To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: February 6, 2024
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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 Retroactive Agreement No. 23-30112 with the California Department of Health Care Services in the Amount of $31,392,000, $7,848,000 Each Year for Four Years, to Allow Behavioral Health and Recovery Services to Administer Drug Medi-Cal (DMC) Organized Delivery System Services to Medi-Cal Beneficiaries Through the Utilization of Federal and State Funds Available for Reimbursable Covered Services Rendered by Certified DMC Providers, Effective July 1, 2023, through June 30, 2027
End
Recommended Action/Motion:
recommendation
Approve retroactive Agreement No. 23-30112 with the California Department of Health Care Services in the amount of $31,392,000, $7,848,000 each year for four years, to allow Behavioral Health and Recovery Services to administer Drug Medi-Cal (DMC) Organized Delivery System services to Medi-Cal beneficiaries through the utilization of Federal and State funds available for reimbursable covered services rendered by certified DMC providers, effective July 1, 2023, through June 30, 2027; authorize the Behavioral Health and Recovery Services Director or designee to sign any future amendments to the Agreement that do not increase the annual maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
May 19, 2020, Item 5b), Approval of Agreement No. BOS-20-058 and Resolution No. 20-063
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 have 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. Counties that opt in will administer the DMC-ODS waiver program locally, providing and arranging for substance use disorder treatment for Medi-Cal beneficiaries.
Mendocino County Behavioral Health and Recovery Services (BHRS) currently contracts with Partnership HealthPlan of California (PHC) to be a part of a regional model approach for delivery of DMC-ODS services in nine of their currently contracted counties. Under this approach, PHC has administered the DMC-ODS substance use treatment services on behalf of the counties and contracted with the counties and community agencies to provide substance use treatment services. 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. The PHC regional model consists of Humboldt, Mendocino, Shasta, Siskiyou, Solano, Lassen, and Modoc Counties as well as a variety of community agencies.
Approval of the proposed Agreement with DHCS will allow PHC to continue to administer ODS services on behalf of Mendocino County.
BHRS received the proposed Agreement from DHCS after the effective date of July 1, 2023, therefore, it is retroactive.
Alternative Action/Motion:
Return to staff for alternative handling.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: Federal and State |
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current f/y cost: $7,848,000 |
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annual recurring cost: $7,848,000 |
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budgeted in current f/y: N/A |
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if no, please describe: |
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revenue agreement: Yes |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Tony Rakes, Acting Deputy CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved |
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Date: February 6, 2024 |
Executed Item Type: Interim Agreement |
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Number: *24-021 |
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