HomeMy WebLinkAboutAgreement A-24-664 Amendment I to Agreement with CalMHSA.pdf Docusign Envelope ID:E894709A-BD22-4B33-9A99-B1 F4CAF71070
Agreement No. 24-664
5273-QUALITYMEASURES-2024-FRESNO-PA-AM1
Quality Measures and Performance Improvement Program
November 19, 2024
CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY
PARTICIPATION AGREEMENT AMENDMENT#1
Quality Measures and Performance Improvement Program ("Program")
This Agreement Amendment ("Amendment") amends Agreement No. 5273-QUALITYMEASURES-2024-
FRESNO-PA ("Agreement"), a contract by and between the California Mental Health Services Authority
("CaIMHSA")and Fresno County("Participant")to support the Participant in meeting the Healthcare Effectiveness
Data and Information Set ("HEDIS") reporting requirements for Measurement Year (MY) 2023. This Amendment
shall be effective upon execution of this Amendment by both parties.
The Agreement is hereby amended to amend Exhibit A-Detailed Program Description,Obligations,Restrictions of
the Agreement, to add language regarding data retention and destruction, and extends the project term from
December 31, 2024,to December 31, 2025,at no additional cost.
All other terms or provisions in the initial Agreement No. 5273-QUALITYMEASURES-2024-FRESNO-PA not
amended by this Amendment shall remain in full force and effect.
MODIFICATIONS TO THE AGREEMENT
A) The existing Agreement's Exhibit A- Detailed Program Description, Obligations, Restrictions is replaced
with the below Exhibit A-Detailed Program Description,Obligations, Restrictions.
PARTICIPANT: FRESNO COUNTY
Signed: Name(Printed): Nathan Magsig
Title:Chairman of the Fresno County Board of Supervisors Date: la ` 7 '0200R`7
CaIMHSA
DmuBWnwd br.
Signed: r, 4.11, Nar Name(Printed): Dr.Arnie Miller, Psy.D., LMFT
02EOEr BMA% C44-p...
Title: Executive Director Date: 11/21/2024
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
By— Deputy
Docusign Envelope ID: E894709A-BD22-4B33-9A99-B1F4CAF71070
5273-Q UAL ITYMEASU RES-2024-FRESNO-PA-AM 1
Quality Measures and Performance Improvement Program
November 19, 2024
EXHIBIT A—Detailed Program Description,Obligations, Restrictions
I. Name of Program: Quality Measures and Performance Improvement Program.
II. Terms of Program:The Agreement is effective upon execution through December 31, 2025.
Detailed Program Description:
The Quality Measures and Performance Improvement Program ("Program") will support the Participant in
meeting the Healthcare Effectiveness Data and Information Set ("HEDIS") reporting requirements for
Measurement Year(MY)2023. CalMHSA will utilize data provided by the Participants to calculate the five required
Mental Health Plan (MHP) and four required Drug Medi-Cal Organized Delivery System (DMC-ODS) measures.
Participant data will include eligibility,service and claims data including Medi-Cal Master Eligibility Files("MMEF"),
Managed Care Plan ("MCP") claims data, pharmacy claims, Behavioral Health Plan ("BHP") claims or service data,
and Fee for Service ("FFS") claims. Data will be accepted via secure file transfer, and/or, with previous
authorization, will be retrieved from the Department of Health Care Services ("DHCS") Plan Data Feed ("PDF")
MovelT SUP folder, and/or in the case of Participants using the CaIMHSA SmartCare Electronic Health Record
("SmartCare EHR") may be extracted directly from SmartCare. Other data sources mutually agreed upon between
the Parties may be utilized, as set forth below, but may also result in additional expense/delay. In keeping with
HIPAA and National Committee of Quality Assurance ("NCQA") HEDIS reporting compliance regulations and data
retention guidelines, all data received by CaIMHSA through this Agreement will be retained by CaIMHSA for a
period not to exceed six years after Agreement execution.All data will be destroyed after it has been retained for
six years. CalMHSA will utilize NCQA proprietary measure specifications to inform the analysis and will provide
Participants with the results of the analysis of performance on the relevant measures. CaIMHSA will provide
additional information to DHCS and/or the California External Quality Review Organization(CaIEQRO) if requested
by Participant. Additionally, CaIMHSA will host webinars for Participants to support Participants in orienting to
HEDIS measurement and related performance improvement strategies.
IN WITNESS WHEREOF, the parties hereby confirm acceptance of the terms of this Amendment by causing their
duly authorized officers or representatives to execute this Amendment as set out below.
Docusign Envelope ID: E894709A-BD22-4B33-9A99-B1 F4CAF71070
5273-QUALITYMEASU RES-2024-FRESNO-PA-AM 1
Quality Measures and Performance Improvement Program
November 19, 2024
AMENDMENT I TO PARTICIPATION AGREEMENT BETWEEN THE COUNTY OF FRESNO
AND
CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY
Agreement No.: 5273-QUALITYMEASURES-2024-FRESNO-PA-AM1
Term: Effective upon execution though December 31, 2025
FOR FRESNO COUNTY ACCOUNTING USE ONLY:
Fund/Subclass: 0001/10000
Organization: 56304710 ($0)
Account/Program: 7295