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 Service League of San Mateo County for Residential Substance Use Disorder Treatment Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Service League of San Mateo County for a cost of living adjustment and additional funding for sober living environments, increasing the amount by $33,589 to an amount not to exceed $2,325,975, with no change to the agreement term.
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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 7, 2016, your Board approved an agreement with Service League of San Mateo County (Service League) for residential substance use disorder treatment services, for the term July 1, 2016 through June 30, 2017, in an amount not to exceed $1,751,425.
On September 7, 2016, the Chief of the Health System approved an amendment to the agreement to include bridge funding through September 30, 2016, with no change to the maximum amount or term of the agreement.
On October 20, 2016, the Chief of the Health System approved an amendment to the agreement to extend bridge funding through December 31, 2016, with no change to the maximum amount or term of the agreement.
On January 24, 2017, your Board approved an amendment to the agreement to provide expanded residential substance use disorder treatment services under the DMC-ODS waiver, increasing the maximum amount by $540,961 to $2,292,386 and extending the term of the agreement through June 30, 2018.
DISCUSSION:
It is now necessary to amend this agreement to provide a cost of living adjustment and increase funding for contractor’s Sober Living Environments (SLEs), also known as Transitional Housing Units, Transitional Living Centers and/or Alcohol/Drug Free Housing. SLE residents must be enrolled and actively engaged in a Department of Health Care Services Certified Outpatient Treatment program or Intensive Outpatient Treatment program.
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 95% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
2016-17 Actual |
2017-18 Projected |
|
Program participants with a successful treatment discharge |
95% 25 clients |
95% 25 clients |
|
|
|
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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 $2,325,975; the amendment increases the contract amount by $33,589, which is included in the BHRS FY 2017-18 Adopted Budget. Of the increase, 2011 Realignment will fund $10,000 and Net County Cost will fund $23,589.