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Adopt a resolution approving a second contract amendment with the California Department of Health Care Services for $49,136, for a total contract of $7,334,876, to provide services under the Substance Abuse Prevention and Treatment Block Grant for the period of July 1, 2017 through June 30, 2020; and Authorize the County Administrator to sign and execute this contract amendment and any administrative amendments issued by the State
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Published Notice Required? Yes ___ No X _
Public Hearing Required? Yes ___ No X _
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services (H&SS) recommends that the Board adopt a resolution approving a second contract amendment with the California Department of Health Care Services for $49,136, for a total contract of $7,334,876, to provide services under the Substance Abuse Prevention and Treatment Block Grant (SABG) for the period of July 1, 2017 through June 30, 2020; and Authorize the County Administrator to sign and execute this contract amendment and any administrative amendments issued by the State.
SUMMARY:
The State Department of Health Care Services (DHCS) issued a second amendment to the previously executed SABG contract, which went into effect July 1, 2017. DHCS now requires Board of Supervisors’ approval for mental health and substance use disorder contracts.
This contract amendment includes an increase of $49,136 in the discretionary portion of the block grant allocation for FY2019/20. This increases the total contract amount from $7,285,740 to $7,334,876.
Technical amendments to the contract include the following:
1. California Civil Rights Laws Certification
2. Contractor Certification Clause regarding the laws of the State of California
3. Removal of Exhibit F, Attachment 1, Social Security Administration Agreement
4. Clarification of requirements and documents which are incorporated by reference into the contract
5. Statement that the contractor (County or its subcontractors) shall not collect fees from any beneficiary when Medi-Cal is billed for the same service
6. Clarification on circumstances in which funds may be used for inpatient hospital-based substance abuse programs
7. Clarification on the types of audits required based upon the amount of a subcontract to a nonprofit organization
FINANCIAL IMPACT:
Federal SABG funding is allocated based on the Federal Grant award period. Expenditure periods for funding is 21 months. The additional $49,136 of discretionary funds from this amendment must be expended by June 30, 2021. The Department will assess if the additional funds are needed at FY2019/20 Midyear and will adjust the Working Budget at that time if needed. The costs associated with preparing the agenda item are nominal and absorbed by the department’s FY2019/20 Adopted Budget.
DISCUSSION:
The Substance Abuse Block Grant provides counties with funds that are to be used for substance use disorder (SUD) prevention, treatment, recovery support, and other services, as a supplement to the services funded by Medi-Cal, Medicare, or private insurances. SABG funds are considered a funding source of last resort; any services that are billable to an insurance must be used first, with a few exceptions. Solano County uses SABG funds in all SUD service contracts to reimburse for services that are not funded by Medi-Cal, namely residential treatment, individual counseling, and case management support.
The SABG program targets the following populations and service areas:
• Pregnant women and women with dependent children;
• Intravenous Drug Users;
• Tuberculosis services; and
• Primary prevention services for individuals not identified as needing treatment - Primary prevention services are overseen by the Public Health Division and are guided by a five-year Prevention Plan which is available online at vibesolano.com.
In addition to Primary Prevention, SABG also includes a set-aside for Friday Night Live (student prevention programs), perinatal substance use disorder treatment, and adolescent and youth treatment. SABG can also be used for aftercare services as well as sober living housing for clients while they are in outpatient treatment. The current SABG Policy Manual which outlines guidelines for use of these funds can be accessed at: dhcs.ca.gov under the category of “services.”
ALTERNATIVES:
The Board could choose not to approve this contract. This is not recommended because this contract is required to continue providing services with these allocated funds and the current amendment includes an increase in the allocation to Solano County.
OTHER AGENCY INVOLVEMENT:
There are no other agencies involved in this contract, but several contracted providers receive funds associated with this State contract.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION