Title
Health Services Department recommending Chairman be authorized to sign a letter addressed to the State of California, Department of Alcohol and Drug Program relinquishing the County’s Drug Medi-Cal contract with the State, and authorizing the local alcohol and drug service providers to contract directly with the State for Drug Medi-Cal funding.
FUNDING: State of California Drug Medi-Cal.
Body
Fiscal Impact/Change to Net County Cost:
Drug Medi-Cal funding was not included in the FY 2009-10 Addenda Budget. There is no Net County Cost associated with Drug Medi-Cal services.
Background:
The County of El Dorado, on behalf of the Health Services Department Alcohol and Drug Program (ADP), has historically contracted with the State of California Alcohol and Drug Program for Drug Medi-Cal funding. The Department has then contracted with local alcohol and drug service providers for Drug Medi-Cal counseling services. The contractors perform the required services, invoice the Department, and receive payment based on the terms and conditions of the service agreements. The County then submits invoices to the State for reimbursement of payments made to contractors for the services performed.
Of the fifty-eight (58) counties in California, currently seventeen (17) have authorized their ADP service providers to contract directly with the State for Drug Medi-Cal funding. The remaining forty-one (41) counties contract with the State and either subcontract for ADP counseling services with local providers or provide counseling services internally using county staff.
For FY 2008-09, the Drug Medi-Cal allocation to El Dorado County totaled $593,044. Although the Department retains a 10% administrative fee from the Drug Medi-Cal allocation (equating to $59,304 for FY 08-09), the cost incurred in supporting this contracted program exceeds the administrative fee. Activities include, but are not limited to:
1. Contract Development/Administration and Board Agenda Pr...
Click here for full text