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 the State of California Department of Health Care Services for Drug Medi-Cal Organized Delivery System Services
RECOMMENDATION:
title
Adopt a resolution authorizing the Chief of San Mateo County Health to execute an agreement with the State of California Department of Health Care Services for Drug Medi-Cal Organized Delivery System services, for the term July 1, 2019 through June 30, 2022, in an amount not to exceed $51,646,284.
body
BACKGROUND:
In August 2015, the California Department of Health Care Services (DHCS) waiver application with the Center for Medicare and Medicaid Services was approved, to begin implementation of the Drug Medi-Cal Organized Delivery System (DMC-ODS). This waiver allows counties to "opt in" to provide a full continuum of substance use disorder treatment services previously unavailable to Medi-Cal beneficiaries. Additionally, it allows for Federal Financial Participation to offset treatment related costs. Counties opting in were required to submit and receive approval of an Implementation Plan. San Mateo County Behavioral Health and Recovery Services (BHRS) was the first California county to apply and be approved for the waiver.
The DMC-ODS demonstrates how organized substance use disorder (SUD) care increases the success of DMC beneficiaries in their journey towards recovery, while decreasing other health care costs. Critical elements of the DMC-ODS include: a continuum of care modeled after the American Society of Addiction Medicine (ASAM) Criteria for substance use disorder treatment services; an increase in local control and accountability; creation of utilization management to improve care and provide efficient use of resources; implementation of evidence-based practic...
Click here for full text