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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Agreement for Services 3284 with MedMark Treatment Centers, for the provision of Narcotic Treatment Program services, effective upon execution through June 30, 2020 with a maximum contractual obligation of $124,000;
2) Find in accordance with County Ordinance Section 3.13.030, it is more economical and feasible to engage an independent contractor for Narcotic Treatment Program services; and
3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 3284, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.
FUNDING: Estimated to be 50% Federal and 50% Realignment.
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DISCUSSION / BACKGROUND
On July 28, 2017, the California Department of Health Care Services (DHCS) released Mental Health Substance Use Disorder Services (MHSUDS) Information Notice No. 17-036 which obligates all Counties to provide Drug Medi-Cal (DMC) State Plan services to all beneficiaries who reside in that county per Section 2: Covered Services of Exhibit A, Attachment 1 of the “State/County” DMC contract and Government Code 30026.5 (e)(5). The Information Notice clarified that Counties are expected to establish contractual arrangements to ensure that the county of residence is financially responsible to pay for any DMC entitlement services being provided to its residents by another county. Historically, pursuant to HHSA’s current Agreement #220-F1811 with DHCS, HHSA’s clients receiving narcotic treatment services were only available in neighboring counties of Sacramento or Placer and were paid for by those counties.
NTPs provide outpatient medication assisted treatment and patient-centered substance abuse counseling. Treatment is provided by physicians, clinic and caseload managers and counselors, medical assistants, nu...
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