Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Measure K: Agreement with healthRIGHT360 for Substance Use Disorder Prevention and Treatment Services, Mental Health Services, and Outreach and Engagement Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with healthRIGHT360 for substance use disorder prevention and treatment services, medication assisted treatment services, outpatient mental health services, and outreach and engagement services, for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $9,993,072.
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BACKGROUND:
In 2014, healthRIGHT 360 (HR360) merged with two community-based organizations that independently contracted with the County: Asian American Recovery Services and Women’s Recovery Association. HR360 services include: substance use prevention and treatment services; outpatient mental health services authorized by the County’s Mental Health Plan (MHP); and the North County Outreach Collaborative (NCOC), which provides outreach, linkage, and case management services to the emotionally disturbed population residing in the North region of the County.
In April 2016, the California Department of Health Care Services (DHCS) and the Federal Government approved the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver for substance use disorder treatment services. In March 2017, HR360 began providing services under the DMC-ODS waiver, which allowed HR360 and other providers to bill for many more services than they were previously able.
DISCUSSION:
Through the DMC-ODS waiver, HR360 continues to provide substance use disorder treatment services to adults, youth, and families including: outpatient, residential treatment and medication assisted treatment, sober living environments, and case management services. HR360 will also provide outpatient mental health services through the MHP. In addition, HR360 will serve as the fiscal and lead agency for the NCOC by providing culturally appropriate outreach, psycho-education, screening, referral and warm hand-off services. Lastly, HR360 shall continue to be the fiscal and lead agency for the North County Prevention Partnership by providing substance use prevention services in Daly City and Pacifica.
DHCS continues to require changes in service delivery and reporting requirements of substance use disorder treatment services through the DMC-ODS waiver. Due to these changes, Behavioral Health and Recovery Services (BHRS) is requesting that your Board waive the Request for Proposals (RFP) process for substance use disorder treatment services for two years, allowing BHRS time to finalize the implementation of DMC-ODS waiver-related changes to this and all other BHRS substance use related contracts. In 2020, BHRS will release an RFP for substance use disorder treatment services to start on July 1, 2021.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
Approval of this agreement 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. 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 58% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Estimated |
FY 2019-20 Projected |
|
Program participants that achieve a successful treatment discharge |
58% 216 participants |
58% 216 participants |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2021. The amount of the agreement is not to exceed $9,993,072 for the two-year term. Of this amount, $5,068,036 is included in the BHRS FY 2019-20 Recommended Budget. The Whole Person Care grant will fund $1,107,079; Measure K will fund $1,160,000; Mental Health Services Act will fund $397,888; Federal Financial Participation for Drug Med-Cal will fund $1,094,728; Substance Abuse and Prevention Treatment Block Grant will fund $153,000; 2011 Realignment will fund $337,578; and AB109 will fund $95,275. The remaining $722,488 is Net County Cost. A similar arrangement will be in place for FY 2020-21. The payment provisions and levels of service remain essentially the same as those of the prior agreement