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File #: 21-0205    Version: 1
Type: Agenda Item Status: Approved
File created: 2/3/2021 In control: Board of Supervisors
On agenda: 4/20/2021 Final action: 4/20/2021
Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Chair to sign Amendment I to Agreement for Services 4300 with Aegis Treatment Centers, LLC, for the provision of Drug Medi-Cal Organized Delivery System Services, increasing the not to exceed amount by $106,000 for a new maximum obligation of $788,922, with no change to the term of the Agreement; 2) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Aegis Treatment Centers, LLC. for services provided under this Agreement 4300 because (B) “Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;” and 3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 4300, 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: ...
Attachments: 1. A - Approved CRS 04-20-21, 2. B - Agreement 4300 A1 04-20-21, 3. C - Original Agreement 4300 04-20-21, 4. Executed Agreement 4300
Related files: 19-0811, 19-0525, 17-0525, 21-0507
Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Amendment I to Agreement for Services 4300 with Aegis Treatment Centers, LLC, for the provision of Drug Medi-Cal Organized Delivery System Services, increasing the not to exceed amount by $106,000 for a new maximum obligation of $788,922, with no change to the term of the Agreement;
2) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Aegis Treatment Centers, LLC. for services provided under this Agreement 4300 because (B) “Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;” and
3) Authorize the Purchasing Agent, or designee, to execute further documents relating to Agreement for Services 4300, 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 Medi-Cal with matched funding from 2011 Behavioral Health Realignment and State General Fund for Residential and Outpatient Intensive Treatment services for the expanded population.
Body
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).

On April 30, 2019, the Board approved Funding Agreement 18-95146 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 numbe...

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