Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Interim Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with The Latino Commission for Substance Use Disorder Treatment Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with The Latino Commission for substance use disorder treatment services, extending the term through June 30, 2023, and increasing the amount by $1,250,212 to an amount not to exceed $2,396,249.
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BACKGROUND:
For over 20 years, Behavioral Health and Recovery Services (BHRS) has contracted with The Latino Commission (TLC) for outpatient and residential substance use disorder treatment and recovery services, as well as transitional housing services. Examples of these services include: assessment, recovery or treatment planning, individual and group counseling, and case management.
In April 2016, the California Department of Health Care Services and the federal government approved the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver for substance use disorder treatment services. In March 2017, TLC began providing services under the DMC-ODS waiver, which allowed TLC and other providers to bill for many more services than they were previously able to.
On November 9, 2021, the Board approved an agreement with TLC to provide substance use disorder treatment services, for the term July 1, 2021, through June 30, 2022, in the amount of $1,146,037.
DISCUSSION:
Through this amendment, TLC continues to provide expanded outpatient and residential substance use disorder treatment services for men, women, and young mothers with children through the DMC-ODS waiver. Services include: assessment, recovery or treatment planning, psycho-education, process and support groups, individual counseling, case management, and financial coaching. In addition, TLC provides Trauma-Informed Co-Occurring Prevention Services for Youth, previously known as Seeking Safety. Services target Coastside Latino youth and transition age youth ages 15-25 from bicultural, bilingual Spanish-speaking families with a history of trauma, poverty, and disparity.
This amendment also includes a Cost-of-Living Adjustment (COLA) for Fiscal Years 2021-22 and 2022-23, previously approved by the Board.
The resolution contains the County’s standard provisions allowing amendments of the County’s fiscal obligation by a maximum of $25,000 (in aggregate).
The amendment to the agreement and resolution have been reviewed and approved by the County Attorney as to form.
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 70% of program participants will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Actual |
FY 2022-23 Estimated |
|
Percentage of program participants who achieve a successful treatment discharge |
78% 80 participants |
78% 80 participants |
FISCAL IMPACT:
The term of the amended agreement is July 1, 2021, through June 30, 2023. The amendment increases the agreement amount by $1,250,212 to a new maximum of $2,396,249 for the two-year term. Of the increase, Federal Financial Participation will fund $338,014 of the amendment; Substance Abuse Block Grant will fund $312,336; 2011 Realignment will fund $133,109; Mental Health Services Act will fund $32,727; AB 109 will fund $8,145 and Net County Cost will fund the remaining $425,881. Of the increase, $112,751 is for FY 2021-22 COLA, which is included in the BHRS FY 2021-22 Adopted Budget. The maximum for FY 2022-23 is $1,215,831, which is included in the BHRS FY 2022-23 Recommended Budget.