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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 Volunteers of America Northern California Northern Nevada, Inc. for the provision of Drug Medi-Cal Organized Delivery System (DMC-ODS) services provided under Agreement 5781 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 5781 with Volunteers of America Northern California Northern Nevada, for a term effective of upon execution through June 30, 2023, with a maximum obligation of $1,080,000 for the term of the Agreement; and
3) Authorize the Health and Human Services Agency Director or their designee to execute further documents relating to Agreement for Services 5781, 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 and State Funding: Federal - 80% Drug Medi-Cal and Substance Abuse Prevention and Treatment Block Grant; State - 10% State General Fund, 10% Realignment.
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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, 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 DMC beneficiaries while decreasing other system health care costs.
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 the 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.
Prior to the DMC-ODS, Drug Medi-Cal benefits included:
1) Outpatient services
2) Intensive outpatient services
3) Narcotic Treatment Program services
4) Residential treatment services for perinatal population
Additional benefits available from the DMC-ODS Waiver:
1) Residential Treatment services for eligible Medi-Cal beneficiaries of all ages with multiple levels of care.
2) Withdrawal Management services.
3) Recovery Services, Case Management, Physician Consultation, Additional Medication-Assisted Treatment, and Partial Hospitalization.
Agreement 5781 with Volunteers of America Northern California Northern Nevada will provide clinically managed residential withdrawal management, residential treatment, and case management services to women who are El Dorado County Medi-Cal beneficiaries, to include perinatal and non-perinatal services. The proposed Agreement would ensure compliance with all Federal and State requirements and will continue to uphold parameters such as consistency in service delivery expectations, performance measures and outcomes, productivity, and funding.
In accordance with Board of Supervisors Procurement Policy C-17, Section 7.11, the contractor selection process for service contracts in excess of $100,000 must include a review of the scope of services and contractor’s professional qualifications by a group of individuals (including at least one representative from outside the department requesting the services) qualified to judge the contractor’s ability to perform the services. The Health and Human Services Agency has documentation on file that such a review was performed for Agreement 5781.
ALTERNATIVES:
Should the Board decline to approve this Agreement, HHSA would be out of compliance with the Intergovernmental Funding Agreement for DMC-ODS services.
PRIOR BOARD ACTION:
1) 05/23/17, 17-0525, Approved participation in the DMC-ODS Waiver plan.
2) 04/30/19, 19-0525, Approved DMC-ODS Interdepartmental Funding Agreement
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
Approved by County Counsel, Human Resources, and Risk Management. The Auditor-Controller has been notified.
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with this Agenda item. Sufficient appropriations were included in the Fiscal Year 2021-22 budget and will be included in future budgets for the term of the Agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Agreements to Agreement for Services #5781; and
2) Clerk of the Board to return one (1) fully executed Agreement to HHSA Contracts Unit at 3057 Briw Rd, Suite B.
STRATEGIC PLAN COMPONENT:
Goal #1: “Public Safety: Protects the community, prevents crime, enforces the law, administers justice, provides rehabilitative services, and promptly responds to emergency and calls for service.”
Goal #5: “Healthy Communities: Improved health, well-being, and self-sufficiency of El Dorado County communities, residents, and visitors.”
CONTACT
Don Semon, Director, Health and Human Services Agency