To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: 4/5th
SUBJECT:
title
Supplemental Budget Regarding Local, State and Federal Behavioral Health Funding to be Used for Support and Care of Clients (4/5 Vote Required)
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve the Supplemental Budget regarding local, state and federal behavioral health funding in the amount of Three Million Nine Hundred Twenty-Five Thousand Two Hundred Seventy-Eight Dollars ($3,925,278.00) for Department of Health and Human Services - Behavioral Health budget unit 1180-425 (4/5 vote required).
Body
SOURCE OF FUNDING:
Behavioral Health Fund (1180-425)
DISCUSSION:
In August 2015, the Center for Medicaid Services approved a section 1115 waiver allowing California to implement a demonstration project to dramatically expand, improve and reorganize its system for treating people with substance use disorder. This project became the Drug Medi-Cal Organized Delivery System (“DMC-ODS”) which 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 full administration of the DMC-ODS program, subject to various state and federal approvals, to Partnership HealthPlan of California. In the general financial structure of the Regional Model, each participating county will pay Partnership HealthPlan of California a single, per utilizer per month (“PU/PM”) rate in exchange for Partnership HealthPlan of California administering the mandated DMC-ODS services. Participating counties receive Federal Drug Medi-Cal reimbursement based on PU/PM. The County of Humboldt is contracted as a provider of DMC-ODS services through Partnership HealthPlan of California.
Since 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 PU/PM services, administrative fees and room and board costs. Fiscal year 2022-2023 projected expenditures include supplemental invoicing of approximately One Million Dollars ($1,000,000.00) from PHC for prior year services.
FINANCIAL IMPACT:
|
Expenditures (1180425) |
FY22-23 Adopted |
FY23-24 Projected |
FY24-25 Projected |
|
Budgeted Expenses |
$2,638,909.00 |
$5,501,047.00 |
$5,776,100.00 |
|
Additional Appropriation Requested |
$3,925,278.00 |
$$ |
$$ |
|
Total Expenditures |
$6,564,187 |
$5,501,047.00 |
$5,776,100.00 |
|
Funding Sources (1180425) |
FY22-23 Adopted |
FY23-24 Projected* |
FY24-25 Projected* |
|
State/Federal Funds |
$6,564,187.00 |
$5,501,047.00 |
$5,776,100.00 |
|
Total Funding Sources |
$6,564,187.00 |
$5,501,047.00 |
$5,776,100.00 |
*Projected amounts are estimates and are subject to change.
The Humboldt County Department of Health and Human Services - Behavioral Health (“DHHS - Behavioral Health”) requests approval of the attached supplemental budget for DHHS - Behavioral Health budget unit 1180-425 to increase support and care expenditures by Three Million Nine Hundred Twenty-Five Thousand Two Hundred Seventy-Eight Dollars ($3,925,278.00). Funding sources for the supplemental budget include State Drug Medi-Cal, Federal Drug Medi-Cal, Opioid Crisis settlement, Probation Drug Medi-Cal match contribution, Behavioral Health Realignment and CalWORKS Mental Health/Substance Use allocation.
STAFFING IMPACT:
Approval of the attached supplemental budget for DHHS - Behavioral Health budget unit 1180-425 will not impact current staffing levels.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by protecting vulnerable populations, creating opportunities for improved safety and health and managing resources to ensure sustainability of services.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the attached supplemental budget and direct staff to take no action. However, this alternative is not recommended as the expansion of substance use disorder services supports community safety and self-reliance of Drug Medi-Cal beneficiaries residing in Humboldt County.
ATTACHMENTS:
1. Supplemental Budget Regarding Local, State and Federal Behavioral Health Funding in the Amount of Three Million Nine Hundred Twenty-Five Thousand Two Hundred Seventy-Eight Dollars ($3,925,278.00) for Department of Health and Human Services - Behavioral Health Budget Unit 1180-425
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-10
Meeting of: 4/28/2020
File No.: 20-456