comply with all data and information submission requirements
specified in this Agreement.
A. County shall provide all applicable data and information required by federal
and/or State law in order to receive any funds to pay for its MHSA programs,
PATH grant (if the County receives funds from this grant), MHBG grant (if the
County receives funds from this grant), SABG grant (if the County receives
funds from this grant), CCP program, or County provision of community
mental health services provided with 1991 realignment funds (other than
Medi-Cal). These federal and State laws include Title 42 of the United States
Code, sections 290cc-21 through 290ee-10 and 300x through 300x-68,
inclusive, Welfare & Institutions Code sections 5610 and 5664 and the
regulations that implement, interpret or make specific, these federal and State
laws and any DHCS-issued guidelines that relate to the programs or services.
B. County shall comply with DHCS reporting requirements related to the
County's receipt of federal or State funding for mental/behavioral health
programs. County shall submit complete and accurate information to DHCS,
and as applicable the Mental Health Services Oversight and Accountability
Commission, including, but not limited, to the following:
1) Client and Service Information (CSI) System Data, as specified in Title 9
of the California Code of Regulations, section 3530.10. (See also section
7, subparagraph (C) of this Agreement.)
2) MHSA Quarterly Progress Reports, as specified in the California Code of
Regulations, Title 9, section 3530.20. MHSA Quarterly Progress Reports
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
provide the actual number of clients served by MHSA-funded program.
Reports are submitted on a quarterly basis.
3) Full Service Partnership Performance Outcome data, as specified in the
California Code of Regulations, Title 9, section 3530.30.
4) Consumer Perception Survey data, as specified in the California Code of
Regulations, Title 9, section 3530.40.
5) The Annual Mental Health Services Act Revenue and Expenditure Report,
as specified in Welfare and Institutions Code section 5899, subdivision (a),
and the California Code of Regulations, Title 9, sections 3510, 3510.010,
and 3510.020 and DHCS-issued guidelines.
6) Innovative Project Reports (annual, final and supplements), as specified in
the California Code of Regulations, Title 9, sections 3580 through
3580.020.
7) The Annual Prevention and Early Intervention report, as specified in the
California Code of Regulations, Title 9, sections 3560 and 3560.010.
8) Three Year Program and Evaluation Reports, as specified in the California
Code of Regulations, Title 9, sections 3560 and 3560.020.
9) Co-occurring Mental Health and Substance Use Disorder Assessments in
accordance with Welfare & Institutions Code section 5891.5.
C. County shall submit CSI data to DHCS, in accordance with Title 9 of the
California Code of Regulations, section 3530.10, and according to the
specifications set forth in DHCS' CSI Data Dictionary. County shall:
1) Report complete and accurate monthly CSI data to DHCS within 60
calendar days after the end of the month in which services were provided.
2) If complete and accurate data are not reported within 60 calendar days,
the county must be in compliance with an approved plan of correction.
3) Make diligent efforts to minimize errors on the CSI error file.
4) Correct all errors on the CSI error file.
5) Notify DHCS 90 calendar days prior to any change in reporting system
and/or change of automated system vendor.
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
D. In the event that DHCS or County determines that, due to federal or State law
changes or business requirements, an amendment is needed of either
County's or DHCS' obligations under this contract relating to either DHCS' or
County's information needs, both DHCS and County agree to provide notice
to the other party as soon as feasible prior to implementation. This notice
shall include information and comments regarding the anticipated
requirements and impacts of the projected changes. DHCS and County
agree to meet and discuss the design, development, and costs of the
anticipated changes prior to implementation.
E. For all mental health funding sources received by County that require
submission of a cost report, County shall submit a fiscal year-end cost report
by December 31 following the close of the fiscal year in accordance with
applicable federal and State law, regulations and DHCS-issued guidelines.
(Welf. & Inst. Code § 5705; Cal. Code Regs., tit. 9, §§ 3500, 3505.) The cost
report shall be certified as true and correct, and with respect to Local Mental
Health Service Fund moneys, that the County is in compliance with the
California Code of Regulations, Title 9, section 3410, Non-Supplant. The
certification must be completed by the Behavioral Health Director and one of
the following: the County mental health department's chief financial officer (or
equivalent), an individual who has delegated authority to sign for and reports
directly to the County mental health department's chief financial officer (or
equivalent), or the County's auditor-controller (or equivalent). Data submitted
shall be full and complete. County shall also submit a reconciled cost report
certified by the Behavioral Health Director and the County's auditor-controller
as being true and correct no later than 18 months after the close of the
following fiscal year.
