Agenda

Return

C. 29

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	January 22, 2019

Contra

Costa

County

Subject:

Agreement Amendment #29-811-2 with the California Department of Health Care Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 01/22/2019

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:

Matthew White, M.D., 925-957-5201

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 22, 2019
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Standard Agreement Amendment #29-811-2 (State #16-93243, A02) with the California Department of Health Care Services (DHCS), to increase the amount payable to the County by $6,410,209 to a new total not to exceed $45,057,837, for additional Substance Use Disorder (SUD) treatment services under the Drug Medi-Cal Organized Delivery System (DMC-ODS) with no change in the original term of June 30, 2017 through June 30, 2019.

FISCAL IMPACT:

Approval of Standard Agreement Amendment #29-811-2 increases funding by $6,410,209 for SUD treatment under the DMC-ODS. No County match is required.

BACKGROUND:

On August 13, 2015, the DHCS received approval from the Centers for Medicare and Medicaid Services to implement the DMC-ODS waiver. The DMC-ODS is a pilot project authorized originally under the California’s Section 1115 Bridge to Reform Demonstration Waiver and continued in the Medi-Cal 2020 Waiver. The purpose of the pilot program is to test a new paradigm for organized delivery of health care services for Medicaid eligible individuals with a substance use disorder. Today, people with substance Use Disorders with Medi-Cal health coverage have limited treatment options available. The DMC-ODS Waiver allows any California county to “opt in” to provide a full continuum of services currently unavailable to Medi-Cal beneficiaries following submission and approval of a County Implementation Plan (CIP). Contra Costa County – specifically, the Behavioral Health Division’s Alcohol and Other Drug Services received DHCS approval of its CIP on August 10, 2016.

Approval of this Amendment #29-811-2 will increase the amount payable to the County for additional SUD treatment services, through June 30, 2019.

CONSEQUENCE OF NEGATIVE ACTION:

If this Amendment is not approved the County will not be reimbursed for additional SUD treatment services.