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 El Centro de Libertad for Substance Use Disorder Outpatient Treatment Services and Coastside Co-Occurring Substance Use Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with El Centro de Libertad for substance use disorder outpatient treatment services and Coastside co-occurring substance use services, for the term of July 1, 2021 through June 30, 2022, in an amount not to exceed $822,147.
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BACKGROUND:
For over 20 years, Behavioral Health and Recovery Services (BHRS) has contracted with El Centro de Libertad (El Centro) for substance use disorder outpatient treatment and recovery services to San Mateo County residents.
In April 2016, the California Department of Health Care Services (DHCS) and the Federal Government approved the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver for substance use disorder treatment services. In March 2017, El Centro began providing services under the DMC-ODS waiver, which allowed El Centro and other providers to bill for many more services than they were previously able to.
On March 16, 2021, BHRS released a Request for Quotes for Coastside co-occurring substance use services to provide case management and early intervention services for the Cariño Project in Half Moon Bay, operated by Ayudando Latinos a Soñar agency. El Centro was the only agency that submitted a quote and was selected to provide these services.
DISCUSSION:
Through the DMC-ODS waiver, El Centro provides substance use disorder outpatient group and individual treatment to adolescent and adult County residents. These services are focused on an individualized outpatient treatment program that includes family group therapy, alcohol and drug testing, relapse prevention, adolescent treatment, and anger management. In addition, El Centro shall provide co-occurring substance use case management and early intervention services, targeting low-income Latinos in Coastside.
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 Request for Proposals (RFP) process for substance use disorder treatment services for one year, allowing BHRS time to finalize the implementation of DMC-ODS waiver-related changes to this and all other BHRS substance use related contracts. In late 2021, BHRS will release an RFP for substance use disorder treatment services to start on July 1, 2022.
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 agreement and resolution have been reviewed and approved by County Counsel as to form. This agreement has been delayed due to prolonged contract negotiations and is on the Continuing Resolution.
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 77% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Actual |
FY 2021-22 Estimated |
|
Percentage of clients who achieve a successful treatment discharge |
77% 190 clients |
77% 190 clients |
FISCAL IMPACT:
The term of the agreement is July 1, 2021 through June 30, 2022. The amount of the agreement is not to exceed $822,147 for the one-year term and is included in the BHRS FY 2021-22 Adopted Budget. Federal Financial Participation for Drug Medi-Cal will fund $221,421, Substance Abuse and Prevention Treatment Block Grant will fund $62,656, the Mental Health Services Act will fund $55,000, Homeless/Farmworker Health HEAL program will fund $59,958, 2011 Realignment will fund $66,815 and AB109 will fund $17,266. The remaining $339,031 is Net County Cost.