F. If applicable to a specific federal or State funding source covered by this
Agreement, County shall require each of its subcontractors to submit a fiscal
year-end cost report to DHCS no later than December 31 following the close
of the fiscal year, in accordance with applicable federal and State laws,
regulations, and DHCS-issued guidelines.
8. Special Terms and Conditions
A. Audit and Record Retention
(Applicable to agreements in excess of$10,000)
1) County and/or Subcontractor(s) shall maintain records, including books,
documents, and other evidence, accounting procedures and practices,
sufficient to properly support all direct and indirect costs of whatever
nature claimed to have been incurred in the performance of this
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
Agreement, including any matching costs and expenses. The forgoing
constitutes "records" for the purpose of this provision.
2) County's and/or Subcontractor's facility or office or such part thereof as
may be engaged in the performance of this Agreement and his/her
records shall be subject at all reasonable times to inspection, audit, and
reproduction.
3) County agrees that DHCS, the Department of General Services, the
Bureau of State Audits, or their designated representatives including the
Comptroller General of the United States, shall have the right to review
and copy any records and supporting documentation pertaining to the
performance of this Agreement. County agrees to allow the auditor(s)
access to such records during normal business hours and to allow
interviews of any employees who might reasonably have information
related to such records. Further, County agrees to include a similar right of
the State to audit records and interview staff in any subcontract related to
performance of this Agreement.
4) County and/or Subcontractor(s) shall preserve and make available his/her
records (1) for a period of ten years from the date of final payment under
this Agreement, and (2) for such longer period, if any, as is required by
applicable statute, by any other provision of this Agreement, or by
subparagraphs (a) or (b) below.
a. If this Agreement is completely or partially terminated, the records
relating to the work terminated shall be preserved and made available
for a period of three years from the date of any resulting final
settlement.
b. If any litigation, claim, negotiation, audit, or other action involving the
records has been started before the expiration of the ten-year period,
the records shall be retained until completion of the action and
resolution of all issues which arise from it, or until the end of the
regular ten-year period, whichever is later.
5) County and/or Subcontractor(s) may, at its discretion, following receipt of
final payment under this Agreement, reduce its accounts, books, and
records related to this Agreement to microfilm, computer disk, CD ROM,
DVD, or other data storage medium. Upon request by an authorized
representative to inspect, audit or obtain copies of said records, County
and/or Subcontractor(s) must supply or make available applicable devices,
hardware, and/or software necessary to view, copy, and/or print said
records. Applicable devices may include, but are not limited to, microfilm
readers and microfilm printers, etc.
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
6) County shall, if applicable, comply with the Single Audit Act and the audit
reporting requirements set forth in 2 Code of Federal Regulations part
200.
B. Dispute Resolution Process for Projects for Assistance in Transition from
Homelessness Program Grant, Community Mental Health Services Grant
Program, and Substance Abuse Prevention and Treatment Block Grant
Program.
If a dispute arises between the Contractor and DHCS regarding Contractor
compliance with Section 6 of this Agreement, subparagraph D, Projects for
Assistance in Transition from Homelessness Program, subparagraph E,
Community Mental Health Services Grant Program, or subparagraph F,
Substance Abuse Prevention and Treatment Block Grant Program, the
Contractor must seek resolution using the process outlined below.
1) The Contractor must first informally discuss the problem with the DHCS
Project Representative listed in subparagraph 3 below. If the parties are
unable to resolve the problem informally, the Contractor must mail a
written Statement of Dispute, with supporting evidence, to DHCS at the
address listed in subparagraph 3 below. The Statement of Dispute must
describe the issues in dispute, the legal authority or other basis for the
Contractor's position, and the remedy sought.
2) The Branch Chief of DHCS' Operations Branch will decide the dispute and
mail a written decision to the Contractor within twenty (20) working days of
receiving the Statement of Dispute from the Contractor. The decision will
be in writing, resolve the dispute, and include a statement of the reasons
for the decision that addresses each issue raised by the Contractor. If
applicable, the decision will also indicate any action Contractor must take
to comply with the decision. The Branch Chief's decision shall be the final
administrative determination of DHCS.
