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Health and Human Services Agency recommending the Board approve and authorize the Chair to sign Memorandum of Understanding 3732 with Placer County for the reimbursement of Narcotic Treatment Program Service expenses in the amount of $80,000, for the retroactive term July 1, 2017 through July 31, 2018. (Est. Time: 5 Min.)
FUNDING: 100% State Funding: 1991 and 2011 Mental Health 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 Information Notice No. 17-036 (attachment C) which obligates all counties to provide Drug Medi-Cal (DMC) State Plan services to County residents, including services provided in another County, per Section 2: Covered Services of Exhibit A, Attachment 1 of the “State/County” DMC contract and Government Code 30026.5 (e)(5). Information Notice (IN) 17-036 clarified that counties are expected to establish contractual arrangements to ensure that the county of residence is financially responsible to pay for any DMC services being provided to its residents by another county. HHSA is therefore recommending the Board approve Memorandum of Understanding (MOU) 3732 with Placer County (Placer) to reimburse Placer for services provided to residents of El Dorado County.
On July 17, 2018, the Board of Supervisors approved Agreement 2454 between El Dorado County (EDC) and Aegis Treatment Center (Aegis), a provider of Narcotic Treatment Program (NTP) Services in Placer. (File ID: 18-0233, Item No. 13)
Historically, NTP Services received in another county by EDC residents were paid for by the County of service. Prior to the execution of Agreement 2454 with Aegis in July 2018, Placer ensured Aegis received payment for both the State and Federal (known as the Federal Financial Participation or FPP) portions of Medi-Cal for EDC residents.
However, according to IN 17-036, starting in fiscal year 2016-17, EDC became ...
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