To: Board of Supervisors
From: Probation
Agenda Section: Consent
SUBJECT:
title
Amendment to the Public Safety Realignment Plan and Associated Appropriation Transfer for Fiscal Year 2021/22
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RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve the amendment to the Public Safety Realignment Plan; and
2. Approve the attached appropriation transfer in budget 3741-294 for Fiscal Year 2021/22.
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SOURCE OF FUNDING:
Humboldt County Public Safety Realignment Allocation (3741-294)
DISCUSSION:
The Humboldt County Public Safety Realignment Plan adopted in 2012, and amended periodically thereafter, includes funds in the amount of $667,000 for substance use disorder (SUD) services. The funds are spent through the Humboldt County Probation Department, via budget unit 3741-294.
In 2020, Humboldt County opted into the Regional DMC-ODS Model to be able to offer a continuum of SUD services for Humboldt County clients. With the previous “DMC State Plan” system, the only services covered were outpatient group treatment, perinatal residential and NTP. With DMC-ODS, Medi-Cal pays a percentage of all outpatient services (individual, group, case management, field services) as well as all residential (not just perinatal), detox, NTP, and Recovery Services (aftercare and care coordination). When any California county opts into DMC-ODS, they are responsible for providing all the DMC billable services, including perinatal and adolescent residential. In Humboldt, the required services aren’t available in county, so by joining a Regional Model ODS, those needed services can be accessed in other counties in the model.
Partnership Health Plan (PHC) has calculated the Per Utilizer Per Month (PUPM) rate based on projected utilization, and Humboldt County is responsible to pay this set amount ($935.46/person/month). That allows any Humboldt County Medi-Cal beneficiary to access any SUD service, even just once in a month, including all residential, detox, NTP, recovery services, case management and outpatient. While the PUPM is paid upfront, a percentage is reimbursed by the state based on actual utilization.
In addition to the PUPM the County is responsible for an administrative fee ($62.68/person/month) and all the room and board costs for each Humboldt County Medi-Cal beneficiary who accesses detox and residential treatment. These room and board costs are not reimbursed by drug Medi-Cal (DMC).
The criminal realignment population are now using DMC to access SUD services. This proposal would shift the funds previously spent on SUD services for the realignment population from the Probation Department to the Department of Health and Human Services to meet a portion of the County’s PUPM costs. This would apply to FY 2021/22 and ongoing as part of the Realignment Budget. On June 15, 2022, the Humboldt County Community Corrections Partnership Executive Committee voted in support of this amendment to the plan.
FINANCIAL IMPACT:
Approval of this amendment to the Public Safety Realignment Plan and associated appropriation transfer for FY 2021-22 is cost neutral. It does not contemplate additional trust expenditures but rather a shift of $600,000 of the previously allocated funds. The remaining $67,000 in funds above the $600,000 transferred will be used by Probation to pay for clean and sober housing, sex offender treatment and other SUD services. The attached appropriation transfer will allow these funds to be transferred in FY 2021-22 from budget 3741-294 and this will be included in future annual county budget cycles. There is no impact to the General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by providing community-appropriate levels of service .
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may opt not to approve this plan amendment or the related appropriation transfer, however that is not recommended. This proposal is cost neutral and ensures that funds dedicated to ensuring accessibility of SUD services to the realignment population continue to serve that purpose as well as provides appropriate support for the Department of Health and Human Services.
ATTACHMENTS:
1. Humboldt County Communication Corrections Partnership (HCCCP) Executive Committee Draft Meeting Minutes from June 15, 2022
2. 21/22 Appropriation Transfer in 3741-294
PREVIOUS ACTION/REFERRAL:
Board Order No.: N/A
Meeting of: N/A
File No.: N/A