3) Unless otherwise agreed to in writing by DHCS, the Statement of Dispute,
supporting documentation, and all correspondence and documents related
to the dispute resolution process shall be directed to the following:
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
Department of Health Care Services
Community Services Division/Federal Grants Section
Attention: Waheeda Sabah
1500 Capitol Avenue, MS 2624
P.O. Box Number 997413
Sacramento, CA, 95899-7413
C. Novation
If County proposes any novation agreement, DHCS shall act upon the
proposal within 60 days after receipt of the written proposal. DHCS may
review and consider the proposal, consult and negotiate with County, and
accept or reject all or part of the proposal. Acceptance or rejection of the
proposal may be made orally within the 60-day period and confirmed in
writing within five days of said decision. Upon written acceptance of the
proposal, DHCS will initiate an amendment to this Agreement to formally
implement the approved proposal.
D. Welfare and Institutions Code section 5751.7 Waiver
1) County shall comply with Welfare and Institutions Code section 5751.7
and ensure that minors are not admitted into inpatient psychiatric
treatment with adults. If this requirement creates undue hardship to
County due to inadequate or unavailable alternative resources, County
may request a waiver of this requirement. County shall submit the waiver
request on Attachment I of this Agreement to DHCS.
2) DHCS shall review County's waiver request and provide a written notice of
approval or denial of the waiver. If County's waiver request is denied,
County shall prohibit health facilities from admitting minors into psychiatric
treatment with adults.
3) County shall submit the waiver request to DHCS at the time County
submits this Agreement, signed by County, to DHCS for execution.
County shall complete Attachment I and attach it to this Agreement. See
Exhibit A, Attachment I, entitled "Request For Waiver" of this Agreement
for additional submission information.
4) Execution of this Agreement by DHCS shall not constitute approval of a
waiver submitted pursuant to this section.
5) Any waiver granted in the prior fiscal year's Agreement shall be deemed to
continue until either party chooses to discontinue it, as specified in Exhibit
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
A, Attachment I. Execution of this Agreement shall continue
independently of the waiver review and approval process.
6) In unusual or emergency circumstances, when County needs to request
waivers after the annual Performance Contract has been executed, these
requests should be e-mailed, with the subject line "Performance Contract:
Unusual or Emergency Circumstances", immediately to:
California Department of Health Care Services
Community Services Division/Community Support Branch
Policy, Monitoring, & Finance Section
e-mail: MHSA(a)dhcs.ca.gov.
7) Each admission of a minor to a facility that has an approved waiver shall
be reported to the Local Behavioral Health Director.
E. Americans with Disabilities Act
Contractor agrees to ensure that deliverables developed and produced
pursuant to this Agreement shall comply with the accessibility requirements of
section 508 of the Rehabilitation Act and the Americans with Disabilities Act
of 1973 as amended (29 U.S.C. § 794(d)), and regulations implementing that
Act as set forth in Part 1194 of Title 36 of the Code of Federal Regulations. In
1998, Congress amended the Rehabilitation Act of 1973 to require federal
agencies to make their electronic and information technology (EIT) accessible
to people with disabilities. California Government Code section 11135
codifies section 508 of the Act requiring accessibility of electronic and
information technology.
F. Change in County Behavioral Health Director
County agrees to notify DHCS immediately if there is any change in the
position of the County Behavioral Health Director. County shall provide
DHCS the contact information for any new County Behavioral Health Director
appointed
9. GenAl Technology Use & Reporting
A. During the term of the contract, Contractor must notify the State in
writing if their services or any work under this contract includes, or
makes available, any previously unreported GenAl technology,
including GenAl from third parties or subcontractors. Contractor shall
immediately complete the GenAl Reporting and Factsheet (STD 1000) to
notify the State of any new or previously unreported GenAl technology.
At the direction of the State, Contractor shall discontinue the use of any
County of Fresno
21-10080 A2
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Exhibit A
Program Specifications
new or previously undisclosed GenAl technology that materially
impacts functionality, risk or contract performance, until use of such
GenAl technology has been approved by the State.
B. Failure to disclose GenAl use to the State and submit the GenAl
Reporting and Factsheet (STD 1000) may be considered a breach of the
contract by the State at its sole discretion and the State may consider
such failure to disclose GenAl and/or failure to submit the GenAl
Reporting and Factsheet (STD 1000) as grounds for the immediate
termination of the contract. The State is entitled to seek any and all
relief it may be entitled to as a result of such non-disclosure.
C. The State reserves the right to amend the contract, without additional
cost, to incorporate GenAl Special Provisions into the contract at its
sole discretion and/or terminate any contract that presents an
unacceptable level of risk to the State.
10 Executive Order N-6-22 — Russia Sanctions
On March 4, 2022, Governor Gavin Newsom issued Executive Order N-6-22
(the EO) regarding Economic Sanctions against Russia and Russian
entities and individuals. "Economic Sanctions" refers to sanctions
imposed by the U.S. government in response to Russia's actions in
Ukraine, as well as any sanctions imposed under state law. The EO directs
state agencies to terminate contracts with, and to refrain from entering any
new contracts with, individuals or entities that are determined to be a target
of Economic Sanctions. Accordingly, should the State determine
Contractor is a target of Economic Sanctions or is conducting prohibited
transactions with sanctioned individuals or entities that will be grounds for
termination of this agreement. The State must provide Contractor advance
written notice of such termination, allowing Contractor at least 30 calendar
days to provide a written response. Termination will be at the sole
discretion of the State.
Contractor Certification Clause
CCC 04/2017
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am
duly authorized to legally bind the prospective Contractor to the clause(s) listed
below. This certification is made under the laws of the State of California.
Contractor/Bidder Firm Name (Printed) Federal ID Number
County of Fresno
By (Authorized Signature)
Printed Name and Title of Peffson Signing
Ernest Buddy Mendes, Chairman of the Board of Supervisors of the County of Fresno
Date Executed Executed in the County of
l264
5 Fresno
ATTEST:
BERNIEIDEL
CONTRACTOR CERTIFICATION CLAUSES Clerk o E E. Board
Clerk of the Board of Supervisors
County of Fresno,State of California
STATEMENT OF COMPLIANCE:
BY��� Uk:rh Deputy
Contractor has, unless exempted, complied with the nondiscrimination program
requirements. (GC 12990 (a-f) and CCR, Title 2, Section 8103) (Not applicable to
public entities.)
DRUG-FREE WORKPLACE REQUIREMENTS:
Contractor will comply with the requirements of the Drug-Free Workplace Act of
1990 and will provide a drug-free workplace by taking the following actions:
a) Publish a statement notifying employees that unlawful manufacture,
distribution, dispensation, possession or use of a controlled substance is
prohibited and specifying actions to be taken against employees for
violations.
b) Establish a Drug-Free Awareness Program to inform employees about:
1. the dangers of drug abuse in the workplace;
2. the person's or organization's policy of maintaining a drug-free workplace;
3. any available counseling, rehabilitation and employee assistance
programs; and,
4. penalties that may be imposed upon employees for drug abuse violations.
c) Provide that every employee who works on the proposed Agreement will:
1 . receive a copy of the company's drug-free policy statement; and,
2. agree to abide by the terms of the company's statement as a
condition of employment on the Agreement.
Failure to comply with these requirements may result in suspension of payments
under the Agreement or termination of the Agreement or both and Contractor may
be ineligible for award of any future State agreements if the department
determines that any of the following has occurred: (1) the Contractor has made
false certification, or violated the certification by failing to carry out the
requirements as noted above. (GC 8350 et seq.)
NATIONAL LABOR RELATIONS BOARD CERTIFICATION:
Contractor certifies that no more than one (1) final unappealable finding of
contempt of court by a Federal court has been issued against Contractor within the
immediately preceding two-year period because of Contractor's failure to comply
with an order of a Federal court which orders Contractor to comply with an order of
the National Labor Relations Board. (PCC 10296) (Not applicable to public
entities.)
CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO
REQUIREMENT:
Contractor hereby certifies that contractor will comply with the requirements of
Section 6072 of the Business and Professions Code, effective January 1 , 2003.
Contractor agrees to make a good faith effort to provide a minimum number of
hours of pro bono legal services during each year of the contract equal to the
lessor of 30 multiplied by the number of full time attorneys in the firm's offices in
the State, with the number of hours prorated on an actual day basis for any
contract period of less than a full year or 10% of its contract with the State.
Failure to make a good faith effort may be cause for non-renewal of a state
contract for legal services, and may be taken into account when determining the
award of future contracts with the State for legal services.
EXPATRIATE CORPORATIONS:
Contractor hereby declares that it is not an expatriate corporation or subsidiary of
an expatriate corporation within the meaning of Public Contract Code Section
10286 and 10286.1, and is eligible to contract with the State of California.
