DATE: November 5, 2019
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Department of Behavioral Health Salary Resolution Amendment
RECOMMENDED ACTION(S):
TITLE
Approve Amendment to the Salary Resolution adding 17 positions effective November 4, 2019, as reflected on Appendix E.
REPORT
Approval of the recommended action will allow the Department to add 17 positions to the Department's Finance Division with current responsibilities that include managing all accounts receivables and payables, revenue billing, claiming, and budgeting. These positions will support the Department in revenue claiming and meeting new accounting and audit standards implemented by the State in January 2019.
ALTERNATIVE ACTION(S):
Your Board may choose not to approve the recommended action, which would result in no change to the Department's Salary Resolution.
FISCAL IMPACT:
There is no increase in Net County Cost (NCC) associated with the recommended action. The estimated cost for FY 2019-20 is approximately $1,011,690, with no additional NCC. These expenditures will be funded with current year available salary savings through a combination of Medi-Cal Administrative Activity (MAA), Mental Health Services Act (MHSA), and realignment.
DISCUSSION:
On January 1, 2019, the Department opted into the Drug Medi-Cal Organized Delivery System (DMC-ODS) under the State's 1115(a) Medicaid waiver. This program is intended to provide a continuum of care modeled after the American Society of Addiction Medicine Criteria for substance use disorder treatment services, enables more local control and accountability, provides greater administrative oversight, creates utilization controls to improve care and efficient use of resources, implements evidenced based practices in substance abuse treatment, and coordinates with other systems of care. This increased the Department's Substance Use Disorder (SUD) expenditures and claiming from less than...
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