Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Bi-Valley Medical Clinic, Inc., dba BAART Programs Carmichael, for the provision of Drug Medi-Cal Organized Delivery System Services services, provided under Agreement 5863 because (B) “Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;”
2) Approve and authorize the Chair to sign Agreement for Services 5863 with Bi-Valley Medical Clinic, Inc., dba BAART Programs Carmichael, with a not-to-exceed amount of $400,000, and for a term effective upon final execution through June 30, 2023; and
3) Authorize the HHSA Director, or designee, to execute further documents relating to Agreement 5863, 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: 70% Federal Medi-Cal, 5% State General Fund for Narcotic Treatment Program services, and 25% 2011 Realignment.
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DISCUSSION / BACKGROUND:
On May 23, 2017, the Board authorized the County to “opt in” to the Federal 1115 Waiver for a Drug Medi-Cal Organized Delivery System (DMC-ODS). Thereafter, on April 30, 2019, the Board approved Funding Agreement 18-95146 with 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.
DMC-ODS benefits include the following:
1) Outpatient services
2) Intensive outpatient services
3) Narcotic Treatment Program services
4) Residential treatment services for perinatal population
5) Residential Treatment services for eligible Medi-Cal beneficiaries of all ages with multiple levels of care;
6) Withdrawal Management services; and
7) Recovery Services, Case Management, Physician Consultation, Additional Medication-Assisted Treatment, and Partial Hospitalization.
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 funding 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, the Board approved renewal Funding Agreement 21-10027 with DHCS which includes the same terms and requirements as Funding Agreement 18-95146.
HHSA initiated Request for Qualifications (RFQ) 19-918-004, which closed on March 26, 2021, to ensure standardized service agreements for DMC-ODS providers that meet the requirements of the DMC-ODS funding and to meet network adequacy requirements. This proposed Agreement with Bi-Valley Medical Clinic, Inc., dba BAART Programs Carmichael is a new Agreement that will provide Narcotic Treatment Program services to El Dorado County beneficiaries. The proposed Agreement would ensure compliance with all Federal and State requirements and will continue to uphold parameters such as consistency in service delivery expectations, performance measures and outcomes, productivity, and funding.
ALTERNATIVES:
Should the Board decline to approve this Agreement, HHSA would be out of compliance with the Intergovernmental Funding Agreement for DMC-ODS services.
PRIOR BOARD ACTION:
1) 05/23/17, 17-0525, Approved participation in the DMC-ODS Waiver plan.
2) 04/30/19, 19-0525, Approved DMC-ODS Interdepartmental Funding Agreement
3) 09/21/21, 21-1360, Approved DMC-ODS Interdepartmental Funding Agreement
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Human Resources, and Risk Management. The Auditor-Controller has been notified per Board Policy B-12. Procurement and Contracts was included in the RFQ process per Board Policy C-17.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
Funding is covered by 70% Federal Medi-Cal, 5% State General Fund for Narcotic Treatment Program services, and 25% 2011 Realignment. Sufficient appropriations were included in the Fiscal Year 2021-22 Budget, and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Agreements for Services 5863; and
2) Clerk of the Board to return one (1) fully executed Agreement to HHSA Contracts Unit at 3057 Briw Rd, Suite B.
STRATEGIC PLAN COMPONENT:
“Public Safety: Protects the community, prevents crime, enforces the law, administers justice, provides rehabilitative services, and promptly responds to emergency and calls for service.”
“Healthy Communities: Improved health, well-being, and self-sufficiency of El Dorado County communities, residents, and visitors.”
CONTACT
Don Semon, Director, Health and Human Services Agency