SWEATFREE CODE OF CONDUCT:
a. All Contractors contracting for the procurement or laundering of apparel,
garments or corresponding accessories, or the procurement of equipment,
materials, or supplies, other than procurement related to a public works
contract, declare under penalty of perjury that no apparel, garments or
corresponding accessories, equipment, materials, or supplies furnished to
the state pursuant to the contract have been laundered or produced in
whole or in part by sweatshop labor, forced labor, convict labor, indentured
labor under penal sanction, abusive forms of child labor or exploitation of
children in sweatshop labor, or with the benefit of sweatshop labor, forced
labor, convict labor, indentured labor under penal sanction, abusive forms of
child labor or exploitation of children in sweatshop labor. The contractor
further declares under penalty of perjury that they adhere to the Sweatfree
Code of Conduct as set forth on the California Department of Industrial
Relations website and Public Contract Code Section 6108.
b. The contractor agrees to cooperate fully in providing reasonable access to
the contractor's records, documents, agents or employees, or premises if
reasonably required by authorized officials of the contracting agency, the
Department of Industrial Relations, or the Department of Justice to
determine the contractor's compliance with the requirements under
paragraph (a).
DOMESTIC PARTNERS:
For contracts of $100,000 or more, Contractor certifies that Contractor is in
compliance with Public Contract Code section 10295.3.
GENDER IDENTITY:
For contracts of $100,000 or more, Contractor certifies that Contractor is in
compliance with Public Contract Code section 10295.35.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of
California.
CONFLICT OF INTEREST:
Contractor needs to be aware of the following provisions regarding current or former state
employees. If Contractor has any questions on the status of any person rendering services
or involved with the Agreement, the awarding agency must be contacted immediately for
clarification.
a) Current State Employees (PCC 10410):
1. No officer or employee shall engage in any employment, activity or
enterprise from which the officer or employee receives
compensation or has a financial interest and which is sponsored or
funded by any state agency, unless the employment, activity or
enterprise is required as a condition of regular state employment.
2. No officer or employee shall contract on his or her own behalf as an
independent contractor with any state agency to provide goods or
services.
b) Former State Employees (PCC 10411):
1. For the two-year period from the date he or she left state
employment, no former state officer or employee may enter into a
contract in which he or she engaged in any of the negotiations,
transactions, planning, arrangements or any part of the decision-
making process relevant to the contract while employed in any
capacity by any state agency.
2. For the twelve-month period from the date he or she left state
employment, no former state officer or employee may enter into a
contract with any state agency if he or she was employed by that
state agency in a policy-making position in the same general
subject area as the proposed contract within the 12-month period
prior to his or her leaving state service.
If Contractor violates any provisions of above paragraphs, such action by
Contractor shall render this Agreement void. (PCC 10420)
Members of boards and commissions are exempt from this section if they do not
receive payment other than payment of each meeting of the board or commission,
payment for preparatory time and payment for per diem. (PCC 10430 (e))
LABOR CODE/WORKERS' COMPENSATION:
Contractor needs to be aware of the provisions which require every employer to be
insured against liability for Worker's Compensation or to undertake self-insurance
in accordance with the provisions, and Contractor affirms to comply with such
provisions before commencing the performance of the work of this Agreement.
(Labor Code Section 3700)
AMERICANS WITH DISABILITIES ACT:
Contractor assures the State that it complies with the Americans with Disabilities
Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well
as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C.
12101 et seq.)
CONTRACTOR NAME CHANGE:
An amendment is required to change the Contractor's name as listed on this
Agreement. Upon receipt of legal documentation of the name change the State will
process the amendment. Payment of invoices presented with a new name cannot
be paid prior to approval of said amendment.
CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA:
a) When agreements are to be performed in the state by corporations, the
contracting agencies will be verifying that the contractor is currently qualified
to do business in California in order to ensure that all obligations due to the
state are fulfilled.
b) "Doing business" is defined in R&TC Section 23101 as actively engaging in
any transaction for the purpose of financial or pecuniary gain or profit.
Although there are some statutory exceptions to taxation, rarely will a
corporate contractor performing within the state not be subject to the
franchise tax.
c) Both domestic and foreign corporations (those incorporated outside of
California) must be in good standing in order to be qualified to do business
in California. Agencies will determine whether a corporation is in good
standing by calling the Office of the Secretary of State.
RESOLUTION:
A county, city, district, or other local public body must provide the State with a copy
of a resolution, order, motion, or ordinance of the local governing body which by
law has authority to enter into an agreement, authorizing execution of the
agreement.
AIR OR WATER POLLUTION VIOLATION:
Under the State laws, the Contractor shall not be: (1) in violation of any order or
resolution not subject to review promulgated by the State Air Resources Board or
an air pollution control district; (2) subject to cease and desist order not subject to
review issued pursuant to Section 13301 of the Water Code for violation of waste
discharge requirements or discharge prohibitions; or (3) finally determined to be in
violation of provisions of federal law relating to air or water pollution.
PAYEE DATA RECORD FORM STD. 204:
This form must be completed by all contractors that are not another state agency
or other government entity.