DATE: December 10, 2019
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Amendment I to Drug Medi-Cal Intergovernmental Agreement No. 18-95145
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the County Behavioral Health Director/Alcohol and Other Drug Program Administrator to execute Amendment A01 to Agreement No. 18-95145 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 of January 1, 2019 through June 30, 2021 or compensation amount of $181,657,157.
REPORT
The reason for the amendment is to make minor modifications to various terms and conditions and to update reimbursement rates for certain services. Approval of the recommended action will enable the County to continue to receive State and Federal Drug Medi-Cal (DMC) funds to finance County substance use disorder (SUD) treatment services, 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. 18-95145, approved by the Board of Supervisors on December 4, 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 continue to receive State and Federal funding to provide mandated SUD treatment.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The recommended Amendment A01 will provide $181,657,157 in revenues to the County over fiscal years FY 2019-20, 2020-21, and 2021-22 to administer SUD treatment services. The annual allocation for fiscal year 2019-20 is $36,331,433, the annual allocation for fiscal years 2020-2021 and 2021-22 will remain at $72,662,862 each fiscal year. Sufficient appropriations and estimated revenues are included in the Department’s Org 5630 FY 2019-20 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 State and Federal funding to support alcohol and drug treatment services for County residents. With these funds, the County contracts with local DMC-certified providers to deliver SUD treatment services to DMC-eligible county residents.
The Amendment revises the several Agreement exhibits to add, remove, and/or update requirements and, in some instances, provide more detailed instructions without imposing any new onerous requirements on the County while leaving funding unchanged.
The cancellation clause gives DHCS the right to terminate the recommended agreement without cause; however, the County is not given the same right.
DHCS requires that its Intergovernmental Agreement and any associated amendments be first signed by the County.
REFERENCE MATERIAL:
BAI #40, December 4, 2018
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - State-County Contract, Amendment A02
CAO ANALYST:
Ronald Alexander