DATE: June 4, 2019
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Amendment II to Substance Abuse Prevention and Treatment Agreement No. 17-94127
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the County Behavioral Health Director/Alcohol and Other Drug Program Administrator to execute Amendment A02 to Agreement No. 17-94127 with the California Department of Health Care Services (DHCS), including required certifications, for the provision of substance use disorder services to County residents, effective upon execution by DHCS, with no change in term to June 30, 2020 and increasing the maximum by $302,500 to a total of $14,320,536.
REPORT
Approval of the recommended action will enable the County to receive an additional allocation of Substance Abuse Prevention and Treatment Block Grant (SABG) discretionary funds for the specific use of providing training and technical assistance to the County’s network of contracted substance use disorder (SUD) treatment providers, with no increase in Net County Cost. County Behavioral Health Director/Alcohol and Other Drug Program Administrator signature authority is requested to remain consistent with Agreement No. 17-94127, approved by the Board of Supervisors on January 9, 2018, and to expedite the signing of documents issued by DHCS related to this agreement that do not result in additional County costs. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. If the recommended action is not approved, the County would not receive the additional funds to provide training and technical assistance to contracted SUD treatment providers.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended Amendment will provide an additional $302,500 in revenue for a total maximum compensation of $14,320,536 to the County over fiscal years 2017-18, 2018-19, and 2019-20 to administer SUD treatment and primary prevention programs. The annual allocation for federal fiscal year (FFY) 2017-18 will increase by $302,500 to $4,946,533, the annual allocation for FFY 2018-2019 will remain at $4,729,970 and the FFY 2019-20 will remain at $4,644,033. Sufficient appropriations and estimated revenues are included in the Department’s Org 5630 FY 2018-19 Adopted Budget and will be included in subsequent budget requests for the duration of the contract term.
DISCUSSION:
Since FY 1989-90, DHCS has contracted with the County to provide SUD treatment services. This Amendment continues to provide Federal funding (block grants) from the Substance Abuse and Mental Health Services Administration (SAMHSA) dispersed through DHCS to support alcohol and drug treatment and prevention services for County residents.
On January 9, 2018, the Board approved the most recent agreement for these services. On February 26, 2019, the Board approved an amendment to this agreement increasing the annual allocation for FFY 2018-19 by $85,937. On December 28, 2018, DHCS notified counties that a limited amount of unspent FFY Year 2018 SABG funds were available to counties for use toward specific activities, including workforce development. The Department submitted a proposal under the workforce development option to fund a series of trainings for the County’s contracted substance use disorder treatment providers to improve operations and clinical outcomes for beneficiaries. On March 22, 2019, the Department was notified that Fresno County received an award of $302,500 for workforce development. Approval of the recommended action will increase the annual allocation for FFY 2017-18 to account for the additional award amount. Awarded funds must be fully expended by September 30, 2019.
DHCS requires that amendments be first signed by the County.
REFERENCE MATERIAL:
BAI #25, January 9, 2018
BAI #34, February 26, 2019
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - State-County Contract, Amendment A02
CAO ANALYST:
Ronald Alexander