To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
Memorandum of Understanding with Health Management Associates, Inc. Regarding Implementation of the California Medication Assisted Treatment Expansion Project 2.0
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Department of Health and Human Services - Mental Health Director, or a designee thereof, to execute, the attached memorandum of understanding with Health Management Associates, Inc. regarding implementation of the California Medication Assisted Treatment Expansion Project 2.0 for the period of Jan. 1, 2020 through Sept. 30, 2020;
2. Authorize the Department of Health and Human Services - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the attached memorandum of understanding with Health Management Associates, Inc. after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Authorize the Department of Health and Human Services - Mental Health Director, or a designee thereof, to execute agreements substantially similar to the attached memorandum of understanding with Health Management Associates, Inc., and any amendments thereto, after review and approval by County Counsel, Risk Management and the County Administrative Office.
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SOURCE OF FUNDING:
Mental Health Fund
DISCUSSION:
In 2017, Humboldt County had the second highest per capita overdose rate among California counties. Medication assisted treatment in correctional settings has been proven to lower mortality rates upon the release of former detainees. The provision of medication assistance in the Humboldt County Correctional Facility will support the continuity of care, and decrease withdrawal experiences, of detainees with opioid use disorder.
Health Management Associates, Inc. is a sub-recipient of the State Targeted Response to the Opioid Crisis Grant (STR Opioid Grant) awarded by the United States Department of Health and Human Services - Substance Abuse and Mental Health Services Administration to the California Department of Health Care Services. As specified in the sub-recipient agreement between Health Management Associates, Inc. and the California Department of Health Care Services, Health Management Associates, Inc. has agreed to distribute up to $960,000.00 in STR Opioid Grant funds to California counties participating in the California Medication Assisted Treatment Expansion Project 2.0, for the purpose of implementing specific and approved strategies to expand access to medication assisted treatment of opioid addiction in correctional facilities and drug courts.
On Oct. 15, 2019, the Board of Supervisors authorized the Department of Health and Human Services - Mental Health (DHHS - Mental Health) to participate in the California Medication Assisted Treatment Expansion Project Learning Collaborative. By participating in the learning collaborative, DHHS - Mental Health became eligible to receive up to $300,000.00 in grant funding that can be used to implement jail-based substance use disorder screening, assessment and medication assisted treatment.
The attached memorandum of understanding with Health Management Associates, Inc. will allow DHHS - Mental Health to provide nursing staff to manage the County of Humboldt’s Medication Assisted Treatment Program, send staff to various training events regarding the provision of medication assisted treatment services and implement certain American Society for Addiction Medicine criteria regarding the preparation and maintenance of electronic medical records. It should be noted that the attached memorandum of understanding with Health Management Associates, Inc. comes to the Board after the start date thereof due to inadvertent delays that occurred during the agreement development process.
Accordingly, DHHS - Mental Health recommends that the Board approve, and authorize the DHHS - Mental Health Director, or a designee thereof, to execute, the attached memorandum of understanding with Health Management Associates, Inc. regarding implementation of the California Medication Assisted Treatment Expansion Project 2.0 for the period of Jan. 1, 2020 through Sept. 30, 2020. It is also recommended that the Board authorize the DHHS - Mental Health Director, or a designee thereof, to execute agreements substantially similar to the attached memorandum of understanding with Health Management Associates, Inc., and any amendments thereto, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to ensure the continued implementation of the California Medication Assisted Treatment Expansion Project 2.0.
FINANCIAL IMPACT:
The attached memorandum of understanding with Health Management Associates, Inc. will allow DHHS - Mental Health to accept up to $90,000.00 that will be used to support implementation of the California Medication Assisted Treatment Expansion Project 2.0. Revenues and expenditure appropriations related to the attached memorandum of understanding with Health Management Associates, Inc. have been included in the approved fiscal year 2019-20 budgets for DHHS - Mental Health budget units 1170-424 and 1170-427. As a result, approval of the attached memorandum of understanding with Health Management Associates, Inc. will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by protecting vulnerable populations, supporting self-reliance of citizens, improving the safety and health of our communities and providing appropriate levels of services.
OTHER AGENCY INVOLVEMENT:
Humboldt County Drug Court and Rx Safe Humboldt
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the attached memorandum of understanding with Health Management Associates, Inc. regarding implementation of the California Medication Assisted Treatment Expansion Project. However, this alternative is not recommended since it will not allow for implementation of the California Medication Assisted Treatment Expansion Project 2.0 in Humboldt County.
ATTACHMENTS:
1. Memorandum of Understanding with Health Management Associates, Inc. Regarding Implementation of the California Medication Assisted Treatment Expansion Project 2.0
2. Application for Grant Funds: Expanding Access to Medication Assisted Treatment in County Criminal Justice Settings submitted by the Humboldt County Department of Health and Human Services - Mental Health
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-9
Meeting of: 10/15/2019
File No.: 19-1491; 20-331