Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Award a proposal received in response to Request for Proposal 22-952-009, to Recover Medical Group P.C., a California Professional Corporation (Recover), to provide Drug Medi-Cal Organized Delivery System (DMC-ODS) Levels of Care 1.0 Outpatient and 2.1 Intensive Outpatient virtual telehealth services to adults and youth residents in El Dorado County; and
2) Authorize HHSA to negotiate a three (3) year Agreement for Services with Recover, for an estimated budget not to exceed $2,044,176 for Fiscal Years 2022-23, 2023-24, and 2024-25, and return to the Board for approval of the Agreement upon completion of the negotiations.
FUNDING: 73% Federal Medicaid, 3% Federal Substance Abuse Prevention and Treatment Block Grant, 11% 2011 Behavioral Health Realignment, 10% State General Fund, and 3% Public Safety Realignment (AB109) funding, available pursuant to Title XIX of the Social Security Act and Medicaid State Plan.
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DISCUSSION / BACKGROUND:
The Drug Medi-Cal Organized Delivery System (DMC-ODS) provides a continuum of care modeled after the American Society of Addiction Medicine Criteria for substance use disorder treatment services. DMC-ODS enables more local control and accountability, provides greater administrative oversight, and it creates utilization controls to improve care and efficient use of resources. Counties that participate in DMC-ODS implement evidenced based practices in substance abuse treatment and coordinate across other systems of care, contracting with local services providers to support residents' needs. This approach is intended to provide the beneficiary with access to the care and system interaction needed in order to achieve sustainable recovery. DHCS initially received approval in August 2015 from the Centers for Medicare & Medicaid Services (CMS) to implement the DMC-ODS through the State's prior Section 1115 demonstration.
Prior to the DMC-ODS, Drug Medi-...
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