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Approve a second contract amendment with Victor Community Support Services, Inc., for $325,000 for a total contract amount of $1,625,000 to provide continuing care for clients aged 0-26 years that meet medical necessity under the Early and Periodic Screening, Diagnosis and Treatment Medi-Cal Program for the current period through June 30, 2026; and Delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999 per fiscal year
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Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services recommends the Board of Supervisors:
1. Approve a second contract amendment with Victor Community Support Services, Inc., for $325,000 for a total contract amount of $1,625,000 to provide continuing care for clients aged 0-26 years that meet medical necessity under the Early and Periodic Screening, Diagnosis and Treatment Medi-Cal Program for the current period through June 30, 2026; and
2. Delegate authority to the County Administrator to execute the amendment and any subsequent amendments, with County Counsel concurrence, up to an aggregate of $74,999 per fiscal year.
SUMMARY/DISCUSSION:
Victor Community Support Services, Inc. (Victor) provides outpatient mental health services for children and adolescents under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Medi-Cal program. EPSDT requires that the County provide necessary health care services for the treatment of all physical and mental illnesses or conditions discovered by any screening and diagnostic procedures to Medi-Cal recipients under 26 years of age. Services provided include assessment, individual therapy, rehabilitation, group therapy, group rehabilitation, family therapy, case management, plan development, medication management, crisis intervention, and intensive case coordination.
Victor was originally contracted to serve 120-125 clients for the entire fiscal year. As of February 2026, they are currently serving 165 clients, and that number will continue to increase in the next few months. This second contract amendment increases County funding by $325,000 through June 30, 2026 to sustain services for existing program participants and expand staffing capacity to meet the continued influx of high-acuity clients referred to the County as a result of the Kaiser carve-out. Under the California Advancing and Innovating Medi-Cal (CalAIM) Benefit Standardization initiative, responsibility for Specialty Mental Health Services (SMHS) Medi-Cal members in Solano County was transitioned from Kaiser’s managed care plan to the County Mental Health Plan, aligning Solano with statewide policy. Although the carve-out formally concluded in December 2024, the County continues to experience sustained increases in SMHS client volume and service demand, with no corresponding reduction in workload or cost pressures.
This contract was originally approved by the Board on June 24, 2025, for the period of July 1, 2025 through June 30, 2026. It was amended for the first time on August 25, 2025, to update the FY2025/26 billing rates without affecting the total contract amount.
FINANCIAL IMPACT:
The Victor Community Support Services, Inc. contract is funded by the Short Doyle Medi-Cal Federal Financial Participation (FFP), Short Doyle Medi-Cal State General Fund (SGF), and 2011 Realignment Funds. This amendment adds $325,000 to the existing contract, bringing the total contract amount to $1,625,000.
Appropriations for this contract amendment are included in the Department’s FY2025/26 Working Budget. There is no additional impact on the County General Fund.
ALTERNATIVES:
The Board may choose not to approve this second contract amendment with Victor Community Support Services, Inc. This is not recommended as it would prevent the County from providing medically necessary EPSDT services to clients under age 26 who are currently enrolled in Medi-Cal. These services are vital to ensuring that children and adolescents receive appropriate mental health services to correct and ameliorate their mental health symptoms.
OTHER AGENCY INVOLVEMENT:
None.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION