Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
David Young, 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 additional substance use disorder treatment services under the Drug Medi-Cal Organized Delivery System, increasing the amount by $256,379 to an amount not to exceed $2,764,180, with no change to the term of the agreement.
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BACKGROUND:
On August 13, 2015, the California Department of Health Care Services (DHCS) announced the approval of its waiver application to the US Center for Medicare and Medicaid Services to implement the Drug Medi-Cal Organized Delivery System (DMC-ODS). The federal waiver allows any California county to “opt in” to provide a full continuum of services currently unavailable to Medi-Cal clients. Additionally, the waiver will allow for Federal Financial Participation to offset treatment related costs. San Mateo County - specifically, Behavioral Health and Recovery Services (BHRS) - was the first California county to be approved for the waiver.
On June 21, 2016, your Board approved an agreement with The Latino Commission (TLC) for substance use disorder treatment services, for the term July 1, 2016 through June 30, 2017, in an amount not to exceed $2,101,115.
On October 27, 2016, the Chief of the Health System approved an amendment to the agreement to include bridge funding, with no change to the maximum amount or term of the agreement.
On February 28, 2017, your Board approved an amendment to the agreement for expanded substance use disorder treatment services under the Drug Medi-Cal Organized Delivery System, increasing the amount by $406,686 to $2,507,801, and extending the term of the agreement through June 30, 2018.
DISCUSSION:
TLC provides expanded outpatient and residential substance use disorder treatment services for men, women, and young mothers with children through the DMC-ODS waiver. Through this agreement, the contractor will continue to provide a full continuum of services, including assessment, recovery or treatment planning, psycho-education, process and support groups, individual counseling, case management, financial coaching, and additional services that were not available prior to the waiver.
It is now necessary to amend this agreement for the following: 1) a cost of living increase effective July 1, 2017; 2) start-up costs incurred prior to the start of DMC-ODS services on March 1, 2017; and 3) additional funding for services provided in TLC’s outpatient, intensive outpatient, and residential treatment programs.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
Approval of this amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by providing individuals and families with prevention and treatment services to support recovery, which in turn contributes to the health and safety of communities throughout the County. A 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 60% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Program participants with a successful treatment discharge |
60% 80 clients |
60% 80 clients |
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|
|
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FISCAL IMPACT:
The term of the amended agreement is July 1, 2016 through June 30, 2018. The amount of the amended agreement is not to exceed $2,764,180; the amendment increases the contract amount by $256,379. Of the increase, Federal Financial Participation - MediCal will fund $17,013, Mental Health Services Act will fund $28,196, AB 109 will fund $9,495, 2011 Realignment will fund $2,296, CalWorks will fund $6,557, and Net County Cost will fund $192,822.