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  Consent-Health & Human Services   # 20.       
Board of Supervisors Adult & Aging  
Meeting Date: 11/07/2017  
Brief Title:    DHCS SUD FY17-20
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Sandra Sigrist, Adult & Aging Branch Director, Health and Human Services Agency, x8794
Supervisorial District Impact:

Subject
Approve renewal agreement with the Department of Health Care Services to receive funding in the amount of $1,372,419 for the provision of Drug Medi-Cal Substance Use Disorder services for the period July 1, 2017 through June 30, 2020.  (No general fund impact) (Larsen)
Recommended Action
  1.  Approve renewal agreement with the Department of Health Care Services (DHCS) to receive funding in the amount of $1,372,419 for the provision of Drug Medi-Cal Substance Use Disorder services for the period July 1, 2017 through June 30, 2020; and
     
  2. Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to sign and execute any additional forms, documents and/or amendments as necessary relating to this agreement, provided there are no significant programmatic or financial changes.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
This is a standard Agreement issued by the Department of Health Care Services (DHCS) to the California counties for the purpose of identifying and providing covered Drug Medi-Cal services for substance use treatment services.  DHCS directs statewide prevention and treatment programs that address the use and abuse of alcohol and other drugs. Its core functions include developing and implementing substance use disorder (SUD) prevention strategies; reviewing and approving county SUD treatment program contracts; and granting applications submitted for state and federal funds for SUD services.
 
The funding provided by this Agreement is necessary in order to continue providing substance use disorder prevention and treatment services to Yolo County residents.  The Yolo County Health and Humans Services Agency (HHSA) has entered into contracts with providers for Drug Medi-Cal services. HHSA ensures that these providers are licensed, registered, certified and/or approved in accordance with applicable laws and regulations as mandated by DHCS.
 
Approval of this Agreement will allow HHSA to continue to comply with the requirements regarding the Drug Medi-Cal SUD services program. New programs or services added or being renewed during the life of this contract will be subject to Yolo County Procurement policies including requesting new proposals for services when appropriate.
Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process
Not applicable, as this is a state agreement.

Fiscal Impact
Potential fiscal impact (see notes in explanation section below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   457,473
Amount budgeted for expenditure:    $   457,473
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   457,473
Source of Funds for this Expenditure
$356,222
$101,251
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action.  This agreement will provide funding for the Drug Medi-Cal Substance Use Disorder services.  The amount of $457,473 is included in the HHSA adopted budget for FY17-18.  The related funding will be included in the requested budget process for future fiscal years.
 
In addition to the federal funds included in this Agreement, HHSA 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.
 
The following is the breakdown of funding for this agreement.
 
FY17-18 FY18-19 FY19-20 Total
$457,473 $457,473 $457,473 $1,372,419
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 10/24/2017 05:08 PM
County Counsel Hope Welton 10/26/2017 10:05 AM
Form Started By: ccontreras Started On: 10/04/2017 04:00 PM
Final Approval Date: 10/26/2017

    

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