Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Approve and authorize the Chair to sign Amendment I to non-financial Memorandum of Understanding 3362 (MOU) with Kaiser Foundation Health Plan, Inc. (formerly identified as KP Cal, LLC [Kaiser]), establishing the roles and responsibilities in the provision of Substance Abuse Disorder services for the beneficiaries of the Medi-Cal Managed Care program administered by Kaiser, for a new term that shall renew automatically unless terminated by either party;
2) Authorize the HHSA Director, or designee, to execute further documents relating to the MOU, including amendments that do not add compensation or alter the term of the MOU, contingent upon approval by County Counsel and Risk Management; and
3) Authorize the HHSA Director, or designee, to execute any administrative documents relating to said MOU including required fiscal and programmatic reports.
FUNDING: This is a non-financial MOU.
Body
DISCUSSION / BACKGROUND:
On May 23, 2017, the Board authorized the HHSA Director to opt in to the Federal 1115 Waiver for a Drug Medi-Cal Organized Delivery System (DMC-ODS) and to continue to develop opportunities for expanding the local continuum of care for substance use treatment. The DMC-ODS pilot status of the program in accordance with Federal 1115 Waiver ended on 12/31/2021. The DMC-ODS program continues pursuant to CalAIM, effective January 2022, and offers California counties the opportunity to expand access to quality care for Medi-Cal enrollees with substance use disorders (SUD). The goal of the program is to demonstrate how organized SUD care improves beneficiary health outcomes, while decreasing system-wide health care costs.
Counties that choose to participate in the DMC-ODS are required to provide access to a full continuum of SUD benefits utilizing the American Society of Addiction Medicine (ASAM) Criteria. This approach is expected to provide eligible Medi-Cal enrollees with acces...
Click here for full text