Consent-Health & Human Services # 35.
Board of Supervisors
- Meeting Date:
- 12/06/2022
- Brief Title
- Agreement with Granite Wellness Centers
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:
Countywide
Subject
Authorize the Yolo County Procurement Manager to execute the agreement with Granite Wellness Centers in the amount not to exceed of $474,000 for the period of October 1, 2022, through June 30, 2023, for the provision of substance abuse treatment services. (No general fund impact) (Sullivan)
Recommended Action
- Authorize the Yolo County Procurement Manager to execute the agreement with Granite Wellness Centers in the amount not to exceed of $474,000 for the period of October 1, 2022 through June 30, 2023 for the provision of substance abuse treatment services; and
- Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise optional extensions up to $316,000 for fiscal year 2023-24 and 2) issue related option year notices.
Strategic Plan Goal(s)
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Thriving Residents |
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Safe Communities |
Reason for Recommended Action/Background
In 2015, the Federal government approved a 5-year pilot project to expand substance use services that could be billed to Medi-Cal. This pilot project is called the Drug Medi-Cal Organized Delivery System (DMC-ODS).
Under the DMC-ODS waiver, Drug Medi-Cal eligible services have been able to continue alongside expanded services eligible to be billed to Drug Medi-Cal. These increased services have been available to anyone eligible for Medi-Cal and will include Residential Treatment, Intensive Outpatient Treatment, Withdrawal Management (Detoxification), Care Coordination, Physician Consultation, and Recovery Services. The system has provided a coordinated entry for clients either through multiple in-person access points or a 1-800 screening number available 24/7. Providers in the system have utilized the same screening tool allowing for consistency and appropriate client placement based on medical necessity.
On December 15, 2020, the Board of Supervisors approved an agreement with Department of Health Care Services to receive funding in the amount of $20,838,906 for the Drug Medi-Cal Organized Delivery System Intergovernmental Agreement No. 20-10207 for Substance Use Disorder Services for the period July 1, 2020, through June 30, 2023.
The DMC-ODS waiver has created opportunities for HHSA to further its integration efforts by examining the Adult substance use system of care and various funding streams that have been fragmented in the past. So, in addition to Drug Medi-Cal funding, all Adult substance use Agreements with a Drug Medi-Cal certified provider, beginning July 1, 2018, have blended funding streams, including CalWORKs, CWS, AB109, 2011 Realignment, SABG, Stathum Funds, etc.
Approval of this Agreement will allow Granite Wellness Center to provide Low-Intensity Residential Treatment, High-Intensity Residential Treatment, Care Coordination, Physician Consultation, and Withdrawal Management Services. These services are part of the Adult Substance Use Disorder Continuum of Care. Currently, Yolo County only has one residential treatment provider, which has resulted in an extremely long waitlist for our clients, and approval of this agreement will provide critical capacity for these levels of treatment.
Under the DMC-ODS waiver, Drug Medi-Cal eligible services have been able to continue alongside expanded services eligible to be billed to Drug Medi-Cal. These increased services have been available to anyone eligible for Medi-Cal and will include Residential Treatment, Intensive Outpatient Treatment, Withdrawal Management (Detoxification), Care Coordination, Physician Consultation, and Recovery Services. The system has provided a coordinated entry for clients either through multiple in-person access points or a 1-800 screening number available 24/7. Providers in the system have utilized the same screening tool allowing for consistency and appropriate client placement based on medical necessity.
On December 15, 2020, the Board of Supervisors approved an agreement with Department of Health Care Services to receive funding in the amount of $20,838,906 for the Drug Medi-Cal Organized Delivery System Intergovernmental Agreement No. 20-10207 for Substance Use Disorder Services for the period July 1, 2020, through June 30, 2023.
The DMC-ODS waiver has created opportunities for HHSA to further its integration efforts by examining the Adult substance use system of care and various funding streams that have been fragmented in the past. So, in addition to Drug Medi-Cal funding, all Adult substance use Agreements with a Drug Medi-Cal certified provider, beginning July 1, 2018, have blended funding streams, including CalWORKs, CWS, AB109, 2011 Realignment, SABG, Stathum Funds, etc.
Approval of this Agreement will allow Granite Wellness Center to provide Low-Intensity Residential Treatment, High-Intensity Residential Treatment, Care Coordination, Physician Consultation, and Withdrawal Management Services. These services are part of the Adult Substance Use Disorder Continuum of Care. Currently, Yolo County only has one residential treatment provider, which has resulted in an extremely long waitlist for our clients, and approval of this agreement will provide critical capacity for these levels of treatment.
- Residential Treatment Services is a 24-hour, non-institutional, non-medical, short-term service that provides residential rehabilitation services to beneficiaries with a substance use disorder diagnosis when determined by a Medical Director or LPHA as medically necessary and in accordance with an individualized treatment plan. Residential Treatment Services are provided in DMC-certified facilities designated (and licensed as necessary) by DHCS as capable of delivering care consistent with level needed (i.e. low-intensity or high-intensity).
- Care Coordination Services support beneficiaries as they move through the DMC-ODS continuum of care from initial engagement and early intervention, through treatment, to recovery supports.
- Physician Consultation Services include DMC provider physicians consulting with addiction medicine physicians, addiction psychiatrists, or clinical pharmacists. Physician Consultation Services are designed to assist DMC provider physicians with seeking expert advice on designing treatment plans and supporting DMC providers with complex cases.
- Withdrawal Management Services are for those who are using substances daily and are unable to stop treatment on their own or who are already in withdrawal and need additional supervision that does not require medical care from a doctor or nurse.
Performance Measures included in this Agreement are as follows:
The Performance Measures associated with this Agreement will be included in the resulting Agreement.
The Performance Measures associated with this Agreement will be included in the resulting Agreement.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel will approve the resulting Agreement as to form.
Department of Financial Services, Procurement Division
Department of Financial Services, Procurement Division
Competitive Bid Process/Vendor Performance
This agreement is being sought through a Sole Source which has been approved by the Procurement Manager.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 474,000
- Amount budgeted for expenditure:
- $ 474,000
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 316,000
Source of Funds for this Expenditure
- Medi-Cal/SABG/Realignment
- $474,000
Further explanation as needed:
No general funds are required by this action. These services will be funded by Medi-Cal. SABG and Realignment. The total amount of this action is $474,000 for the period of October 1, 2022 through June 30, 2023. The amount of $474,000 is included in the HHSA adopted budget for fiscal year 2022-23. The related funding will be included in the requested budget process for future fiscal years.
The resulting Agreement will also include a 6-month optional extension for July 1, 2023 through December 31, 2023 in an amount less than or equal to $316,000.
The resulting Agreement will also include a 6-month optional extension for July 1, 2023 through December 31, 2023 in an amount less than or equal to $316,000.
Attachments
No file(s) attached.
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | Tom Haynes | 11/21/2022 09:23 AM |
| County Counsel | Hope Welton | 11/21/2022 09:36 AM |
- Form Started By:
- Kimberly Mayfield
- Started On:
- 08/24/2022 12:26 PM
- Final Approval Date:
- 11/21/2022