Agenda

Return

C. 80

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	January 12, 2010

Contra

Costa

County

Subject:

Amendment #29-502-27 with the State of California, Department of Alcohol and Drug Programs

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/12/2010

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Gayle B. Uilkema, District II Supervisor
Mary N. Piepho, District III Supervisor
Susan A. Bonilla, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Haven Fearn 313-6350
cc:	J Pigg B Borbon

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: January 12, 2010
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director or his designee (Haven Fearn) to execute, on behalf of the County, Standard Agreement (Amendment) #29-502-27 (07-NNA07), with the State Department of Alcohol and Drug Programs, effective July 1, 2009 to amend Standard Agreement #29-502-22 (as amended by subsequent Amendments #29-502-23 through #29-502-26), to reflect a decrease in the State General Funds and an increase in Federal Block Grant and Federal Drug Medi-Cal funding, in a total amount not to exceed $765,253, for fiscal year 2009-2010, from $11,514,499, to a new payment limit of $10,749,246, not to exceed a new three year total amount of $32,815,492, with no change in the original term of July 1, 2007 through June 30, 2010.

FISCAL IMPACT:

Approval of this (Amendment) agreement will decrease funds for fiscal year 2009-2010 by $765,253 from the State, Federal and Federal Drug Medi-Cal as follows:

FISCAL IMPACT: (CONT'D)

FY 2009-10 As Amended Net Change
State General Funds $2,989,235 $ 2,179,361 ($809,874)
Federal Block Grants 6,438,596 6,443,064 4,468
Federal Drug/Med-Cal 2,086,668 2,126,821 40,153
TOTAL $11,514,499 $10,749,246 ($765,253)

No change in the required County match for this Agreement. Funding for this Contract is included in the Department’s fiscal year 2009-10 budget, of this three year Agreement. Based on current Medical claiming levels, no budgetary impact is expected from this amendment.

BACKGROUND:

This Standard Agreement #29-502 is a combined Negotiated Net Amount (NNA) and Drug/Medi-Cal contract. The NNA Agreement (effective July 1, 2007 through June 30, 2010) requires counties to provide Drug/Medi-Cal services up to their full State General Fund allocation for Drug/Medi-Cal match. If the required services exceed the allocation, counties may access a Drug/Medi-Cal reserve set aside for this purpose.

On May 6, 2008, the Board of Supervisors approved Standard Agreement #29-502-22 (as amended by subsequent Amendment Agreements #29-502-23 through #29-502-26), with the State Department of Alcohol & Drug Programs, for the period from July 1, 2007 through June 30, 2010, to provide Substance Abuse services. This Amendment Agreement reflects the anticipated FY 2009-2010 funding allocation and makes technical adjustments to the exhibits.

Approval of this Standard Agreement (Amendment) #29-502-27 will reflect a decrease in the State Medi-Cal and an increase in Federal Block Grant and Federal Medi-Cal anticipated fiscal year 2009-2010 funding allocation and allows continuation of the Substance Abuse services, Prevention and Treatment Program, through June 30, 2010.

VOTE OF SUPERVISORS

RECOMMENDATION(S):

FISCAL IMPACT:

FISCAL IMPACT: (CONT'D)

BACKGROUND:

CONSEQUENCE OF NEGATIVE ACTION:

CHILDREN'S IMPACT STATEMENT: