To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: 4/5th
SUBJECT:title
Fiscal Year 2024-25 Supplemental Budget in the Amount of $1,100,000 for Department of Health and Human Services - Behavioral Health Budget Unit 1180-425 (4/5 Vote Required)end
RECOMMENDATION(S):Recommendation
That the Board of Supervisors:
1. Approve the attached fiscal year 2024-25 supplemental budget in the amount of $1,100,000 for Department of Health and Human Services - Behavioral Health Budget Unit 1180-425 (4/5 Vote Required); and
2. Direct the Clerk of the Board to provide the Department of Health and Human Services - Contract Unit with one (1) fully executed certified copy of the Board order related to this item.
Body
STRATEGIC PLAN:
The recommended actions support the following areas of the Board of Supervisors’ Strategic Plan:
Area of Focus: Safe & Healthy Communities
Strategic Plan Category: 1002- Remove barriers to quality healthcare
DISCUSSION:
In August 2015, the Center for Medicaid Services allowed California to implement a demonstration project to dramatically expand, improve and reorganize its system for treating people with substance use disorder. This demonstration project became the Drug Medi-Cal Organized Delivery System (“DMC-ODS”). The DMC-ODS was implemented in Humboldt County in 2020. The County of Humboldt and six (6) other counties have worked with Partnership HealthPlan of California to develop a Regional Model.
Under the Regional Model, participating counties delegate to Partnership HealthPlan of California full administration of the DMC-ODS program, subject to various state and federal approvals. In the general financial structure of the Regional Model, each participating county will pay Partnership HealthPlan of California a single, monthly per utilizer rate in exchange for Partnership HealthPlan of California administering the mandated DMC-ODS services. Participating counties receive Federal Drug Medi-Cal reimbursement based on the monthly per utilizer rate. The County of Humboldt is contracted as a provider of DMC-ODS services through Partnership HealthPlan of California.
Since the implementation of the Regional Model, Drug Medi-Cal beneficiaries have increasingly engaged in substance use disorder programs and services. This, in turn, necessitates a supplemental budget to accommodate increased expenditures for such services, administrative fees and room and board costs.
SOURCE OF FUNDING:
Behavioral Health - Alcohol & Other Drugs Fund (1180-425)
FINANCIAL IMPACT:
|
Expenditures (1180-425) |
FY24-25 |
|
Budgeted Expenses |
$1,100,000.00 |
|
Total Expenditures |
$1,100,000.00 |
|
Funding Sources (1180-425) |
FY24-25 |
|
Federal Drug Medi-Cal-103F |
$1,100,000.00 |
|
Total Funding Sources |
$1,100,000.00 |
The attached fiscal year 2024-25 supplemental budget for Department of Health and Human Services - Behavioral Health budget unit 1180-425 will increase the Support and Care of Persons expenditure by $1,100,000 to pay final invoices for the year. Behavioral Health has sufficient accounts receivable for Federal Drug Medi-Cal revenue to support this supplemental budget.
STAFFING IMPACT:
Approval of the attached fiscal year 2024-25 supplemental budget will not impact current staffing levels.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the attached fiscal year 2024-25 supplemental budget in the amount of $1,100,000 for Department of Health and Human Services - Behavioral Health budget unit 1180-425. However, this alternative is not recommended as it would impact Department of Health and Human Services - Behavioral Health’s ability to fully claim reimbursement for the provision of substance use disorder treatment services to Medi-Cal beneficiaries residing in Humboldt County.
ATTACHMENTS:
1. Fiscal Year 2024-25 Supplemental Budget for Department of Health and Human Services - Behavioral Health Supplemental Budget Unit 1180-425
PREVIOUS ACTION/REFERRAL:
Meeting of: None
File No.: None