Agenda

Return

C. 48

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	June 20, 2017

Contra

Costa

County

Subject:

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

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 06/20/2017

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:	Cynthia Belon, 925-957-5201
cc:	L Walker M 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: June 20, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee, Cynthia Belon, to execute, on behalf of the County, Standard Agreement #29-811 (State #16-93243), with the California Department of Health Care Services, for Substance Use Disorder (SUD) treatment services under the Drug Medi-Cal Organized Delivery System (DMC-ODS), for the period from June 30, 2017 through June 30, 2019.

FISCAL IMPACT:

Approval of Standard Agreement #16-93243 will result in an amount not to exceed $63,951,162 for DMC-ODS pilot project through June 30, 2019 ot the Health Services Department. A County General Fund match of $2,280,821 is required, and will be budgeted within the Department's annual allocations through the three year grant period. No increase in General Fund allocations will be required.

BACKGROUND:

On August 13, 2015, the California Department of Health Care Services (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 last August 10, 2016.

Approval of this contract will allow the County to participate in the DMC-ODS Waiver and will expand and enhance substance use disorder services for Contra Costa residents. This agreement is also the vehicle for supporting the continuation of federal block grant for Prevention and Treatment Programs.

CONSEQUENCE OF NEGATIVE ACTION:

If this agreement is not approved the County will not receive funding and will not meet the conditions and requirements of the State Department of Health Services for SUD services under the DMC-ODS.