To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
Resolution Authorizing the Humboldt County Department of Health and Human Services to Participate in the California Department of Health Care Services’ Drug Medi-Cal Organized Delivery System Pilot Program
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Adopt the attached resolution which authorizes the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute State Standard Agreement No. 20-10176 with the California Department of Health Care Services, and any amendments thereto, along with any and all other certifications, agreements and documents required or deemed necessary for the Department of Health and Human Services to participate in the Drug Medi-Cal Organized Delivery System Pilot Program; and
2. Direct the Clerk of the Board to return a fully executed certified copy of the attached resolution to the Department of Health and Human Services - Contract Unit for submission to the California Department of Health Care Services.
Body
SOURCE OF FUNDING:
Substance Use Disorder Fund
DISCUSSION:
In August 2015, the Center for Medicaid Services approved a waiver of certain requirements set forth in Section 1115 of the United States Social Security Act which allowed the State of California to implement the Drug Medi-Cal Organized Delivery System (DMC-ODS) Pilot Program in order to expand, improve and reorganize its processes for treating people with substance use disorders. Participation in the DMC-ODS Pilot Program requires that counties provide access to a full continuum of substance use disorder treatment services modeled after the American Society of Addiction Medicine criteria. As of August 2019, there were 30 counties providing substance use disorder treatment services under the DMC-ODS Pilot Program.
In November 2017, Partnership HealthPlan of California (PHC), the County of Humboldt and seven other northern California counties submitted a DMC-ODS Pilot Program Implementation Plan, now known as the Wellness and Recovery Program, regarding the identification and provision of covered DMC-ODS services to eligible beneficiaries in each county under the oversight of PHC. In June 2019, the County of Humboldt and PHC entered into a data sharing agreement to allow the Humboldt County Department of Health and Human Services - Behavioral Health (DHHS - Behavioral Health) and PHC to exchange Medi-Cal data needed to develop and test processes for eligibility maintenance, claims payment and reporting mechanisms required to implement the Wellness and Recovery Program.
The attached resolution authorizes the DHHS - Behavioral Health Director, or a designee thereof, to execute State Standard Agreement No. 20-10176 with the California Department of Health Care Services (DHCS), and any amendments thereto, along with any and all other certifications, agreements and documents required or deemed necessary for the Department of Health and Human Services to participate in the DMC-ODS Pilot Program. Once State Standard Agreement No. 20-10176 has been fully executed, DHHS - Behavioral Health will request that the Board approve a separate agreement regarding PHC’s oversight of the County of Humboldt’s participation in the DMC-ODS Pilot Program. Implementation of the DMC-ODS Pilot Program is currently planned to occur on July 1, 2020.
FINANCIAL IMPACT:
State Standard Agreement No. 20-10176 with DHCS authorizes the County of Humboldt to seek reimbursement of up to $10,215,000 for the provision of covered DMC-ODS services to eligible beneficiaries residing in Humboldt County during the period of July 1, 2020 through June 30, 2023. Revenues and expenditures related to State Standard Agreement No. 20-20276 with DHCS have been included in the proposed fiscal year 2020-2021 budget for budget unit 1180-425. As a result, adoption of the attached resolution will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by creating opportunities for improved safety and health and protecting vulnerable populations.
OTHER AGENCY INVOLVEMENT:
Partnership HealthPlan of California
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to adopt the attached resolution authorizing participation in the DMC-ODS Pilot Program. However, this alternative is not recommended since it will not allow DHHS - Behavioral Health to provide expanded substance use disorder treatment services to eligible beneficiaries residing in Humboldt County.
ATTACHMENTS:
1. Resolution Authorizing the Humboldt County Department of Health and Human Services to Participate in the California Department of Health Care Services’ Drug Medi-Cal Organized Delivery System Pilot Program
2. State Standard Agreement No. 20-10176 with the California Department of Health Care Services.
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-18; C-16; C-8; C-10; C-13
Meeting of: 06/26/01; 05/25/04; 05/15/07; 05/25/10; 11/13/14
File No.: 20-456