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: Amendment to the Agreement with Sitike for Substance Use Disorder Treatment Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with Sitike for substance use disorder treatment services, increasing the amount by $64,166 to an amount not to exceed $1,119,536, with no change to the agreement term.
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BACKGROUND:
On August 6, 2019, the Board approved an agreement with Sitike for substance use disorder treatment services, for the term July 1, 2019 through June 30, 2021, in an amount not to exceed $1,055,370.
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 (BHRS) community-based organizations that provide mental health services and substance abuse disorder services.
DISCUSSION:
Through the Drug Medi-Cal Organized Delivery System waiver, Sitike provides expanded substance use disorder treatment services for men and women. Services include psycho-education groups, individual counseling, case management, vocational rehabilitation, and anger management.
It is now necessary to amend this agreement with Sitike to add the COLA to FY 2019-20 and FY 2020-21, increasing the amount by $64,166, 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 70% 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 |
70% 44 clients |
70% 44 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 $1,119,536. The amendment increases the contract by $64,166. Of this amount, $21,107 is included in the BHRS FY 2019-20 Adopted Budget. 2011 Realignment will fund $4,644 and the Net County Cost is $16,463.