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: Agreement with Caminar, Inc. for Substance Use Disorder Treatment Services, Managed Care Services, and Housing and Housing-Related Mental Health Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with Caminar, Inc. for substance use disorder treatment services under the Drug Medi-Cal Organized Delivery System, outpatient mental health services under the Mental Health Plan, and housing and housing-related mental health services, for the term of July 1, 2019 through June 30, 2021, in an amount not to exceed $20,536,485.
body
BACKGROUND:
Since 1964, the nonprofit organization Caminar, Inc. (Caminar) has provided community-based services to individuals with serious mental illnesses. Caminar’s programs focus on maximizing wellness and recovery opportunities for adults with mental, physical, and developmental disabilities. Caminar provides intensive residential care, transitional and permanent supported housing, supported education and supported employment, individual support services, and life skills training.
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 June 2018, Caminar began providing services under the DMC-ODS waiver, which allowed Caminar and other providers to bill for many more services than they were previously able.
Through the acquisition of Family & Children’s Services on January 1, 2017, Caminar provides outpatient mental health services through the Mental Health Plan. On June 1, 2018, Project Ninety merged with Caminar, to provide outpatient substance use disorder treatment services to adult males under the DMC-ODS.
Under the B-1 Administrative Memorandum, housing and housing-related mental health services are exempt from the County Request for Proposals (RFP) process.
DISCUSSION:
Caminar will continue to provide the following: (1) crisis residential treatment; (2) transitional residential treatment; (3) supported housing services (including housing rental subsidies and client transportation costs); (4) case management; (5) rehabilitation services (including supported education, supported employment, and enhanced supported education services for Transition Age Youth); (6) Young Adult Independent Living services; (7) property management of subsidized housing; and (8) mental health services through the Mental Health Plan. Lastly, through the DMC-ODS waiver, Caminar will provide expanded substance use disorder treatment services to adult males. Additional services to be provided are the administration of the San Mateo Contractors’ Association grant funding, and the management of client transportation needs in all contractor-sponsored programs.
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, BHRS is requesting your Board waive the 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 early 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 provisions 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. This agreement has been delayed due to prolonged contract negotiations and is on the Continuing Resolution.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing housing and housing-related services, supported education services, and other rehabilitation services. It is anticipated that 70 percent of clients who receive services will be maintained at a current or lower level of care.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of clients maintained at current or lower level of care |
70% 93 clients |
70% 93 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2021. The amount of the agreement is not to exceed $20,536,485, for the two-year term. Of that amount, $10,070,505 will be included in the BHRS FY 2019-20 Approved Recommended Budget. It is anticipated that Federal Financial Participation - Medi-Cal will fund $3,204,326, Substance Abuse Prevention and Treatment Federal Block Grant will fund $207,488, 1991 Realignment will fund $3,078,208, Mental Health Services Act will fund $363,358, the SAMHSA Grant will find $118,568, MediCare will fund $84,380, AB 109 will fund $39,497, 2011 Realignment will fund $27,000, Third-Party uninsured will fund $4,951 and Net County Cost will fund $2,942,729. A similar arrangement will be in place for FY 2020-21. The payment provisions and levels of service in this agreement are essentially the same as the prior agreement.