To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Bill Carter, 565-5157
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Behavioral Health Substance Use Disorder Services Agreements - Delegated Authority
End
Recommended Action:
Recommended action
Authorize the Director of Health Services, or designee, to execute agreements and amendments for Substance Use Disorder Services, including the extension of current agreements through December 31, 2021 and those competitively procured during fiscal year 2021-2022, with terms beginning in fiscal year 2021-2022 and ending no later than June 30, 2024, for a not-to-exceed amount of up to $7,707,988 annually.
end
Executive Summary:
On June 8, 2021 the Board approved a request by the Department for authority to execute agreements and amendments for substance use disorder services, including the extension of current agreements through September 30, 2021 and those competitively procured during fiscal year 2020-2021, with terms beginning in fiscal year 2021-2022 and ending no later than June 30, 2024, for a not-to-exceed amount of up to $7,707,988 annually. This item requests approval to extend current agreements for substance use disorder services for an additional three months through December 31, 2021. The annual not-to-exceed amount approved on June 8, 2021 is not being increased with the request.
A competitive procurement for substance use disorder services is currently in process for agreements starting January 1, 2022 and ending no later than June 30, 2024. Extending current Substance Use Disorder Services agreements for an additional three months, through December 31, 2021, will allow for continuity and transition of services, as needed, as a result of the competitive procurement process. Total agreements costs will remain at the not to exceed amount of $4,049,632 financed with Substance Abuse Block Grant, 2011 Realignment, General Fund, and inter-department reimbursements, which was approved by your Board on June 8, 2021 with the prior 3 months extension.
Discussion:
The Department contracts with a broad range of licensed providers to provide timely access to substance use disorder services. A competitive procurement for substance use disorder services is currently in process for agreements starting January 1, 2022 and ending no later than June 30, 2024. To allow for continuity and transition of services as a result of the competitive procurement, the Department desires to extend current agreements for an additional three months, through December 31, 2021.
Department management recommends extending agreements with all seven of our substance use disorder services treatment providers. The current total funding for these agreements during the period July 1, 2021 through September 30, 2021 is $2,024,816. The additional three-month extensions will result in a total amount for the period July 1, 2021 through December 31, 2021 of $4,049,632. For the remaining six months in fiscal year 2021-2022, the Department plans on contracting with an undetermined number of providers, as a result of the competitive procurement process, in the estimated amount of $3,658,356. The Department will return to the Board for additional appropriations and delegated authority, if necessary, once the competitive procurement has been finalized and estimated costs are known. In fiscal year 2022-2023, the contracts awarded through the competitive procurement process will not exceed a total of $7,707,988 consistent with current Substance Abuse Block Grant, 2011 Realignment, General Fund, and inter-departmental reimbursements projected available funds. The below table includes per-provider proposed amounts for each contracted period.
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FY 21-22 Substance Use Disorder Treatment Services Contract Amounts per Vendor |
|
Vendor |
7/1/2021 - 9/30/2021 |
10/1/2021 - 12/31/2021* |
1/1/2022 - 6/30/2022 |
|
Drug Abuse Alternatives Center |
$966,494 |
$966,494 |
$3,658,356 (Vendors to be determined by competitive procurement process) |
|
California Human Development |
$275,329 |
$275,329 |
|
|
Santa Rosa Treatment Program |
$536,000 |
$536,000 |
|
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Women’s Recovery Services |
$119,258 |
$119,258 |
|
|
Buckelew Programs (Helen Vine Recovery Center) |
$22,995 |
$22,995 |
|
|
Hilltop Recovery Services |
$54,740 |
$54,740 |
|
|
Sonoma County Indian Health Project |
$50,000 |
$50,000 |
|
|
* Contract amount for this period. Appropriations and delegated authority were previously approved with the fiscal year 2021-2022 adopted budget and the June 8, 2021 delegated authority Board item. |
Contracted substance use disorder services include the following service categories:
Narcotic Treatment Programs - This program provides outpatient therapeutic substance use disorder treatment in the form of Narcotic Replacement Therapy (such as methadone) and draws down Drug Medi-Cal federal financial participation dollars.
SUDS Outpatient - Therapeutic outpatient substance use disorder treatment services may be provided in lieu of incarceration for inmates of the Main Detention Facility and North County Detention Facility, or to residents of the community in need of therapeutic outpatient substance use disorder treatment.
SUDS Perinatal & Parenting Residential & Outpatient - Perinatal substance use disorder treatment services are designed to support pregnant and parenting women through intensive outpatient treatment programs and residential treatment. These services can be accessed through community partner referrals, criminal justice system referrals, or self-referral. Both the residential and outpatient services include on-site child care and transportation for clients.
SUDS Residential Non-Medical Detoxification - The current provider Drug Abuse Alternatives Center provides 10 residential non-medical detoxification beds at the Orenda Center.
SUDS Residential Treatment - Residential treatment services provide therapeutic inpatient substance use disorder treatment. Services may be provided in lieu of incarceration for inmates of the Main Detention Facility and North County Detention Facility. Services may be provided to residents of the community in need of therapeutic residential substance use disorder treatment.
Prior Board Actions:
On June 8, 2021 the Board approved agreements and amendments for Substance Use Disorder Services, including the extension of current agreements through September 30, 2021 and those competitively procured during fiscal year 2020-2021, with terms beginning in fiscal year 2021-2022 and ending no later than June 30, 2024, for a not to exceed amount of up to $7,707,988 annually.
Fiscal Summary
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Expenditures |
FY 21-22 Adopted |
FY 22-23 Proposed |
FY 23-24 Projected |
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Budgeted Expenses |
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Additional Appropriation Requested |
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Total Expenditures |
0 |
0 |
0 |
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General Fund/WA GF |
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State/Federal |
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Fees/Other |
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Use of Fund Balance |
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Contingencies |
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Total Sources |
0 |
0 |
0 |
Narrative Explanation of Fiscal Impacts:
There are no fiscal impacts associated with this item. The amount of contracted services is not being increased from the authority provided with the June 8, 2021 agenda item. Only the term of the agreements is being adjusted.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
None
Related Items “On File” with the Clerk of the Board:
None