To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Jenny Symons, 565-4720
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Behavioral Health Services Agreement Amendment
End
Recommended Actions:
Recommended action
Authorize the Director of Health Services to execute the sixth amendment to an agreement with Santa Rosa Treatment Program, Inc. for substance use disorder services, increasing the fiscal year 2018-2019 contract amount by $392,629 for a new total not-to-exceed amount of $4,314,500 through June 30, 2019.
end
Executive Summary:
The Department of Health Services contracts with Santa Rosa Treatment Program, Inc. to operate a Therapeutic Narcotic Treatment Program for Drug Medi-Cal eligible recipients. The program provides outpatient therapeutic substance use disorder treatment in the form of narcotic replacement therapy to opiate dependent adults.
On July 10, 2018 the Department requested and received approval to fund Santa Rosa Treatment Program in the amount of $1,810,000 for fiscal year 2018-2019. This request was made as part of the Department’s request for delegated contract authority for mental health and substance use disorder services in the amount of $37,577,694 for fiscal year 2018-2019. The Department’s updated estimate for expenditures on the Santa Rosa Treatment Program agreement is $2,202,629 for fiscal year 2018-2019. Approval of the proposed amendment allows the Department to fully fund Santa Rosa Treatment Program through this fiscal year and effectively increases the Department’s delegated contract authority for mental health and substance use disorder services for fiscal year 2018-2019 by $392,629, for a total of $37,970,323.
Discussion:
The Department of Health Services contracts for behavioral health services to access expertise not available internally, to expand existing services to match consumer needs to provider expertise, and to supplement staff shortages for specialized client needs. Contracted services for narcotic treatment program services may include intake, treatment planning, medical direction, body specimen screening, physician and nursing services related to substance abuse, medical psychotherapy, individual and group counseling, admission physical examinations and laboratory tests, medication services, and the provision of methadone.
The Department contracts with Santa Rosa Treatment Program, Inc. to operate a Therapeutic Narcotic Treatment Program for Drug Medi-Cal eligible opiate dependent adults. The program provides outpatient therapeutic substance use disorder treatment in the form of narcotic replacement therapy (therapeutic methadone support).
On July 10, 2018 the Department requested and received approval to fund Santa Rosa Treatment Program in the amount of $1,810,000 for fiscal year 2018-2019. This request was made as part of the Department’s request for delegated contract authority for mental health and substance use disorder services in the amount of $37,577,694 for fiscal year 2018-2019. The Department’s updated estimate for expenditures on the Santa Rosa Treatment Program agreement is $2,202,629 for fiscal year 2018-2019. Approval of the proposed amendment allows the Department to fully fund Santa Rosa Treatment Program through this fiscal year and effectively increases the Department’s delegated contract authority for mental health and substance use disorder services for fiscal year 2018-2019 by $392,629, for a total of $37,970,323.
Prior Board Actions:
On July 10, 2018 the Board authorized the Director of Health Services to execute agreements for mental health and substance use disorder services for the term July 1, 2018 through June 30, 2019 for a total not to exceed amount of $37,577,964.
Fiscal Summary
Expenditures |
FY 18-19 Adopted |
FY 19-20 Projected |
FY 20-21 Projected |
Budgeted Expenses |
392,629 |
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|
Additional Appropriation Requested |
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|
|
Total Expenditures |
392,629 |
0 |
0 |
Funding Sources |
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|
|
General Fund/WA GF |
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|
|
State/Federal |
392,629 |
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|
Fees/Other |
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Use of Fund Balance |
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Contingencies |
|
|
|
Total Sources |
392,629 |
0 |
0 |
Narrative Explanation of Fiscal Impacts:
The Department’s FY 18-19 budget includes sufficient appropriations as a result of salary savings to cover the increased costs associated with this amendment. Funding for the amendment is from 2011 Realignment, Intergovernmental Transfer (IGT), and Federal Financial Participation (FFP).
Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A - I Step) |
Additions (number) |
Deletions (number) |
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
Santa Rosa Treatment Program, Inc. Agreement Amendment
Related Items “On File” with the Clerk of the Board:
None