Approve second amendment to Agreement No. 24-238 with Stanford Youth Solutions dba Stanford Sierra Youth and Families to reduce funding in the amount of $483,183 for a new contract maximum of $4,326,724 for the period of September 1, 2024 through June 30, 2027; and update rates effective 2025-26 for the provision of Community Based Early and Periodic Screening, Diagnosis and Treatment (EPSDT) outpatient mental health services for seriously emotionally disturbed (SED) children and youth. (No general fund impact) (Morales)

Approve second amendment to Agreement No. 24-238 with Stanford Youth Solutions dba Stanford Sierra Youth and Families to reduce funding in the amount of $483,183 for a new contract maximum of $4,326,724 for the period of September 1, 2024 through June 30, 2027; and update rates effective 2025-26 for the provision of Community Based Early and Periodic Screening, Diagnosis and Treatment (EPSDT) outpatient mental health services for seriously emotionally disturbed (SED) children and youth.

Primary Services provide behavioral health services tailored to the specific needs of the child and family who are Medi-Cal beneficiaries aged 0-20. These services are provided in the community and sometimes in the office. Primary Services are the most common initial referrals made for a child or youth. These services can include therapy, targeted case management, rehabilitation, plan development and medication support. Services can also include Intensive Case Coordination and Intensive Home-Based Services, if medically necessary. Children and youth receiving Primary Services are typically seen approximately once a week, with less frequent appointments as their needs are addressed and progress is achieved. These services are mandated by federal statute and court agreements signed by the state and also align with the County’s commitment to keep children safe and healthy at home, in school and in their communities. Public services are more costly when children are removed from their home and placed in residential care facilities and/or hospitalized.

On or about August 27, 2024, the Parties entered into an Agreement with an initial term of September 1, 2024 through June 30, 2027 for a total contract amount of $4,809,907. The Agreement also included 2 optional extensions for Fiscal Years 2027-28 and 2028-29. On or about February 5, 2025, the Parties amended the Agreement via the first amendment to update rates for 2024-25.

HHSA is requesting approval of this second amendment to reduce funding in the amount of $483,183 for Fiscal Year 2025-26 to align with the adopted budgeted amount. A reduction in funding will result in fewer available service providers for Primary Services; however, current children and families in the program shall maintain continuity of service. This Second amendment also includes updated rates effective July 1, 2025. When the Department of Health Care Services (DHCS) increases its rates, HHSA elects to pass-through these rates to our contracted network providers. Per Minute Order 25-35, dated May 20, 2025, the Board authorized the HHSA Director to sign amendments for rate increases as long as the rate increases do not exceed four percent (4%). This rate increase is a three percent (3.00%) increase from their 2024-25 rates (please see Att. A. Second Amendment to review the rate tables).

County Counsel has approved the Amendment as to form.
General Services Department, Procurement Division