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 the State of California Department of Health Care Services for Drug Medi-Cal Organized Delivery System Services
RECOMMENDATION:
title
Adopt a resolution authorizing an amendment to the agreement with the State of California Department of Health Care Services for Drug Medi-Cal Organized Delivery System services, reducing the amount of the agreement by $172,965 to an amount not to exceed $51,473,319 with no change to the agreement term.
body
BACKGROUND:
On December 3, 2019, the Board approved an agreement authorizing the Chief of San Mateo County Health to execute an agreement with the State of California Department of Health Care Services (DHCS) for Drug Medi-Cal Organized Delivery System (DMC-ODS) services, for the term July 1, 2019 through June 30, 2022, in an amount not to exceed $51,646,284.
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 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 practices; and coordination with other systems of care. Services range from early intervention to intensive residential services.
DISCUSSION:
Through this agreement, Behavioral Health and Recovery Services (BHRS) will continue to strengthen and expand SUD treatment throughout San Mateo County. Specifically, the agreement allows BHRS and DMC certified SUD treatment and recovery providers to access federal funding for Medi-Cal beneficiaries who need SUD treatment. The agreement enables BHRS to continue to develop a full spectrum of treatment levels. In addition, providers will strengthen their organizational infrastructure to enhance access to care and to increase the quality of treatment provided. Finally, the agreement ensures continuous quality improvement in treatment through the development of a quality management program that measures and analyzes both beneficiary and system outcomes, developing strategies for improvements where needed. The expanded continuum of care for SUD services includes: Outpatient, Intensive Outpatient, Residential, Opioid Treatment, Perinatal Residential, Withdrawal Management, Recovery Services, Case Management and Physician Consultation.
BHRS requests your Board to authorize the Chief of San Mateo County Health to execute this amendment and any additional amendments thereto on behalf of the County.
This amendment and resolution have been reviewed and approved by County Counsel as to form.
An annual treatment perception survey is administered to all clients receiving services. A successful outcome of treatment is when program participants indicate they are better able to do the things that they want to do in their life as a direct result of the treatment services received. It is anticipated that 90% of clients will indicate a successful outcome of treatment provided by this contract.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Estimated |
|
Percentage of clients who indicate a successful outcome of treatment provided by this contract |
89.4% |
90% |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2022. The amount of the amended agreement is not to exceed $51,473,319. The amendment decreases the contract maximum by $172,965 and has been included in the BHRS FY 2020-21 Adopted Budget. Of the decrease, the State General Fund will be reduced by $172,965 or 100% of the amendment decrease.