Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Agreement with Service League of San Mateo County for Substance Use Disorder Treatment Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Service League of San Mateo County for substance use disorder treatment services, for the term of July 1, 2021 through June 30, 2022, in an amount not to exceed $895,990.
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BACKGROUND:
For over 15 years, Hope House, a program of Service League of San Mateo County (Service League), has provided an intensive residential treatment program for women who have a substance use disorder (SUD). Hope House services include safe and supportive transitional housing, coupled with case management. Transitional housing residents must be employed and/or attend school, along with continued recovery-based involvement within the community.
In April 2016, the California Department of Health Care Services (DHCS) and the Federal Government approved the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver for substance use disorder treatment services. In March 2017, Service League began providing services under the DMC-ODS waiver, which allowed Service League and other providers to bill for many more services than they were previously able to.
DISCUSSION:
Through the DMC-ODS waiver, Service League continues to provide expanded residential substance use disorder treatment services for adult women, pregnant women, and women with infants. Through its evidence-based gender specific groups, Service League can provide the most up-to-date information and techniques addressing addiction and other harmful behaviors. Service League works closely with the courts to address legal issues and reunite women with their children.
DHCS continues to require changes in service delivery and reporting requirements of substance use disorder treatment services through the DMC-ODS waiver. Due to these changes, Behavioral Health and Recovery Services (BHRS) is requesting that your Board waive the Request for Proposals (RFP) process for substance use disorder treatment services for one year, allowing BHRS time to finalize the implementation of DMC-ODS waiver-related changes to this and all other BHRS substance use related contracts. In late 2021, BHRS will release an RFP for substance use disorder treatment services to start on July 1, 2022.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form. This agreement is late due to prolonged contract negotiations and is on the Continuing Resolution.
Successful treatment discharge occurs when a program participant completes his/her treatment/recovery plan or when a participant is transferred to the next appropriate level of care. It is anticipated that 95% of program participants will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2020-21 Actual |
FY 2021-22 Estimate |
|
Percentage of program participants who achieve a successful treatment discharge |
95% 25 participants |
95% 25 participants |
FISCAL IMPACT:
The term of the agreement is July 1, 2021 through June 30, 2022. The amount of the agreement is not to exceed $895,990 for the one-year term and is included in the BHRS FY 2021-22 Adopted Budget. The Mental Health Services Act will fund $22,084, Federal Financial Participation for Drug Med-Cal $281,868, Substance Abuse and Prevention Treatment Block Grant will fund $216,145, 2011 Realignment will fund $48,361, and the Net County Cost is $327,532.