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HEALTH SERVICES AGENCY / MENTAL HEALTH
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Requested Action(s)
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a) AGREEMENT- Request approval and authorization for the Executive Director and Chairperson to sign Amendment No. 2 to the Participation Agreement 4560-SHB-2023-TC-AM2 (Misc. Agreement 2023-333, as amended by Misc. Agreement 2025-152) with the California Mental Health Services Authority (CalMHSA) for the purpose of utilizing psychiatric hospital beds at the Department of State Hospitals (DSH), thereby amending the term to be extended through 6/30/27
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Financial Impact:
Should the Department require a psychiatric bed placement at DSH, cost will be covered using Mental Health Realignment dollars allocated for medically necessary services within Budget Unit 40131, Mental Health. There is no impact to the General Fund.
Background Information:
This is Amendment No. 2 to the Misc. Agreement 2023-333, reviewed and approved by the Board of Supervisors 10/17/23. This Amendment No. 2 adds one more psychiatric bed in the amount of $1,402 for one (1) bed for fiscal year 2026-27.
The Health Services Agency joined CalMHSA in June of 2018. CalMHSA does not deliver services itself but facilitates efficient use of resources by multiple Counties by providing group purchasing power, joint development of RFPs and contracts for services, reduced overhead through sharing of the expenses of administration and reporting and sharing research and strategies. CalMHSA provides its member Counties with the ability to deal jointly with the Department of State Hospitals. CalMHSA, on behalf of Member Counties, functions as the main point of contact and the lead in negotiations of a Memorandum of Understanding for terms and rates for psychiatric bed utilization at the Department of State Hospitals.