File #: 19-0421    Version: 1
Type: Agenda Item Status: Approved
File created: 3/11/2019 In control: Board of Supervisors
On agenda: 4/23/2019 Final action: 4/23/2019
Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Purchasing Agent to sign Agreement for Services 3792 with C.O.R.E. Medical Clinic, Inc., for the provision of Drug Medi-Cal Organized Delivery System (DMC-ODS), Narcotic Treatment Program (NTP) services in the amount of $69,877, with an effective date retroactive to April 1, 2019, through December 31, 2020; 2) Find in accordance with County Ordinance Section 3.13.030 it is more economical and feasible to engage an independent contractor for DMC-ODS and NTP services; and 3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 3792, 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. (Est. Time: 5 Min.) FUNDING: 47% Federal, 11% State, 26% Realignment, 16% Other, and 0% General Fund. Medi-Cal (including Federal Financial Participation ...
Attachments: 1. A - Approved Blue 3792 C.O.R.E. Medical Clinic 04/23/19, 2. B - 3792 C.O.R.E. Medical Clinic 04/23/19
Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Purchasing Agent to sign Agreement for Services 3792 with C.O.R.E. Medical Clinic, Inc., for the provision of Drug Medi-Cal Organized Delivery System (DMC-ODS), Narcotic Treatment Program (NTP) services in the amount of $69,877, with an effective date retroactive to April 1, 2019, through December 31, 2020;
2) Find in accordance with County Ordinance Section 3.13.030 it is more economical and feasible to engage an independent contractor for DMC-ODS and NTP services; and
3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 3792, 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. (Est. Time: 5 Min.)

FUNDING: 47% Federal, 11% State, 26% Realignment, 16% Other, and 0% General Fund. Medi-Cal (including Federal Financial Participation and State funding); and Behavioral Health Realignment.
Body
DISCUSSION / BACKGROUND
On July 28, 2017, the California Department of Health Care Services (DHCS) released Mental Health Substance Use Disorder Services (MHSUDS) Information Notice (IN) 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 program (NTP) services were only available in neighboring counties of Sacramento or Placer and were pa...

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