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File #: 21-1151    Version: 1
Type: Agenda Item Status: Approved
File created: 7/7/2021 In control: Board of Supervisors
On agenda: 8/31/2021 Final action: 8/31/2021
Title: Health and Human Services Agency (HHSA) recommending the Board rescind direction from 2007 directing the use of a standardized rate structure for therapeutic counseling and other associated or like services using the State-approved Drug Medi-Cal fee-for-service rate, and approve HHSA to begin negotiating rates for the purchase of therapeutic counseling and other associated/or like services for clients of the Social Services and Behavioral Health divisions. FUNDING: Various funding, including but may not be limited to Federal Medi-Cal, State General Fund, Federal Title IV-E TANF and IV-B Block Grants, Behavioral Health Realignment, Social Services Realignment, etc.
Attachments: 1. A - MasterReport 10-2-07 07-1474 8/31/21, 2. B - 2007 Revised Standardized Rate Structure 10-1-07 8/31/21
Related files: 07-1474
Title
Health and Human Services Agency (HHSA) recommending the Board rescind direction from 2007 directing the use of a standardized rate structure for therapeutic counseling and other associated or like services using the State-approved Drug Medi-Cal fee-for-service rate, and approve HHSA to begin negotiating rates for the purchase of therapeutic counseling and other associated/or like services for clients of the Social Services and Behavioral Health divisions.

FUNDING: Various funding, including but may not be limited to Federal Medi-Cal, State General Fund, Federal Title IV-E TANF and IV-B Block Grants, Behavioral Health Realignment, Social Services Realignment, etc.
Body
DISCUSSION / BACKGROUND:
On October 2, 2007, (File ID: 07-1474) the Board of Supervisors adopted and approved a standardized rate structure based on the then current State-approved Drug Medi-Cal (DMC) fee-for-service rate as an ongoing benchmark for the purchase of therapeutic counseling and other associated or like services for clients of the Human Services and Public Health Departments (specifically the Alcohol and Drug Program in Public Health). The purpose of the described standardized rate structure was to facilitate a more efficient and cost-effective service delivery system. Additionally, in 2007, the Public Health and Mental Health Departments merged into the Health Services Department, and subsequent to that, the Health Services and Human Services departments merged into the Health and Human Services Agency. Throughout these organizational changes, the various divisions within the Agency have adhered to the Board direction to use the standardized rate structure.

In 2015, the Centers for Medicare and Medicaid Services approved a request from the State of California, Department of Health Care Services (DHCS) to begin a pilot program for participation in the Drug Medi-Cal Organized Delivery System (DMC-ODS) Waiver project, which transitioned the provision of Substance Use Disor...

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