Health and Human Services Agency (HHSA) recommending the Board: 1) Adopt and authorize the Chair to sign Resolution 065-2026, which will supersede and replace Resolution 230-2024, which delegates authority to the HHSA Director, or Chief Assistant Director, to execute Short-Term Residential Therapeutic Program (STRTP) agreements for the provision of Specialty Mental Health Services (SMHS), when urgent youth client placements are needed, using the other counties STRTP agreement when necessary, or using one of the three County Counsel and Risk Management-approved contract templates with county Mental Health Plans (MHPs) or out-of-County STRTP facility providers, and any amendments approved by County Counsel and Risk Management that do not increase the maximum obligation or extend the term of the agreements, as follows: a) STRTP Provider Agreement (PA) template for contracting with out-of-county STRTP facility providers for placement of youth clients, for a total term not to exceed five years, effective on the date the first youth was admitted to the facility (with retroactive start dates permitted for urgent cases), for a maximum obligation of $600,000 per agreement; b) STRTP County MHP Agreement template for contracting with other county MHPs, which allows placement of multiple youth clients into the contracting county’s STRTP, for a total term not to exceed five years, effective on the date the first youth was admitted to the facility (with retroactive start dates permitted for urgent cases), for a maximum obligation of $600,000 per agreement; c) STRTP Reciprocal Agreement template for use with other county MHPs for placement of County youth in an out-of-county STRTP, or allowing acceptance of out-of-county youth in the County’s contracted STRTP, for a term of three years effective on the date the first youth is admitted to the facility (retroactive start permitted for urgent cases), and a maximum obligation not to exceed $600,000 per agreement; and d) Other counties’ STRTP Agreements, when necessary, with other county MHPs using the other counties’ template when the scope of work is similar to STRTP SMHS services shown in Attachment C, and is approved by County Counsel and Risk Management, for a term of three years effective on the date the first youth is admitted (with retroactive start dates permitted for urgent cases), for a maximum obligation of $600,000 per agreement; and 2) Make findings in accordance with Procurement Policy C-17 Section 3.4(3) exempting the competitive bidding process for the resulting STRTP agreements, with Purchasing Agent concurrence, as competitive bidding would produce no economic benefit to the County. FUNDING: Federal Medi-Cal, Realignment and State Mental Health Service Act funding.

Agenda Item Approved Introduced January 13, 2026

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