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HEALTH SERVICES AGENCY / ADMINISTRATION
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Requested Action(s)
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a) AGREEMENT - Request approval and authorization for the Executive Director to sign Amendment No.1 to Misc. Agree. #2025-114 with Netsmart Technologies for the provision of electronic health record software licenses, maintenance, and the mandatory implementation of new state requirements for CalAIM, thereby amending Exhibit D to revise the disbursement of hours for Application Managed Systems (AMS) services
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Financial Impact:
Amendment No.1 does not change the compensation amount of $2,336,049.16. The cost of the Agreement is included in the requested annual budgets for Budget Units 40121, 40131, 40171, and 40251. These are funded through the Mental Health Services Act (MHSA) Capital Facilities and Technology (CFT) Workplan, 1991 Health Realignment, and 2011 Behavioral Health Realignment, client fees, Medi-Cal, and MediCare. There is no impact to the General Fund.
Background Information:
On 4/29/25, the Board of Supervisors approved Misc. Agreement #2025-114 with Netsmart Technologies for the purpose of MyAvatar electronic health record licensing, maintenance & support, Revenue Cycle Management (RCM) services, Application Managed Systems (AMS) consulting services to assist in fulfilling CalAIM requirements, as well as other essential services such as OrderConnect for E-Prescribing Medication Management.
Amendment No. 1 is for the purpose of revising the Exhibit D scope of work for AMS hours. The Agency did not utilize all the hours that were originally included in the Scope of Work, and this update will allow for the Agency to disburse the hours out further in the term of the Agreement. There is no change to the term of the Agreement, which was effective 5/1/25 and will terminate 6/30/28. There is no change to the total compensation amount of $2,336,049.16.
CalAIM continues to require significant changes to service delivery, data collection, outcome measures reporting, financial reporting and client billing. Netsmart Technologies has been assisting the Department in achieving compliance with the complicated changes under CalAIM by providing all necessary software updates, consulting services, and training. If not approved, the Department would not have the resources available for completion of training and software development and would be unable to reach compliance for the CalAIM data reporting requirements.