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File #: 21-0504    Version: 1
Type: Agenda Item Status: Approved
File created: 3/23/2021 In control: Board of Supervisors
On agenda: 6/29/2021 Final action: 6/29/2021
Title: Health and Human Services Agency recommending the Board: 1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Wellspace Health for the provision of Drug Medi-Cal Organized Delivery System Services because (B) “Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;” 2) Approve and authorize the Chair to sign Agreement for Services 5376 with Wellspace Health for the term of July 1, 2021 through June 30, 2023, with a maximum obligation of $1,475,000 for the term of the Agreement; and 3) Authorize the Health and Human Services Agency Director, or designee, to execute further documents relating to Agreement for Services 5376, contingent upon County Counsel and Risk Management approval, including amendments which do not increase the maximum dollar amount or term of the Agreement. FUNDING: 53% Federal Medi-Cal, 11% State Medi-Cal, 15% State Realignment, 11% State Mental H...
Attachments: 1. A - Approved CRS 06-29-21, 2. B - Agreement 5376 06-29-21, 3. Executed Agreement 5376
Related files: 19-0811, 19-0525, 17-0525
Title
Health and Human Services Agency recommending the Board:
1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to contract with Wellspace Health for the provision of Drug Medi-Cal Organized Delivery System Services because (B) “Specialty skills and qualifications not expressly identified in classifications are involved in the performance of the work;”
2) Approve and authorize the Chair to sign Agreement for Services 5376 with Wellspace Health for the term of July 1, 2021 through June 30, 2023, with a maximum obligation of $1,475,000 for the term of the Agreement; and
3) Authorize the Health and Human Services Agency Director, or designee, to execute further documents relating to Agreement for Services 5376, contingent upon County Counsel and Risk Management approval, including amendments which do not increase the maximum dollar amount or term of the Agreement.

FUNDING: 53% Federal Medi-Cal, 11% State Medi-Cal, 15% State Realignment, 11% State Mental Health Services Act, and 10% Federal Substance Abuse Prevention and Treatment Block Grant.
Body
DISCUSSION / BACKGROUND:
The Drug Medi-Cal Organized Delivery System (DMC-ODS) provides a continuum of care modeled after the American Society of Addiction Medicine Criteria for substance use disorder treatment services. DMC-ODS enables more local control and accountability, provides greater administrative oversight, creates utilization controls to improve care and efficient use of resources, implements evidenced based practices in substance abuse treatment, and coordinates with other systems of care. This approach provides the beneficiary receiving services with access to the care and system interaction needed in order to achieve sustainable recovery. DMC-ODS and its organized substance use disorder care increases the success of Drug Medi-Cal (DMC) beneficiaries while decreasing other system health care costs.

On May 23, 2017, the Board authorized the County to “opt in” to the F...

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