Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Our Common Ground, Inc. for Substance Use Disorder Treatment Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Our Common Ground, Inc. for sober living environments, increasing the amount by $30,000 to an amount not to exceed $5,904,469, 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 7, 2016, your Board approved an agreement with Our Common Ground, Inc. (OCG) for substance use disorder residential treatment services, for the term July 1, 2016 through June 30, 2017, in an amount not to exceed $2,906,592.
On September 15, 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 14, 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 substance use disorder outpatient and residential treatment services under the DMC-ODS waiver, increasing the contract maximum by $2,515,625 to $5,422,217, and extending the term of the agreement through June 30, 2018.
On October 31, 2017, your Board approved an amendment to the agreement to provide a cost reconciliation, additional substance use disorder services under the DMC-ODS, and start-up funds for costs incurred prior to the start of DMC-ODS services, increasing the maximum obligation of the agreement by $452,252 to $5,874,469, with no change to the term of the agreement.
DISCUSSION:
OCG currently provides outpatient and residential treatment services to adult County residents. These services include individual therapy, individual counseling, group therapy, anger management, family therapy, room and board, and additional services that were not available prior to the waiver.
Through this amendment, OCG shall provide additional residential treatment services though sober living environments (SLEs). SLEs are for adults, recovering from addiction, that are ready to transition to a living environment that supports sobriety and helps residents adjust to life without their addictions. Many addicts use SLEs to help them transition from rehab to independent living without the use of drugs or alcohol.
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 64% of clients will receive a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2016-17 Actual |
FY 2017-18 Projected |
|
Program participants with a successful treatment discharge |
64% 103 clients |
64% 103 clients |
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 $5,904,469; the amendment increases the contract amount by $30,000. AB109 will fund 100% of the increase.