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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 II to Agreement for Services 242-S1410 with Community Recovery Resources, for the provision of alcohol and drug treatment services, extending the term through June 30, 2018, and increasing the maximum contractual obligation by $300,000 for a maximum contractual obligation of $425,000; and
2) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 242-S1410, 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: Federal and State Funding.
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DEPARTMENT RECOMMENDATION
Health and Human Services Agency (HHSA), Mental Health Division, recommends the County of El Dorado Board of Supervisors approve and authorize the Chair to sign Amendment 2 to Agreement for Services 242-S1410 with Community Recovery Resources. 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 2 to Agreement for Services 242-S1410 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, Item 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.
On December 2, 2013, the Purchasing Agent executed Agreement for Services 242-S1410 with Community Recovery Resources, for a term commencing upon execution through June 30, 2014 and a maximum contractual obligation of $62,000. On May 20, 2014, HHSA presented to the Board of Supervisors, Amendment 1 to Agreement for Services 242-S1410 with Community Recovery Resources. The Board continued all May 20, 2014 agendized items to the June 10, 2014 Board of Supervisors meeting. Therefore, on June 10, 2014, the Board of Supervisors approved Amendment 1 to Agreement for Services 242-S1410, which extended the term to June 30, 2016 and increased the maximum contractual obligation to $125,000 (File ID 14-0692, Item 65).
The services provided by Community Recovery Resources continue to be a successful tool to support individuals and families of HHSA’s Mental Health Division. HHSA maintains agreements with multiple local vendors for the provision of Alcohol and Drug Program counseling and treatment services to ensure that all clients can be referred by their caseworker on an “as requested” basis to receive mandated services from the most conveniently located vendor.
ALTERNATIVES
Disapproval of Amendment 2 to Agreement for Services 242-S1410 will result in difficulty meeting the service demands of the community, will disrupt the progress and continuity of care for clients currently receiving services from Community Recovery Resources, and will result in an inability to provide the service levels mandated by the funding agreement.
OTHER DEPARTMENT / AGENCY INVOLVEMENT
County Counsel, Risk Management, Procurement and Contracts, and Human Resources
CAO RECOMMENDATION
It is recommended that the Board approve this item.
FINANCIAL IMPACT
There is no Net County Cost associated with this Agenda item. Sufficient appropriations were included in the fiscal year 2015-16 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 2 to Agreement for Services 242-S1410.
2. Clerk of the Board to return one (1) fully executed Amendment 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