Agenda

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Consent-Health & Human Services # 17.

Board of Supervisors

Alcohol, Drug & Mental Health

Meeting Date:	06/04/2013
Brief Title: Amd3 Non-D/MC and D/MC 2010-14
From:	Kim Suderman, Director, Alcohol, Drug and Mental Health
Staff Contact:	Chris Contreras, Administrative Services Analyst, Alcohol, Drug and Mental Health, x8289

Subject

Approve the Third Amendment to the Non Drug Medi-Cal Substance Abuse Treatment Services and Drug Medi-Cal Treatment Program Services Agreement with Department of Alcohol and Drug Programs (Agreetment No. 10-NNA57) and Department of Health Care Services (Agreement No. 12-89225) to extend the term through June 30, 2014; increase Federal funds by $15,815 for fiscal year 2012-13; add new Federal funds in the amount of $1,290,342 for fiscal year 2013-14; revise the total contract amount to $4,863,129 for the term July 1, 2010 through June 30, 2014; with regard to the Non Drug Medi-Cal Program portions of this Agreement, implement a Contingency Assignment of Agreement from Department of Alcohol and Drug Programs to Department of Health Care Services as of July 1, 2013 if the state's fiscal year 2013-14 Budget Act is enacted to eliminate the Department of Alcohol and Drug Programs and transfer the Non Drug Medi-Cal Program to Department of Health Care Services. (No general fund impact) (Suderman)

Recommended Action

Approve and authorize the Chair to sign the Third Amendment to the Non Drug Medi-Cal Substance Abuse Treatment Services and Drug Medi-Cal Treatment Program Services Agreement with the State Department of Alcohol and Drug Programs (Agreement No. 10-NNA57) and State Department of Health Care Services (Agreement No. 12-89225) as follows:

extend the term of this Agreement through June 30, 2014;
increase Federal funds by $15,815 for fiscal year 2012-13;
add new Federal funds in the amount of $1,290,342 for fiscal year 2013-14;
revise the total contract amount to $4,863,129 for the term July 1, 2010 through June 30, 2014; and
with regard to the Non Drug Medi-Cal Program portions of this Agreement, implement a Contingency Assignment of Agreement from Department of Alcohol and Drug Programs to Department of Health Care Services as of July 1, 2013 if the fiscal year 2013-14 Budget Act is enacted to eliminate the Department of Alcohol and Drug Programs and transfer the Non Drug Medi-Cal Program to the Department of Health Care Services.

Strategic Plan Goal(s)

Preserve and ensure safe and crime free communities

Reason for Recommended Action/Background

On May 25, 2010, the Board of Supervisors approved Agreement 10-NNA57 with the State Department of Alcohol and Drug Programs for State funds and Federal Substance Abuse Prevention and Treatment Block Grant funds in the amount of $3,758,151 for the period July 1, 2010 through June 30, 2013.

On January 24, 2012, the Board of Supervisors approved the First Amendment to the Agreement. This Amendment revised the Federal Substance Abuse Prevention and Treatment Block Grant funds for the term July 1, 2010 through June 30, 2013, removed the State funds for the term July 1, 2011 through June 30, 2013, which was replaced with the new Alcohol and Drug realignment funds, and finalized the shift for the Drug Medi-Cal Program from State Department of Alcohol and Drug Programs to Yolo County.

On August 7, 2012, the Board of Supervisors approved the Second Amendment (Department of Alcohol and Drug Programs Agreement No. 10-NNA57 and Department of Health Care Agreement No. 12-89225) to the Agreement. This Amendment added the Federal Drug Medi-Cal funds in the amount of $246,732 for fiscal year 2012-13 for the Drug Medi-Cal Program, implemented an Absolute Assignment of Agreement from the Department of Alcohol and Drug Program to the Department of Health Care Services for the Drug Medi-Cal Program as of July 1, 2012, and implemented a Contingency Assignment of Agreement from the Department of Alcohol and Drug Programs to Department of Health Care Services for the Non Drug Medi-Cal Program as of July 1, 2012.

This Amendment will incorporate the listed recommended changes as well as all other changes as specified in Exhibits A1, B, C, and D of the Standard Agreement Attachment.

Other Agency Involvement

County Counsel approved the amendment as to form.

Fiscal Impact

Fiscal Impact (Expenditure)
Potential fiscal impact (see notes in explanation section below)
Total cost of recommended action:		$ 0
Amount budgeted for expenditure:		$ 0
Additional expenditure authority needed:		$ 0
One-time commitment	Yes

Source of Funds for this Expenditure

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this Amendment.

The new contract maximum is $4,863,129 for fiscal year 2010-14. The changes included in this Amendment are as follows:
A. Increase the Federal Substance Abuse Prevention and Treatment (SAPT) Block Grant funds by $15,815 for fiscal year 2012-13.
B. Add new Federal funds in the amount of $1,290,342 (SAPT funds $1,027,320 and Federal Drug Medi-Cal funds $263,022) for fiscal year 2013-14.

Below are the funding histories for this Agreement:

Fiscal Year	Original Agreement (BOS Agr. No. 10-61)	First Amendment (BOS Agr. No. 12-08)	Second Amendment (BOS Agr. No. 12-119)	Third Amendment
FY2010-11	$1,252,717	$1,254,650	$1,254,650	$1,254,650
FY2011-12	$1,252,717	$1,027,795	$1,027,795	$1,027,795
FY2012-13	$1,252,717	$1,027,795	$1,274,527	$1,290,342
FY2013-14	N/A	N/A	N/A	$1,290,342
Total	$3,758,151	$3,310,240	$3,556,972	$4,863,129

In addition to the Federal funds included in this agreement, ADMH receives funding for match for the Drug Medi-Cal Program separately in the form of realignment. Based on the data and information currently available, it is projected that there will be sufficient realignment funds to cover the projected expenditures. However, it is important to note that because qualifying residents are entitled to services, and the state’s existing structure limits the department’s ability to lower costs by reducing service levels, the risk of insufficient realignment funds cannot be eliminated.

Attachments
Att. A. Contract

Form Review

Inbox	Reviewed By	Date
Financial Services	hnewens	05/24/2013 09:59 AM
County Counsel	Hope Welton	05/24/2013 10:33 AM
Form Started By: ccontreras		Started On: 05/07/2013 04:22 PM
Final Approval Date: 05/24/2013