Consent-Health & Human Services # 21.
Board of Supervisors
- Meeting Date:
- 09/09/2025
- Brief Title
- Drug Medi-Cal Organized Delivery System Services
From:
Monica Morales, Director, Health and Human Services Agency
Staff Contact:
Tony Kildare, Interim Behavioral Health Director, Health and Human Services Agency
Supervisorial District Impact:
Countywide
Subject
Approve and authorize the Chair to sign State Agreement No. 25-50120 with the California Department of Health Care Services (DHCS) to receive funding to reimburse County for covered services for the period of July 1, 2025 through December 31, 2026 for the provision of Drug Medi-Cal Organized Delivery System services. (No general fund impact) (Morales)
Recommended Action
- Approve and authorize the Chair to sign State Agreement No. 25-50120 with the California Department of Health Care Services (DHCS) to receive funding to reimburse County for covered services for the period of July 1, 2025 through December 31, 2026 for the provision of Drug Medi-Cal Organized Delivery System services;
- Authorize the Yolo County Manager of Procurement, or designee, to execute any non-financial extensions or amendments of the Agreement, upon approval as to form by the County Counsel; and
- Authorize the Director of Health and Human Services Agency, or designee, to execute any fiscal and program reports required under this Agreement, including reports required under any extensions or amendments thereto.
Strategic Plan Goal(s)
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Thriving Residents |
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Collaborative Community |
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County Mandated Service |
Reason for Recommended Action/Background
On or about August 31, 2023 the County entered into State Agreement No. 23-30126 with the California Department of Health Care (DHCS) to receive funding in the amount of $36,675,000 for the period of July 1, 2023 through June 30, 2027. This funding supports the Drug Medi-Cal Organized Delivery System (DMC-ODS), which provides substance use disorder (SUD) support services. On April 1, 2025 the County received a Cancellation of Intergovernmental Agreement No. 23-30126 letter from DHCS, notifying that Agreement No. 23-30126 would be cancelled effective June 30, 2025. The letter further stated that DHCS would be issuing a new reimbursement based, zero-dollar agreement that would be effective July 1, 2025 through December 31, 2026, which would allow the County to submit claims for Covered Services.
Covered Services under DMC-ODS include:
Covered Services under DMC-ODS include:
- Outpatient Treatment: Individual and group counseling for substance use
- Intensive Outpatient Treatment: Structured, multi-hour sessions for higher acuity clients
- Medication-Assisted Treatment (MAT): Use of medications like buprenorphine, methadone, and naltrexone in combination with counseling
- Withdrawal Management (Detoxification): Medically monitored and non-medical detox services
- Residential Treatment Services: Short-term, live-in treatment for individuals with severe SUD needs
- Recovery Services: Ongoing support services post-treatment including relapse prevention, peer support, and care coordination
- Care Coordination: Service navigation and coordination between providers to ensure continuity of care
- Narcotic Treatment Program Services: Daily medication dosing and counseling for opioid use disorder
- Youth and Perinatal Services: Specialized care for adolescents and pregnant/postpartum individuals
These services are essential to ensuring that Medi-Cal beneficiaries have timely access to effective SUD treatment, reduce hospitalizations, support recovery, and reduce criminal justice involvement related to untreated substance use. Without an active agreement, the County would be unable to claim reimbursement for these critical services, which would directly impact our capacity to serve vulnerable populations and meet statewide behavioral health objectives.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form
Competitive Bid Process/Vendor Performance
Not applicable to revenue agreements
Vendor Performance
Performance Measures are not associated with this revenue agreement.
Vendor Performance
Performance Measures are not associated with this revenue agreement.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 5,000,000
- Amount budgeted for expenditure:
- $ 5,000,000
- Additional expenditure authority needed:
- $
- On-going commitment (annual cost):
- $ 2,500,000
Source of Funds for this Expenditure
- FFP FY25-26
- $5,000,000
Further explanation as needed:
No general funds are required by this action. The total amount of this action has historically been $4,000,000 in Federal Financial Participation (FFP) reimbursement revenue per fiscal year. HHSA estimates the FFP reimbursement for this zero-dollar agreement to be $5,000,000 for fiscal year 2025-26 and $2,500,000 for fiscal year 2026-27. The estimated total revenue for the period of July 1, 2025 through December 31, 2026 is $7,500,000. The amount of $5,000,000 is included in the HHSA recommended budget for fiscal year 2025-26. The related funding will be included in the requested budget process for future fiscal years.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Evis Morales | Evis Morales | 08/28/2025 01:29 PM |
| Evis Morales | Evis Morales | 08/28/2025 02:27 PM |
| Tony Kildare | Tony Kildare | 08/29/2025 11:50 AM |
| Monica Morales | Monica Morales | 09/02/2025 10:14 AM |
| Financial Services | Laura Liddicoet | 09/02/2025 11:15 AM |
| County Counsel | Hope Welton | 09/02/2025 12:03 PM |
| Yen Nguyen | Yen Nguyen | 09/02/2025 03:02 PM |
- Form Started By:
- Emily Covey
- Started On:
- 07/24/2025 01:16 PM
- Final Approval Date:
- 09/02/2025