File #: 23-0720    Version: 1
Type: Agenda Item Status: Approved
File created: 3/30/2023 In control: Board of Supervisors
On agenda: 5/16/2023 Final action: 5/16/2023
Title: Health and Human Services Agency (HHSA) recommending the Board: 1) Make findings that the provision of Drug Medi-Cal Organized Delivery System (DMC-ODS) services provided by Wellspace Health are in the public's best interest and that there are specialty skills, qualifications, and equipment not expressly identified in County classifications involved in the performance of the work in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(B); 2) Approve and authorize the Chair to sign Amendment I to Agreement for Services 5376 with Wellspace Health to provide DMC-ODS services, increasing compensation by $655,000, for a new not-to-exceed amount of $2,130,000, revising the standard terms, and extending the term by one (1) year, effective upon execution through June 30, 2024; and 3) Authorize the HHSA Director or the HHSA Behavioral Health Director to execute further documents relating to Agreement 5376, contingent upon approval by County Counsel and Risk Management, including a...
Attachments: 1. A - 5376 AI Final Draft - 05-16-23 - 23-0720, 2. B - 5376 A1 CRS - Risk + Counsel Approved - 05-16-2023 - 23-0720, 3. C - Agreement 5376 - Fully Executed - 05-16-2023 - 23-0720, 4. Executed Agreement 5376
Related files: 17-0525, 19-0525, 19-0811, 21-0504, 21-1360, 23-1370
Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Make findings that the provision of Drug Medi-Cal Organized Delivery System (DMC-ODS) services provided by Wellspace Health are in the public's best interest and that there are specialty skills, qualifications, and equipment not expressly identified in County classifications involved in the performance of the work in accordance with El Dorado County Ordinance Code, Chapter 3.13.030(B);
2) Approve and authorize the Chair to sign Amendment I to Agreement for Services 5376 with Wellspace Health to provide DMC-ODS services, increasing compensation by $655,000, for a new not-to-exceed amount of $2,130,000, revising the standard terms, and extending the term by one (1) year, effective upon execution through June 30, 2024; and
3) Authorize the HHSA Director or the HHSA Behavioral Health Director to execute further documents relating to Agreement 5376, contingent upon approval by County Counsel and Risk Management, including amendments which do not increase the maximum dollar amount or term of the Agreement.

FUNDING: 76% Federal Medi-Cal, 10% State Medi-Cal, 2% State Realignment, and 12% Federal Substance Abuse Prevention and Treatment Block Grant.
Body

DISCUSSION / BACKGROUND:
On May 23, 2017 (File ID: 17-0525), the Board of Supervisors (Board) authorized the County to “opt in” to the Federal 1115 Waiver for a DMC-ODS.

On April 30, 2019 (File ID: 19-0525), the Board approved Funding Agreement 18-95146 with the California Department of Health Care Services (DHCS), 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 Agreement, the County must comply with 42 Code of Federal Regulations (CFR) Section 438.2...

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