Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Amendment to the Agreement with Service League of San Mateo County for Substance Use Disorder Treatment Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Service League of San Mateo County for substance use disorder treatment services, increasing the amount by $98,484 to an amount not to exceed $1,778,288, with no change to the agreement term.
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BACKGROUND:
On June 4, 2019, the Board approved an agreement with Service League of San Mateo County (Service League) to provide substance use disorder treatment services, for the term July 1, 2019 through June 30, 2021, in the amount of $1,679,804.
On September 24, 2019, the Board approved the FY 2019-20 Adopted Budget. Previously, on June 25, 2019, the Board received the FY 2020-21 Preliminary Recommended Budget. These budgets included a 4% Cost of Living Adjustment (COLA) for Behavioral Health and Recovery Services community-based organizations that provide mental health services and substance abuse disorder services.
DISCUSSION:
Through the Drug Medi-Cal Organized Delivery System waiver, Service League provides expanded residential substance use disorder treatment services for adult women, pregnant women, and women with infants. Through its evidence-based gender specific groups, Service League provides the most up-to-date information and techniques addressing addiction and other harmful behaviors. Service League also works closely with the courts to address legal issues and reunite women with their children.
It is now necessary to amend the agreement to add the COLA to FY 2019-20 and FY 2020-21, increasing the agreement by $98,484 to $1,778,288, with no change to the agreement term.
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 amendment and resolution have been reviewed and approved by County Counsel as to form.
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 95% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Actual |
FY 2019-20 Projected |
|
Percentage of clients who achieve a successful treatment discharge |
95% 25 clients |
95% 25 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2021. The amount of the amended agreement is not to exceed $1,778,288. The amendment increases the contract by $98,484. Of this amount, $32,396 is included in the BHRS FY 2019-20 Adopted Budget, $7,127 will be funded by 2011 Realignment, and $25,269 will be funded by Net County Cost.