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 BAART Behavioral Health Services, Inc. for Narcotic Replacement Therapy Services and Criminal Justice Realignment Services
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with BAART Behavioral Health Services, Inc. for narcotic replacement therapy services and criminal justice realignment services for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $359,770.
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BACKGROUND:
BAART Behavioral Health Services, Inc. (BAART) serves clients that are not eligible for Drug Medi-Cal or other health care insurance but require Narcotic Replacement Therapy (NRT) services. This agreement allows BAART to provide uninterrupted services to medically indigent adults in custody and in the community.
In June 2017, your Board approved a waiver of the Request for Proposals (RFP) process for NRT services for two years, in alignment with all other Behavioral Health and Recovery Services (BHRS) substance use related contracts impacted by the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver.
In April 2016, the California Department of Health Care Services (DHCS) and the federal government approved the DMC-ODS waiver. 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 that your Board waive the RFP process for substance use disorder treatment services for another 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.
DISCUSSION:
Under this agreement, BAART will continue to operate and manage NRT services for San Mateo County adult clients with complex needs, who are not eligible for Medi-Cal or other health care insurance. These services include daily methadone treatment, medication assisted treatments, urine screening, addiction education and intervention, aftercare planning, patient follow-up, and follow-up with referring partners.
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. This agreement is late 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 individuals and families with prevention and treatment services to support recovery, which in turn contributes to the health and safety of communities in San Mateo County. Success for services under this agreement is measured by sustained abstinence over a one-year period and is verified by a rigorous regime of testing for alcohol, methadone, methadone metabolites, heroin, opium, other opioids, cocaine, amphetamine, methamphetamine, and other substances. Each patient is randomly tested monthly. It is anticipated that 90 percent of clients requesting NRT services will receive treatment within 24 hours.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of clients requesting NRT services that will receive treatment within 24 hours |
90% 44 clients |
90% 44 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 $359,770. Of that amount, $179,885 is included in the BHRS FY 2019-20 Approved Recommended Budget. It is anticipated that for FY 2019-20, AB109 will fund $10,500; the Net County Cost will be $169,385. The payment provisions and levels of service in this contract are essentially the same as the prior contract. Similar arrangements will be made for future budget years.