Legislation Details

File #: 26-1877    Version: 1
Type: Agreement Status: Agenda Ready
File created: 10/27/2026 In control: Board of Supervisors
On agenda: 11/17/2026 Final action:
Title: 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)
Sponsors: Board of Supervisors
Attachments: 1. Aldea Inc. (EPSDT) No 270223B, 2. Aldea Inc. (SOAR) No 270224B
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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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.

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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 no...

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