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Health and Human Services Agency (HHSA) recommending the Board:
1) Approve the use of the attached Drug Medi-Cal Organized Delivery System (DMC-ODS) services boilerplate agreement thereby ensuring HHSA’s Substance Use Disorder program enters into agreements with State Drug Medi-Cal-certified providers for the provision of substance use disorder services, using standardized language in an expedited process; and
2) Approve and authorize the Director of HHSA to sign DMC-ODS services agreements with DMC-certified providers, contingent upon approval by Counsel, Human Resources, and Risk Management.
FUNDING: Estimated 70% Federal Medi-Cal with 25% matched funding from 2011 Behavioral Health Realignment and 5% State General Fund for Residential and Outpatient Intensive Treatment services for the expanded population.
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DISCUSSION / BACKGROUND:
On May 23, 2017, the Board authorized the County to “opt in” to the Federal 1115 Waiver for a Drug Medi-Cal Organized Delivery System (DMC-ODS) (File ID: 17-0525).
On April 30, 2019, the Board approved Funding Agreement 18-95146 (File ID: 19-0525) with California Department of Health Care Services, which allowed the County to move forward with the DMC-ODS Waiver plan and begin contracting with Drug Medi-Cal (DMC)-certified service providers. By opting in to participate in this program, the County is obligated to establish sufficient capacity to meet the needs of the target population. In accordance with the requirements of the DMC-ODS funding Agreement, the County must comply with 42 Code of Federal Regulations (CFR) Section 438.207 and maintain a network of providers that is sufficient in number, mix, and geographic distribution to meet the needs of the anticipated number of beneficiaries in the service area.
In preparation for the DMC-ODS program, the Health and Human Services Agency (HHSA) initiated a Request for Qualifications (RFQ) 19-918-004 on July 10, 2018 to ensure standardized service agreements for ...
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