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Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
1) Approve and authorize the Chair to sign Amendment 3 to Agreement for Services 024-S1311 with Tahoe Youth and Family Services for the continued provision of Alcohol and Drug Program prevention, counseling, and treatment services by extending the term through June 30, 2017 and increasing the not-to-exceed compensation of the Agreement by $202,000 for a maximum obligation of $476,654; and
2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 024-S1311, 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: State and Federal Funding.
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DEPARTMENT RECOMMENDATION
Health and Human Services Agency (HHSA) recommends the County of El Dorado Board of Supervisors approve and authorize the Chair to sign Amendment 3 to Agreement for Services 024-S1311 with Tahoe Youth and Family Services. HHSA receives funding under an Agreement with the California Department of Health Care Services for the provision of Substance Use Disorder prevention and treatment which mandates HHSA to make substance abuse treatment services available to Medi-Cal beneficiaries through the utilization of Federal and State funds available pursuant to Title XIX and Title XXI of the Social Security Act. The County has neither the facilities nor the staff available to meet the service requirements. Failure to contract with community-based alcohol and drug treatment providers would result in an inability to meet the service demands of the community, as well as an inability to provide the service levels mandated by the funding agreement. HHSA recommends approval of Amendment 3 to allow continued provision of alcohol and drug counseling and treatment services for both existing and future clients.
DISCUSSION / BACKGROUND
The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services and is charged with improving the quality and availability of prevention, treatment, and rehabilitative services to reduce illness, death, disability, and cost to society resulting from substance abuse and mental illness. SAMHSA offers many grant opportunities, including the Substance Abuse Prevention and Treatment (SAPT) Federal block grant, which is mandated by the U.S. Congress to be used to fund substance abuse and mental health services. In California, the public system of care for the prevention and treatment of Substance Use Disorder (SUD) is overseen by the California Department of Health Care Services (DHCS) and is administered by counties. DHCS annually receives SAPT, Medicaid, and State Behavioral Health Realignment funding that it makes available to counties to provide these mandated substance abuse prevention and treatment services.
The County of El Dorado Board of Supervisors approved revenue Agreement 284-F1511 (DHCS 14-90055) with DHCS on December 2, 2014 for the provision of SUD services during the term of July 1, 2014 through June 30, 2017 (File ID 14-0612, Agenda #13). One of the missions of the HHSA is to provide an array of evidence-based services designed to prevent and reduce alcoholism and drug addiction. HHSA's SUD programs accomplish this mission through education, prevention, treatment, and counseling services offered directly through contracts with community agencies.
HHSA has contracted with Tahoe Youth and Family Services for the provision of Alcohol and Drug Program services since 2006. On August 14, 2012, the Board of Supervisors approved Agreement for Services 024-S1311 with Tahoe Youth and Family Services for the term July 1, 2012 through June 30, 2013 and a maximum contractual obligation of $85,233 (File ID 12-0934, Agenda #6). On September 10, 2013, the Board of Supervisors approved Amendment 1 to Agreement for Services 024-S1311, thereby extending the term to June 30, 2014 and increasing the maximum contractual obligation to $179,654 (File ID 12-0934, Agenda #24). On March 11, 2014, the Board of Supervisors approved Amendment 2 to Agreement for Services 024-S1311, thereby extending the term to June 30, 2015 and increasing the maximum contractual obligation to $274,654 (File ID 12-0934, Agenda #16). Amendment 3 to Agreement for Services 024-S1311 increases the term to June 30, 2017 and increases the maximum contractual obligation by $202,000 for a maximum obligation of $476,654. Maximum contractual obligations are determined based upon historical financial analysis and taking into consideration other factors such as changes in the Drug Medi-Cal services and client Medi-Cal eligibility.
ALTERNATIVES
The Board of Supervisors may elect to allocate funding from the SUD Agreement to other community-based alcohol and drug prevention, counseling, and treatment providers.
OTHER DEPARTMENT / AGENCY INVOLVEMENT
County Counsel, Risk Management, Human Resources, Procurement and Contracts
CAO RECOMMENDATION
It is recommended that the Board approve this item if it wants to continue the provision of alcohol and drug counseling and treatment services for both existing and future clients.
FINANCIAL IMPACT
There is no Net County Cost associated with this Agreement. Sufficient appropriations were included in the fiscal year (FY) 2014-15 budget, and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1. Clerk of the Board to obtain signature of Chair on two (2) original Amendment 3 to Agreement for Services 024-S1310.
2. Clerk of the Board to return one (1) fully executed Agreement to HHSA at 3057 Briw Road.
STRATEGIC PLAN COMPONENT
Health and Human Services Agency Strategic Plan Project 3.2, "External/Community Collaboration."
CONTACT
Don Ashton, M.P.A., Director