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C. 40
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: November  29, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Standard Agreement #29-502-48 with the California Department of Health Care Services

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   11/29/2022
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: Suzanne Tavano, 925-957-5501
cc: Marcy Wilhelm    
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:     November  29, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Standard Agreement #29-502-48 (State #22-20151) with the California Department of Health Care Services (DHCS), to pay the County an amount not to exceed $193,200,000, to provide substance abuse prevention, treatment and recovery support services to County residents through the authority of Federal Substance Abuse Prevention and Treatment Block Grants (SABG), for the period July 1, 2022 through June 30, 2027.

FISCAL IMPACT:

This agreement will provide funding to the County in an amount not to exceed $193,200,000 for the SABG for a five-year term. No County match is required.

BACKGROUND:

DHCS provides funding to counties for Substance Abuse Disorder (SUD) prevention and treatment services through a contractual mechanism. This contract is supported by State General Fund, Federal Substance Abuse Prevention and Treatment (SAPT) Block Grant and the Federal share of reimbursement claimed for Drug Medi-Cal services. The County has been contracting with DHCS for these services since 1998.  



BACKGROUND: (CONT'D)
  
On November 5, 2019, the Board of Supervisors approved Standard Agreement #29-502-45 with DHCS, to pay the County an amount not to exceed $64,760,373 to provide SUD prevention and treatment services, for the period from July 1, 2019 through June 30, 2022.   
  
On April 20, 2021, the Board of Supervisors approved Amendment Agreement #29-502-47 with DHCS to decrease the amount payable by $1,222,762 to new total of $63,537,611 for continued Drug Medical Substance Abuse Treatment Services with no change in the original term.
Approval of this Standard Agreement #29-502-48 allows the County to continue to receive SABG allocation funds and allow the Department to continue providing substance abuse services to Contra Costa County residents, through June 30, 2027. In accordance with this agreement, the County agrees to indemnify and hold the State harmless for claims arising out of the County’s performance under the Agreement.   
  
This agreement is being processed late due to language revisions by DHCS regarding new federal and state requirements.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved, the County will not receive funding to support the continuation of substance abuse services in Contra Costa County.

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