Title
a. Accept a Grant Award of up to $1,826,083 funded by the Department of Health Care Services Behavioral Health Integration (BHI) Incentive Program and administered by the Central California Alliance for Health (CCAH) to fund activities increasing behavioral health integration in a primary care setting; and
b. Ratify execution by the Director of Health of a Memorandum of Understanding (MOU)#0120-MCHD-CS-BHI2 between the County of Monterey Health Department, on behalf of its Clinic Services Bureau (Clinic Services) and Central California Alliance for Health (CCAH), for activities to increase behavioral health integration capacity under the Department of Health Care Services’ Behavioral Health Integration Incentive Program for the program period January 1, 2021 to December 31, 2022.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Accept a Grant Award of up to $1,826,083 funded by the Department of Health Care Services Behavioral Health Integration (BHI) Incentive Program and administered by the Central California Alliance for Health (CCAH) to fund activities increasing behavioral health integration in a primary care setting; and
b. Ratify execution by the Director of Health of a Memorandum of Understanding (MOU)#0120-MCHD-CS-BHI2 between the County of Monterey Health Department, on behalf of its Clinic Services Bureau (Clinic Services) and Central California Alliance for Health (CCAH), for activities to increase behavioral health integration capacity under the Department of Health Care Services’ Behavioral Health Integration Incentive Program for the program period January 1, 2021 to December 31, 2022.
SUMMARY/DISCUSSION:
The objective of the DHCS Behavioral Health Integration (BHI) Incentive Program, administered by CCAH, is to incentivize plans to improve physical and behavioral health outcomes, care delivery efficiency, and patient experience by establishing or expanding fully integrated care in a Medi-Cal managed health care plan’s (MCP) network.
On January 15, 2019, the Director of Health notified the Board of Supervisors of the intent of the Monterey County Health Department to submit a grant application to CCAH for the BHI Incentive Program.
Due to COVID-related delays, Clinic Services was notified of the grant award on November 17, 2020. The delays compressed the program timeline from three (3) years to two (2) years and required adjustments to the grant milestones, which delayed the receipt of a final MOU by Clinic Services to December 18, 2020 with an MOU execution deadline of December 31, 2020.
Approval of the recommended action will allow Clinic Services to comply with BHI’s requirement to begin grant activities by January 1, 2021.
This work supports the Monterey County Health Department 2018-2022 Strategic Plan Initiatives: 1.) Engage MCHD workforce and improve operational functions to meet current and developing population health needs. It also supports one or more of the ten essential public health services, specifically: 7.) Link people to needed personal health services and assure the provision of health care when otherwise unavailable, and 8) Assure competent public and personal health care workforce.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed as to form.
FINANCING:
The total amount of the BHI grant is $1,826,083 and its program period is from January 1, 2021 thru December 31, 2022. Upon achieving milestones specified, Clinic Services will receive grant payments up to $330,868 for the Readiness Phase, ending March 31, 2021, $747,608 for Program Year 1, which ends December 31, 2021 and $747,608 for Program Year 2, which ends December 31, 2022.
Sufficient appropriations are available in the FY2020-21 Health Department Clinic Services Approved Budget (4000-HEA007) to implement the BHI grant for the Readiness Phase and continue with Year 1 requirements thru June 30, 2021. Clinic Services’ FY2021-22 Budget will request additional allocations to continue Project Year 1 and Project Year 2. There is no financial impact to the General Fund resulting from the approval of this Memorandum.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Mark a check to the related Board of Supervisors Strategic Initiatives
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Prisca Segovia, Management Analyst II, 755-4939
Approved by:
_________________________Date:_________
Elsa Jimenez, Director of Health, 755-4526
Attachments:
Memorandum of Understanding is on file with the Clerk of the Board