Consent-Health & Human Services # 29.
Board of Supervisors
- Meeting Date:
- 12/09/2025
- Brief Title
- Agreement with California Mental Health Services Authority
From:
Monica Morales, Director, Health and Human Services Agency
Staff Contact:
Tony Kildare, Adult & Aging Branch Director, Health and Human Services Agency, x2929
Supervisorial District Impact:
Countywide
Subject
Approve agreement with California Mental Health Services Authority (CalMHSA) for participation in the Quality Measures and Performance Improvement Program offered by CalMHSA to support the County in meeting Healthcare Effectiveness Data and Information Set (HEDIS) reporting requirements for measurement year 2025. (No general fund impact) (Morales)
Recommended Action
Approve agreement with California Mental Health Services Authority (CalMHSA) for participation in the Quality Measures and Performance Improvement Program offered by CalMHSA to support the County in meeting Healthcare Effectiveness Data and Information Set (HEDIS) reporting requirements for measurement year 2025.
Strategic Plan Goal(s)
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Thriving Residents |
Reason for Recommended Action/Background
Healthcare Effectiveness Data and Information Set (HEDIS) is a set of standardized quality measures developed by the National Committee for Quality Assurance (NCQA). Measure calculation is a requirement by the Department of Health Care Services (DHCS) for both the specialty mental health services provided under the County’s Mental Health Plan (MHP) and substance use disorder treatment services provided under the County’s Drug Medi-Cal Organized Delivery System (DMC-ODS). The data is utilized to evaluate the quality of care provided by Yolo County in relation to other California counties, as well as nationally. Should the County fail to meet or exceed the minimum performance levels identified for each quality measure selected by the DHCS, the County could be subject to monetary sanctions. Calculation requires the use of specific guidelines published by the NCQA, and as of measurement year 2025, must be completed by an individual or agency that is NCQA certified. As these guidelines are complex and nuanced, it is recommended by county advocacy groups to utilize agencies, such as California Mental Health Services Authority (CalMHSA), to assist with calculating these measures to ensure accuracy. By calculating our HEDIS measures, CalMHSA is additionally able to support the County in responding to the External Quality Review (audit) related to these performance measures.
Under this agreement, the data regarding the following measures will be analyzed:
Under this agreement, the data regarding the following measures will be analyzed:
o MHP Measures:
· Follow-Up After Emergency Department for Mental Illness (“FUM”)
· Follow-Up After Hospitalization for Mental Illness (“FUH”)
· Use of First Line Psychosocial Care for Children and Adolescents on Antipsychotics (“APP”)
· Adherence to Antipsychotic Medications for Individuals with Schizophrenia (“SAA”)
· Follow-Up After Hospitalization for Mental Illness (“FUH”)
· Use of First Line Psychosocial Care for Children and Adolescents on Antipsychotics (“APP”)
· Adherence to Antipsychotic Medications for Individuals with Schizophrenia (“SAA”)
o DMC-ODS Measures:
· Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (“FUA”)
· Pharmacotherapy of Opioid Use Disorder (“POD”)
· Use of Pharmacotherapy for Opioid Use Disorder (“OUD”)
· SAMHSA is the measure steward
· Initiation and engagement of Substance Use Disorder Treatment (“IET”)
· Pharmacotherapy of Opioid Use Disorder (“POD”)
· Use of Pharmacotherapy for Opioid Use Disorder (“OUD”)
· SAMHSA is the measure steward
· Initiation and engagement of Substance Use Disorder Treatment (“IET”)
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process/Vendor Performance
No competitive solicitation process is needed. Per the Procurement Policy, this vendor is exempt from the solicitation process as they are a Government Agency.
Performance Measures/ Vendor Performance
Performance Measures are not associated with this Agreement. CalMHSA delivered all required HEDIS measure calculations for both Specialty Mental Health and Drug Medi-Cal for Calendar Year 2023 and 2024 to the County timely. The data included Yolo County’s performance for each of the eight measures in comparison to the state and national rates. Additionally, CalMHSA provided support during the External Quality Review (audit) through data submissions, trainings and technical assistance provided to the County, and meetings directly with the auditors to ensure Yolo County was in compliance with all required submissions and timelines related to the Calendar Years 2023 and 2024 measures.
Performance Measures/ Vendor Performance
Performance Measures are not associated with this Agreement. CalMHSA delivered all required HEDIS measure calculations for both Specialty Mental Health and Drug Medi-Cal for Calendar Year 2023 and 2024 to the County timely. The data included Yolo County’s performance for each of the eight measures in comparison to the state and national rates. Additionally, CalMHSA provided support during the External Quality Review (audit) through data submissions, trainings and technical assistance provided to the County, and meetings directly with the auditors to ensure Yolo County was in compliance with all required submissions and timelines related to the Calendar Years 2023 and 2024 measures.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 40,500
- Amount budgeted for expenditure:
- $ 40,500
- Additional expenditure authority needed:
- $
- One-time commitment:
- Yes
Source of Funds for this Expenditure
- 2011 BH Realignment
- $40,500
Further explanation as needed:
No general funds are required for this action. These services will be funded by 2011 Behavioral Health (BH) Realignment. The total amount of this action is $40,500 for the period of January 1, 2025 through December 31, 2029. The amount of $40,500 is included in the HHSA adopted budget for fiscal year 2025-26.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Tony Kildare | Tony Kildare | 11/13/2025 12:39 PM |
| Evis Morales | Evis Morales | 11/14/2025 09:19 AM |
| Financial Services | David Estrada | 11/14/2025 11:02 AM |
| Financial Services | David Estrada | 11/14/2025 11:02 AM |
| County Counsel | Hope Welton | 11/14/2025 12:01 PM |
| Yen Nguyen | Yen Nguyen | 12/02/2025 03:46 PM |
- Form Started By:
- Kimberly Mayfield
- Started On:
- 10/29/2025 08:30 AM
- Final Approval Date:
- 12/02/2025