TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Agreements with Aldea, Inc.
RECOMMENDATION
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Terminate Agreement No. 170822B and approve and authorize Agreement No. 270224B with Aldea, Inc. for a contract maximum of $888,000 per fiscal year and terminate Agreement No. 220006B; and approve and authorize Agreement No. 270223B with Aldea, Inc. for a contract maximum of $1,520,000 per Fiscal Year, for the term of July 1, 2026 through June 30, 2027, and each subsequent automatic renewal. (Fiscal Impact: $2,408,000 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)
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BACKGROUND
This item requests the termination of two existing agreements and concurrent replacement with two new agreements that incorporate new state funding sources into the existing funding structure. The Napa County Health and Human Services Agency (HHSA) operates a Mental Health Plan (MHP) through an Agreement with the California Department of Healthcare Services (DHCS). As part of this, the State requires that certain mental health services be provided to Medi-Cal beneficiaries in the County, including Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services; EPSDT services are children's Medi-Cal services. Additionally, First Episode Psychosis (FEP) is an evidence-based practice required and covered under the Behavioral Services Act (BHSA) Plan. These two agreements work together to ensure both EPSDT and FEP are provided for in our community and that various funding sources are leveraged in doing so.
With respect to Agreement No. 22006B, HHSA has contracted with Aldea to provide FEP as part of their EDAPT/SOAR program, historically funded through the Mental Health Block Grant (MHBG) First Episode Psychosis (FEP) allocation. Under the Behavioral Health Services Act (BHSA), FEP services are mandatory Early Intervention Services. Therefore, HHSA is now also leveraging BHSA funding to sustain these services.
In August, HHSA brought 13 Early Intervention contracts to the Board for approval. This SOAR agreement with Aldea represents the 14th and final contract from the December 2025 Request for Proposals (RFP) process that HHSA issued to provide Early Intervention services to our community. This contract is coming separately to the Board for approval due to the complex nature of the braided various funding sources, including the new Medi-Cal bundled rates for Coordinated Specialty Care for First Episode Psychosis (CSC-FEP) services incorporated into the related EPSDT Agreement No. 270223B.
Requested actions:
1. Terminate Agreement No. 170822B with Aldea, Inc.; and
2. Approve and authorize Agreement No. 270224B with Aldea, Inc., for the term July 1, 2026 through June 30, 2027, and each subsequent automatic renewal, for a contract maximum of $888,000 per fiscal year; and
3. Terminate Agreement No. 220006B with Aldea, Inc.; and
4. Approve and authorize Agreement No. 270223B with Aldea, Inc., for the term July 1, 2026 through June 30, 2027, and each subsequent automatic renewal, for a contract maximum of $1,520,000 per fiscal year.
FISCAL IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Behavioral Health Division |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
This Agreement contains a provision for automatic annual renewal. Appropriations have been included in the requested Fiscal Year 2026-2027 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If not approved, HHSA would not have current active agreements to provide these mandatory services to the community’s youth. |
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Additional Information |
Strategic Initiative: Compassion & Access |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.