To: BOARD OF SUPERVISORS
From: Health Services
Meeting Date: October 20, 2026
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Department Contact: |
Jenine Miller, Psy.D. |
Phone: |
707-472-2341 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Third Amendment (Fifth Amendment Overall) to BOS Agreement No. 20-060 with Partnership HealthPlan of California (PHC) in the Amount of $51,395,954 for a New Total Amount of $93,395,954 to Allow PHC to Administer Drug Medi-Cal Organized Delivery System (DMC-ODS) Services on Behalf of Mendocino County to Medi-Cal Beneficiaries through Utilization of Federal, State, and County Realignment Funds Available for Reimbursement of Covered Services Rendered by Certified DMC-ODS Providers, Effective July 1, 2020, through December 31, 2026
Vote Requirement: Majority
End
Recommended Action/Motion:
recommendation
Approve third amendment (fifth amendment overall) to BOS Agreement No. 20-060 with Partnership HealthPlan of California (PHC) in the amount of $51,395,954 for a new total amount of $93,395,954 to allow PHC to administer Drug Meid-Cal Organized Delivery System (DMC-ODS) services on behalf of Mendocino County to Medi-Cal beneficiaries through utilization of Federal, State, and County realignment funds available for reimbursement of covered services rendered by certified DMC-ODS providers, effective July 1, 2020, through December 31, 2026; authorize the Health Services Director or designee to sign any future amendments that do not increase the maximum amount; and authorize the Chair to sign same.
End
Previous Board/Board Committee Actions:
May 19, 2020, Item 5c); Approval of Agreement No. BOS-20-060
July 1, 2021; Approval of first Amendment No. MH-21-032
August 29, 2023; Item 3u); Approval of second Amendment No. BOS-20-060- A1
May 19, 2024; Approval of third Amendment No. MH-21-032-A1
December 3, 2024; Item 3o) Approval of fourth Amendment No. BOS-20-060-A2
Summary of Request:
In 2015, the California Department of Health Care Services (DHCS) implemented a new substance use
disorder benefit and delivery system called the Drug Medi-Cal Organized Delivery System (DMC-ODS) as part of an amendment to DHCS 1115 waiver. DMC-ODS provides a continuum of care modeled after the American Society of Addiction Medicine Criteria to enable more appropriate delivery of services and
treatment, provide more local control and accountability, and provide greater administrative oversight of
services for Medi-Cal beneficiaries.
Counties had the choice of opting into the waiver to expand services or maintaining their current state plans. Opting into DMC-ODS was phased in, starting with the bay area counties. On July 2020, Mendocino County Behavioral Health and Recovery Services (BHRS) opted in and began administering the DMC-ODS waiver program locally, providing and arranging for substance use disorder treatment for Medi-Cal beneficiaries.
PHC proposed a regional model approach for delivery of DMC-ODS services. Under this approach, PHC administers the DMC-ODS substance use treatment services on behalf of the county. This model allows DMC-ODS services to be provided to beneficiaries across county lines, so that individuals can access services not offered within their home county.
Alternative Action/Motion:
Return to staff for alternative handling.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: Medi-Cal, Realignment, and SABG |
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current f/y cost: $51,395,954 for FY 24-25, 25-26 and 26-27 |
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budget clarification: N/A |
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annual recurring cost: Varies |
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budgeted in current f/y (if no, please describe): Yes |
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revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Megan Shandel, Deputy CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
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Executed By: Deputy Clerk |
Final Status: Item Status |
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Date: Date Executed |
Executed Item Type: item |
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Number: |
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