DATE: December 4, 2018
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Drug Medi-Cal Agreement
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the County Behavioral Health Director/Alcohol and Other Drug Program Administrator to execute Drug Medi-Cal Agreement No. 18-95145 with the California Department of Health Care Services, including required certifications, for the provision of substance use disorder treatment services to Fresno County residents, effective January 1, 2019 through June 30, 2021 ($181,657,157).
REPORT
Approval of the recommended action will enable the County to opt-in to the Drug Medi-Cal Organized Delivery System (DMC-ODS) and continue receiving State and Federal Drug Medi-Cal (DMC) funds through the California Department of Health Care Services (DHCS) to finance County substance use disorder (SUD) treatment services, with no increase Net County Cost. Authorizing the County Behavioral Health Director/Alcohol and Other Drug Program Administrator to execute the Drug Medi-Cal Agreement will allow DBH to meet time sensitive deadlines required by DHCS.
ALTERNATIVE ACTION(S):
If the recommended action is not approved, the County would not be able to opt-in to the DMC-ODS, which expands SUD treatment service modalities beyond the current State Plan level of care, and would jeopardize up to $181,657,157 in State and Federal funding and Behavioral Health Realignment revenues supporting mandated SUD programs during the contract period. Fresno County DMC services would continue under existing DHCS Agreement No. 17-94070 at the State Plan level of service.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended Agreement will provide $181,657,157 in revenues for the County over the three fiscal years to administer Federal SUD programs. Sufficient appropriations and estimated revenues have been included in the Department's Org 5630 ...
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