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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Amendment I to Agreement for Services 2454 with Aegis Treatment Centers, LLC, for the provision of narcotic treatment program services, extending the term for two (2) years to cover the period of July 17, 2018 through June 30, 2021, with no change to the maximum obligation;
2) Make findings in accordance with County Ordinance 3.13.030 that it is more economical and feasible to contract with Aegis Treatment Centers, LLC for services provided under this Agreement 2454 because the County has neither the staff nor facilities to perform said services; and
3) Authorize the Purchasing Agent or their designee to execute further documents relating to Agreement for Services 2454, 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.
FUNDING: 47% Federal, 11% State, 26% Realignment, and 16% Other.
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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 (MHSUDS) Information Notice 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, Health and Human Services Agency (HHSA) clients receiving narcotic treatment services pursuant to HHSA’s current Agreement #220-F1811 with DHCS were paid for by the neighboring counties of Sacramento or Placer.
Aegis provides outpatient medication a...
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