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Health and Human Services Agency (HHSA) recommending the Board:
1) Authorize the Chair to execute the Drug Medi-Cal Organized Delivery System (DMC-ODS) Intergovernmental Agreement 25-50096 (Fenix 9726), and the accompanying Contractor Certification Clauses Form (CCC 04/2017), with Department of Health Care Services, a reimbursement-based revenue agreement with a “zero-dollar” maximum obligation, to allow the County to not be limited to a specified reimbursement amount for DMC-ODS services, for the retroactive term effective July 1, 2025, through December 31, 2026;
2) Authorize the HHSA Director, or Chief Assistant Director to execute amendments to Agreement 9726, contingent upon approval by County Counsel and Risk Management, which do not increase Net County Cost; and
3) Authorize the HHSA Director, Chief Assistant Director, or Chief Financial Officer (as applicable) to execute programmatic, administrative and financial documents relating to the DMC-ODS Agreement 9726.
FUNDING: The DMC-ODS is funded through federal Medi-Cal, with match funding from State General Fund and 2011 Behavioral Health Realignment.
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DISCUSSION / BACKGROUND:
The mission of HHSA’s Behavioral Health Substance Use Disorder (SUD) Program is to provide an array of evidence-based services designed to prevent and reduce alcoholism and drug addiction through the provision of education, prevention, treatment, and counseling services. Such services are offered directly through SUD Program staff and through contracts with community agencies. Funding for these valuable services has varied over the years; however, since at least 1990, the County has received state and federal funding to provide SUD treatment services and prevention programs through agreements with the DHCS, including Drug Medi-Cal (DMC) and federal Substance Use Block Grants (SUBG).
In August 2015, DHCS announced approval of California’s DMC-ODS Waiver Program, enacted to provide a continuum of care for SUD treatment ser...
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