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 Addiction Research and Treatment, Inc. for Narcotic Replacement Therapy Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Addiction Research and Treatment, Inc. for narcotic replacement therapy services, for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $4,105,930.
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BACKGROUND:
Addiction Research and Treatment, Inc. (ART) provides narcotic replacement therapy (NRT) services for San Mateo County adults with histories of opioid dependency and comorbid health related issues. Specifically, ART provides methadone maintenance, counseling and case management services, primarily to Medi-Cal beneficiaries.
In October 2015, Behavioral Health and Recovery Services (BHRS) requested and was granted approval from your Board to waive the Request for Proposals (RFP) process for NRT services for two years, pending approval of 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 a RFP for substance use disorder treatment services to start on July 1, 2021.
DISCUSSION:
The demand for Medication Assisted Therapy (which includes NRT services) has nearly doub...
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