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  Consent-Health & Human Services   # 18.       
Board of Supervisors Adult & Aging  
Meeting Date: 05/08/2018  
Brief Title:    DMC-ODS Intergovernmental SUD Agreement FY17-20
From: Karen Larsen, Director, Health & Human Services Agency
Staff Contact: Sandra Sigrist, Adult & Aging Branch Director, Health & Human Services Agency, x8794
Supervisorial District Impact:

Subject
Approve agreement with Department of Health Care Services to receive funding in the amount of $13,943,284 for the Drug Medi-Cal Organized Delivery System Intergovernmental Agreement No. 17-94092 for Substance Use Disorder Services for the period June 30, 2018 through June 30, 2020. (No general fund impact) (Larsen)
Recommended Action
  1. Approve agreement with Department of Health Care Services to receive funding in the amount of $13,943,284 for the Drug Medi-Cal Organized Delivery System (DMC-ODS) Intergovernmental Agreement No. 17-94092 for Substance Use Disorder Services for the period June 30, 2018 through June 30, 2020; and
     
  2. Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to execute the funding agreement and 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

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).

Under the DMC-ODS waiver, current Drug Medi-Cal eligible services will continue alongside expanded services eligible to be billed to Drug Medi-Cal.  These increased services will be available to anyone eligible for Medi-Cal and will include Residential Treatment, Intensive Outpatient Treatment, Withdrawal Management (Detoxification), Case Management, and Recovery Services.  The system will provide a coordinated entry for clients either through multiple in-person access points or a 1-800 screening number available 24/7.  All providers within the system will utilize the same screening tool allowing for consistency and appropriate client placement based on medical necessity.

This agreement will replace the current Yolo County Drug Medi-Cal contract with the Department of Healthcare Services effective 7/1/2018.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process
Not applicable for state agreements.
 

Fiscal Impact
Potential fiscal impact (see notes in explanation section below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   50,680
Amount budgeted for expenditure:    $   50,680
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   6,946,302
Source of Funds for this Expenditure
$9,420
$41,260
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 and Substance Use Disorder services.  The amount of $50,680 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.
 
Funding FY17-18 FY18-19 FY19-20 Total
State General Funds $9,420 $1,995,026 $1,995,026 $3,999,472
Drug Medi-Cal $41,260 $4,951,276 $4,951,276 $9,943,812
Grand Total $50,680 $6,946,302 $6,946,302 $13,943,284
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 04/30/2018 10:32 AM
County Counsel Hope Welton 05/01/2018 09:08 AM
Form Started By: ccontreras Started On: 04/18/2018 01:27 PM
Final Approval Date: 05/01/2018

    

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