To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: Majority
SUBJECT:
title
Intergovernmental Agreement with the California Department of Health Care Services Regarding the Provision of Substance Use Disorder Treatment Services to Eligible Medi-Cal Beneficiaries in Humboldt County
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Waive the requirements of the Humboldt County Nuclear Free Ordinance with regard to the attached intergovernmental agreement with the California Department of Health Care Services;
2. Approve, and authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute, the attached intergovernmental agreement with California Department of Health Care Services regarding the provision of substance use disorder treatment services to eligible Medi-Cal beneficiaries in Humboldt County for the period of July 1, 2023 through June 30, 2027;
3. Authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to, and any other certifications, attestations, agreements and documents directly associated with, the attached intergovernmental agreement with the California Department of Health Care Services, after review and approval by County Counsel, Risk Management and the County Administrative Office; and
4. 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 for submission to the California Department of Health Care Services.
Body
SOURCE OF FUNDING:
Alcohol and/or Other Drug Fund (1180-425)
DISCUSSION:
In April 2020, the Humboldt County Board of Supervisors (“Board”) authorized the Humboldt County Department of Health and Human Services - Behavioral Health (“DHHS - Behavioral Health”) to opt into the Drug Medi-Cal Organized Delivery System (“DMC-ODS”) pilot project and authorized funding for providing covered DMC-ODS services within Humboldt County. The DMC-ODS pilot project allows California counties to dramatically expand, improve and reorganize its system for treating people with substance use disorder. Participation in the program requires that counties provide access to a full continuum of substance use disorder services modeled after the American Society of Addiction Medicine criteria.
Partnership HealthPlan of California, the County of Humboldt and seven (7) other Northern California counties submitted a DMC-ODS Implementation Plan, now known as the Wellness and Recovery Program, to identify and provide covered DMC-ODS services for each counties’ eligible Medi-Cal beneficiaries under the oversight of Partnership HealthPlan of California. In August 2021, DHHS - Behavioral Health entered into a memorandum of understanding with Partnership HealthPlan of California that details each party’s rights and responsibilities regarding participation in the Wellness and Recovery Program. This memorandum of understanding specifically ensures that Partnership HealthPlan of California will provide oversight for compliance with DMC-ODS requirements and allows certified DMC-ODS providers to submit invoices for the provision of eligible Drug Medi-Cal services to the California Department of Health Care Services through Partnership HealthPlan of California.
The attached intergovernmental agreement with the California Department of Health Care Services sets forth the terms, conditions, principles and general requirements that DHHS - Behavioral Health must meet in order to receive DMC-ODS funding for the provision of substance use disorder treatment services to eligible Medi-Cal beneficiaries in Humboldt County for the period of July 1, 2023 through June 30, 2027. The attached intergovernmental agreement with the California Department of Health Care Services comes to the Board after the start date thereof due to inadvertent delays that occurred during the contract development process.
Accordingly, DHHS - Behavioral Health recommends that the Board approve, and authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute, the attached intergovernmental agreement with the California Department of Health Care Services, regarding the provision of substance use disorder treatment services to eligible Medi-Cal beneficiaries in Humboldt County for the period of July 1, 2023 through June 30, 2027. It is also recommended that the Board authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to, and any other certifications, attestations, agreements and documents directly associated with, the attached intergovernmental agreement with the California Department of Health Care Services, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to avoid any unnecessary delays in the provision of needed substance use disorder services to eligible Medi-Cal beneficiaries in Humboldt County.
FINANCIAL IMPACT:
|
Expenditures (1180-425) |
FY23-24Adopted |
FY24-25 Projected |
FY25-26 Projected |
|
Budgeted Expenses |
$4,165,592.00 |
$4,373,871.00 |
$4,373,871.00 |
|
Total Expenditures |
$4,165,592.00 |
$4,373,871.00 |
$4,373,871.00 |
|
Funding Sources (1180-425) |
FY23-24Adopted |
FY24-25 Projected* |
FY25-26 Projected* |
|
State/Federal Funds |
$4,165,592.00 |
$4,373,871.00 |
$4,373,871.00 |
|
Total Funding Sources |
$4,165,592.00 |
$4,373,871.00 |
$4,373,871.00 |
*Projected amounts are estimates and are subject to change.
The attached intergovernmental agreement with the California Department of Health Care Services authorizes DHHS - Behavioral Health to seek reimbursement for up to Forty-Seven Million Seven Hundred Thirty Thousand Two Hundred Forty Dollars ($47,730,240.00) for the provision of substance use disorder treatment services to eligible Medi-Cal beneficiaries for the period of July 1, 2023 through June 30, 2027. Revenue and expenditure appropriations related to the attached intergovernmental agreement with the California Department of Health Care Services have been included in the approved fiscal year 2023-2024 budget for DHHS - Behavioral Health Substance Use Disorder budget unit 1180-425. As a result, approval of the attached intergovernmental agreement with the California Department of Health Care Services will not impact the Humboldt County General Fund.
STAFFING IMPACT:
Approval of the attached intergovernmental agreement with the California Department of Health Care Services 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 providing community-appropriate levels of service.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the attached the attached intergovernmental agreement with the California Department of Health Care Services regarding the provision of substance use disorder treatment services to eligible Medi-Cal Beneficiaries in Humboldt County. However, this alternative is not recommended since it will not allow the County of Humboldt to obtain funding to provide the expanded substance use disorder treatment services authorized by the DMC-ODS Wellness and Recovery Program.
ATTACHMENTS:
1. Intergovernmental Agreement with the California Department of Health Care Services Regarding the Provision of Substance Use Disorder Treatment Services to Eligible Medi-Cal Beneficiaries in Humboldt County
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-18; C-16; C-8; C-10; C-13; C-10
Meeting of: 6/26/01; 5/25/04; 5/15/07; 5/25/10; 12/2/14; 4/28/2020
File No.: N/A; N/A; N/A; N/A; 14-1134; 20-456