Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Agreement with the State of California Department of Health Care Services for Drug Medi-Cal Organized Delivery System Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement and/or subsequent amendments with the State of California Department of Health Care Services for Drug Medi-Cal Organized Delivery System services, for the term of July 1, 2025 through December 31, 2026, for a zero-dollar amount, and authorizing and directing the Chief of San Mateo County Health, or designee, to execute the agreement on behalf of the County.
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BACKGROUND:
In August 2015, the California Department of Health Care Services (DHCS) waiver application with the Center for Medicare and Medicaid Services was approved to begin implementation of the Drug Medi-Cal Organized Delivery System (DMC-ODS). The waiver allowed counties to "opt in" to provide a full continuum of substance use disorder (SUD) treatment services previously unavailable to Medi-Cal beneficiaries. Additionally, the waiver allows for Federal Financial Participation to offset treatment-related costs. Counties opting in were required to submit and receive approval of an Implementation Plan.
San Mateo County was the first California county to apply and be approved for the waiver. For the last ten years, the County has continued to participate in the DMC-ODS waiver and provide the full continuum of SUD treatment services.
The DMC-ODS demonstrates how organized SUD care increases the success of DMC beneficiaries in their journey towards recovery, while decreasing other health care costs. Critical elements of the DMC-ODS include a continuum of care modeled after the American Society of Addiction Medicine Criteria for SUD treatment services; an increase in local co...
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