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Consent-Health & Human Services # 22.
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| Board of Supervisors |
Child, Youth & Family |
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| Subject |
| Approve third amendment to Agreement No. 14-130 with Progress House, Inc. to increase funding by $2,091 for 2017-18, for a new contract maximum amount of $1,152,091 to provide Drug Medi-Cal and Drug Residential treatment services to pregnant and postpartum women for the term of July 1, 2014 through June 30, 2018. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve third amendment to Agreement No. 14-130 with Progress House, Inc. to increase funding by $2,091 for 2017-18, for a new contract maximum amount of $1,152,091 to provide Drug Medi-Cal and Drug Residential treatment services to pregnant and postpartum women for the term of July 1, 2014 through June 30, 2018. |
| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
Prior to the enactment of the FY2011-12 Budget Act, Progress House, Inc. was a direct contractor to the State. The State Budget Act realigned fiscal and administrative responsibility to provide Drug Medi-Cal (D/MC) services from the State Department of Alcohol and Drug Programs to the counties. In turn, the contracting relationship and responsibilities for services shifted to the County effective fiscal year 2012-2013.
In fiscal year 2012-13 Progress House, Inc. began contracting directly with the County for the residential treatment services to pregnant and postpartum women who are Medi-Cal beneficiaries and who have a substance use disorder and/or co-occurring disorder qualifying them for participation in the Perinatal Drug Medi-Cal Program.
During fiscal year 2013-14 Progress House, Inc. continued to serve Medi-Cal eligible pregnant and postpartum women entitled to residential treatment services. The County, by its contract with the State Department of Health Care (State Contract) has the responsibility to provide these services.
Approval of this amendment will allow HHSA to exercise its responsibilities for the Drug Medi-Cal (D/MC) program as defined in the Non Drug Medi-Cal Substance Abuse Treatment Services and Drug Medi-Cal Treatment Program Services Agreement with Department of Health Care Services (Agreement No. 10-NNA57).
Performance Measures included in this Agreement are as follows:
Perinatal Residential Services
Perinatal Residential Services for Child Welfare Services |
Progress House, Inc. |
Barbara Vermilyea |
| PM1: How much did we do? |
Customers
Units of Service |
Bi-annually completed reports:
a) Demographic Data, including but not limited to:
i. Number of beneficiaries served, by age, gender, race/ethnicity, culture if known, or disability (e.g., hearing impaired, seeing impaired, wheel-chair bound)
ii. Number of individuals served who are pregnant or parenting
iii. Number of individuals served who have an open Child Welfare case
iv. Number of individuals served whose children are in foster care
b) Service Data, including but not limited to:
i. Type and quantity of services provided
ii. Referrals/coordination for other services (including, but not limited to: mental health, and physical health) and referral disposition
iii. Referrals/coordination to/with other substance use disorder providers for continued care
iv. For CWS involved clients, provide the case worker with a report that documents the client’s participation and progress in the outpatient program. Reports may be requested more frequently for some clients.
v. Total number of beneficiaries tested
vi. Total number of beneficiaries maintaining negative test results during their treatment episode |
| PM2: How well did we do it? |
| 2.1 |
Bi-annually: Customer Satisfaction Surveys (POQI): Consumer satisfaction surveys shall be administered twice annually with results submitted to the County. |
| 2.2 |
Quarterly: Initiation, Engagement, and Retention Rates
a) Initiation Rates:
Number and percentage of beneficiaries who receive at least 1 service (individual, group, collateral, or case management) within 14 days of a diagnosis being established by your facility
b) Engagement Rates:
Number and percentage of beneficiaries who receive two or more services (individual, group, collateral, or case management) within 30 days of a diagnosis being established by your facility
c) Retention Rates:
i. Number and percentage of beneficiaries who stayed for a minimum of two weeks that completed their entire treatment episode
ii. For clients with an open Child Welfare case, number and percentage of beneficiaries who stayed for a minimum of two weeks that completed their entire treatment episode |
| PM3: Is anyone better off? |
| 3.1 |
Bi-annually completed reports. Outcome Data, including but not limited to:
a) Number of beneficiaries who completed successfully that did not return for another treatment episode within 6 months
b) Number of beneficiaries successfully meeting 75% or more of treatment goals
c) Number of clients with an open Child Welfare case who completed successfully whose child remained in their care
d) Number of clients whose children were in foster care who completed successfully and reunified with their children |
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| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel has approved this Agreement as to form. |
| Competitive Bid Process |
| Services included in the agreement with Progress House, Inc. are the direct result of the amended Non Drug Medi-Cal Substance Abuse Treatment Services and Drug Medi-Cal Treatment Program Services Agreement with Department of Health Care Services (Agreement No. 10-NNA57). The Board of Supervisor approved the amendments to the State contract. |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
No general funds are required by this action. These services will be funded by 2011 Realignment. The amount of $2,091 is included in the HHSA adopted budget for FY17-18.
The following is the breakdown of funding for this agreement.
| Scope of Services |
FY14-15 |
FY15-16 |
FY16-17 |
FY17-18 |
Total |
| Perinatal Residential Services |
$345,000 |
$345,000 |
$200,000 |
$200,000 |
$1,090,000 |
| Perinatal Residential Services for Child Welfare Services |
$0 |
$0 |
$40,000 |
$22,091 |
$62,091 |
| Total |
$345,000 |
$345,000 |
$240,000 |
$222,091 |
$1,152,091 |
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