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Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings that the provision of Drug Medi-Cal Organized Delivery System (DMC-ODS) services provided by Wellspace Health are in the public's best interest and that there are specialty skills, qualifications, and equipment not expressly identified in County classifications involved in the performance of the work in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(B);
2) Approve and authorize the Chair to sign Amendment I to Agreement for Services 5376 with Wellspace Health to provide DMC-ODS services, increasing compensation by $655,000, for a new not-to-exceed amount of $2,130,000, revising the standard terms, and extending the term by one (1) year, effective upon execution through June 30, 2024; and
3) Authorize the HHSA Director or the HHSA Behavioral Health Director to execute further documents relating to Agreement 5376, contingent upon approval by County Counsel and Risk Management, including amendments which do not increase the maximum dollar amount or term of the Agreement.
FUNDING: 76% Federal Medi-Cal, 10% State Medi-Cal, 2% State Realignment, and 12% Federal Substance Abuse Prevention and Treatment Block Grant.
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DISCUSSION / BACKGROUND:
On May 23, 2017 (File ID: 17-0525), the Board of Supervisors (Board) authorized the County to “opt in” to the Federal 1115 Waiver for a DMC-ODS.
On April 30, 2019 (File ID: 19-0525), the Board approved Funding Agreement 18-95146 with the California Department of Health Care Services (DHCS), which allowed the County to move forward with the DMC-ODS Waiver plan and begin contracting with Drug Medi-Cal (DMC) certified service providers. By opting in to participate in this program, the County is obligated to establish sufficient capacity to meet the needs of the target population. In accordance with the requirements of the DMC-ODS Agreement, the County must comply with 42 Code of Federal Regulations (CFR) Section 438.207 and maintain a network of providers that is sufficient in number, mix, and geographic distribution to meet the needs of the anticipated number of beneficiaries in the service area. Subsequently, on September 21, 2021 (File ID 21-1360), the Board approved the renewal of this funding under Funding Agreement 21-10027 with DHCS for the provision of DMC-ODS services, which included the same terms and requirements as DHCS Funding Agreement 18-95146.
HHSA initiated the Request for Qualifications (RFQ) 19-918-004, which closed on March 26, 2021, to ensure standardized service agreements for DMC-ODS providers that met the requirements of the DMC-ODS funding and to meet network adequacy requirements.
Subsequently, on June 29, 2021 (File ID: 21-0504), the Board approved and executed Agreement 5376 with Wellspace Health for the provision of DMC-ODS to El Dorado County DMC beneficiaries. This Amendment I to Agreement for Services 5376 with WellSpace Health is necessary to extend the term by one (1) year through June 30, 2024, and to add additional funding to allow the Provider to continue to provide these mandated services to County DMC-eligible beneficiaries and ensure compliance with all Federal and State requirements.
Amendment I to Agreement for Services 5376 will allow HHSA to continue to uphold the DMC-ODS parameters such as consistency in service delivery expectations, performance measures, outcomes, productivity, and funding.
ALTERNATIVES:
Should the Board decline to approve this Amendment I to Agreement 5376, HHSA would be out of compliance with the Intergovernmental Funding Agreement for DMC-ODS services.
PRIOR BOARD ACTION:
1) 09/21/21, 21-1360, Approved DMC-ODS Interdepartmental Funding Agreement Agmt 21-10027
2) 06/29/21, 21-0504. Approved Agreement 5376 with Wellspace Health
3) 07/23/19, 19-0811, Approved Agreement 4556 with Wellspace Health
4) 04/30/19, 19-0525, Approved DMC-ODS Interdepartmental Funding Agreement Agmt 18-95146
5) 05/23/17, 17-0525, Approved participation in the DMC-ODS Waiver plan.
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Human Resources, and Risk Management. The Auditor-Controller was notified in accordance with Policy B-12.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with Amendment I to Agreement 5376. The agreement is funded by Federal Medi-Cal, State Medi-Cal, State Realignment and SABG funding. Sufficient appropriations are included in the Fiscal Year 2023-24 Recommended Budget request.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on one (1) Amendment I to Agreement 5376; and
2) Clerk of the Board to return one (1) fully executed Agreement to HHSA Contracts Unit via email to hhsa-contracts@edcgov.us
STRATEGIC PLAN COMPONENT:
Healthy Communities, Improved Health, Well-being, and Self-sufficiency of El Dorado County communities, residents, and visitors
CONTACT
Olivia Byron-Cooper, MPH, Interim Director, Health and Human Services Agency