In 2015, the federal government approved a 5-year pilot project to expand substance use services that could be billed to Medi-Cal. This pilot project is called the Drug Medi-Cal Organized Delivery System (DMC-ODS).
On July 1st, 2018, Yolo County went live with expanded services under the DMC-ODS, which allows for expanded Medi-Cal covered services. The DMC-ODS waiver has allowed Yolo County to increase services available to anyone eligible for Yolo County Medi-Cal and will include Withdrawal Management (Detoxification), Residential Treatment, Intensive Outpatient, Outpatient, Case Management, Physician Consultation, and Recovery Services. Additionally, the 1-888-965-6647 access/crisis line that previously served only mental health beneficiaries was expanded on July 1st, 2018 to include screening, referral, and linkage to care for Drug Medi-Cal eligible services. This access line is available 24/7 for Yolo County Medi-Cal clients, and clients can also walk into Health and Human Services Agency (HHSA) and CommuniCare locations in Davis, Woodland, and West Sacramento to receive the same screening, referral, and linkage services in person.
The purpose of today’s board item is to provide the Board of Supervisors a report outlining some of the key performance measures over the first 6-months of implementing the DMC-ODS services.
Performance Measurements Utilized
HHSA utilizes a Results-Based Accountability model to measure progress towards the following objectives.
Results Based Accountability
| Results Based Accountability |
- Program Purpose
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Decrease incidences of substance abuse, reduce incarcerations, and improve the quality of life for beneficiaries. |
- Program Description
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Outpatient, Intensive Outpatient, Case Management, Physician Consultation, Residential Treatment, Withdrawal Services, and Transitional Living for any eligible Yolo County resident who has been referred to treatment through an authorized Yolo County Substance Use Access Point, or through the Sheriff Department for Electronic Monitoring beneficiaries. Services can include individual and group counseling, drug testing, care coordination for level of care placement, linkage to other necessary services, oversight of complicated co-morbid or co-occurring beneficiary cases, and a safe and secure place to live while receiving other services when appropriate. |
- PM1: How much did we do?
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| 1.1 |
Bi-Annually Reported
- Number of Beneficiaries
- Demographics:
- Age
- Gender
- Race/Ethnicity
- Disability
- Culture
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| 1.2 |
Bi-Annually Reported
Number of referrals/ coordination for other services and referral dispositions |
| 1.3 |
Bi-Annually Reported
Number of referrals/ coordination to/with other substance use disorder providers for continued care |
| 1.4 |
Bi-Annually Reported
Number of referrals/ coordination to/with other substance use disorder providers for continued care |
| 1.5 |
Bi-Annually Reported
Number of total beneficiaries who completed their treatment episode |
- PM2: How well did we do it?
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| 2.1 |
Bi-Annually Reported
- Number of Beneficiaries satisfied with services provided
- Percentage of beneficiaries satisfied with services provided
(As collected by question #1-3 on the Consumer Perception Survey)
- I like the services that I received here
- If I had other choices, I would still get services from this agency
- I would recommend this agency to a friend or family member
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| 2.2 |
Annually Reported
- Number of beneficiaries satisfied with access and services provided based on Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS).
- Percentage of beneficiaries satisfied with access and services provided based on Drug Medi-Cal Organized Delivery System (DMC-ODS) Treatment Perception Survey (TPS).
(As collected by TPS Survey – HHSA Reportable Data)
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| 2.3 |
Bi-Annually Reported
- Initiation Rate
- Number of beneficiaries who receive at least one (1) service (individual, group, collateral, or case management) within fourteen (14) days of a diagnosis being established by your facility.
- Percentage of beneficiaries who receive at least one (1) or more services (individual, group, collateral, or case management) within fourteen (14) days of a diagnosis being established by your facility.
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| 2.4 |
Bi-Annually Reported
- Engagement Rate
- Number of beneficiaries who receive at least two (2) or more services (individual, group, collateral, or case management) within thirty (30) days of a diagnosis being established by your facility.
- Percentage of beneficiaries who receive at least two (2) or more services (individual, group, collateral, or case management) within thirty (30) days of a diagnosis being established by your facility.
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| 2.5 |
Bi-Annually Reported
- Retention Rate:
- Number of beneficiaries who stayed for a minimum of two weeks that completed their entire treatment episode
- Percentage of beneficiaries who stayed for a minimum of two weeks that completed their entire treatment episode.
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| 2.6 |
Bi-Annually Reported
- Number of beneficiaries who were satisfied with access to services.
- Percentage of beneficiaries who were satisfied with access to services
(As collected by question #4-8 on the Consumer Perception Survey)
- The location of service was convenient (parking, public transportation, distance, etc.)
- Staff were willing to see me as often as I felt it was necessary
- Staff returned my calls within 24 hours
- Services were available at times that were good for me
- I was able to get all the services I thought I needed.
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- PM3: Is anyone better off?
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| 3.1 |
Bi-Annually Reported
- Number of beneficiaries reporting a reduction in substance use at completion of the program, and
- Percentage of beneficiaries reporting a reduction in substance use at completion of the program
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| 3.2 |
Bi-Annually Reported
- Number of beneficiaries reporting a reduction in days incarcerated while in treatment, compared to the previous 6 months
- % of beneficiaries reporting a reduction in days incarcerated while in treatment, compared to the previous 6 months.
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| 3.3 |
Bi-Annually Reported
- Percentage reduction of days incarcerated during treatment (1- days incarcerated in treatment/days incarcerated 6 months prior to treatment)
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| 3.4 |
Bi-Annually Reported
- Percentage of clients reporting an improvement in outcomes as a result of receiving these services (as collected by questions 21-28 on the Consumer Perception Survey):
- I deal more effectively with daily problems
- I am better able to control my life
- I am better able to deal with crisis
- I am getting along better with my family
- I do better in social situations
- I do better in school and/or work
- My housing situation has improved
- My symptoms are not bothering me as much
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