Memorandum
Date: June 7, 2022
To: The Honorable Lake County Board of Supervisors
From: Todd Metcalf, Director Behavioral Health Services
Subject: Approve Participation Agreement Between County of Lake and the California Mental Health Services Authority for the Behavioral Health Quality Improvement Program in the Amount of $102,270.00 for FYs 2021-22, 2022-23, and 2023-24 and Authorize the Behavioral Health Director to Sign.
Executive Summary:
Before your Board is a Participation Agreement with the California Mental Health Services Authority (CalMHSA) for the provision of services and supports through the Behavioral Health Quality Improvement Program. The purpose of this PA is to support LCBHS with implementing the many changes required by the California Department of Health Care Services’ (DHCS) California Advancing and Innovating Medi-Cal (CalAIM) initiative.
CalAIM’s behavioral health proposal initiates a fundamental shift in how beneficiaries access Specialty Mental Health Services as well as Substance Use Disorder Services. It aligns the financing structure of behavioral health with that of physical health, which provides flexibility to innovate, and enter value-based payment arrangements that improve quality and access to care. The reforms of CalAIM simplify administration of, eligibility for, and access to integrated behavioral health care.
To this end, CalMHSA has worked diligently in partnership with DHCS to guide and shape the rollout of CalAIM for Mental Health Plans. CalMHSA provided counties with a Behavioral Health Quality Improvement Project (BHQIP) Implementation Plan and specifically tailored that plan for counties participating in the Semi-Statewide Electronic Health Record project. In order to support counties with the implementation of changes required by CalAIM, DHCS launched the BHQIP incentive program which provides financial incentives to counties meeting CalAIM benchmarks. LCBHS received $250,000.00 of startup funding at the end of 2021 and will receive another $102,319.00 before the close of this fiscal year. Following this, LCBHS is eligible to receive another $151,137.00 in FY 2022-23 and $117,720.00 in FY 2023-24. Lake must demonstrate successful completion of activities outlined in the BHQIP Implementation Plan to receive these funds. LCBHS proposes to use these funds to pay for services from CalMHSA that will bring LCHBS into compliance with CalAIM.
If not budgeted, fill in the blanks below only:
Estimated Cost: _$102,270.00__ Amount Budgeted: _$102,270.00_ Additional Requested: _N/A_ Future Annual Cost: _N/A__
Consistency with Vision 2028 (check all that apply): ☐ Not applicable
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☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Participation Agreement Between County of Lake and the California Mental Health Services Authority for the Behavioral Health Quality Improvement Program in the Amount of $102,270.00 for FYs 2021-22, 2022-23, and 2023-24 and Authorize the Behavioral Health Director to Sign.