To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Tina Rivera, 707-565-4774
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Behavioral Health Services Agreement Amendment
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Recommended Action:
Recommended action
Authorize the Director of Health Services, or designee, to execute the fourth amendment to an agreement with Drug Abuse Alternatives Center to accommodate increased costs associated with the provision of residential therapeutic treatment services, increasing the fiscal year 2021-2022 amount by $775,425, resulting in a new not-to-exceed amount of $6,161,984 for the period July 1, 2020 through June 30, 2022.
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Executive Summary:
On October 14, 2020 the Department of Health Services (DHS or Department) entered into a services agreement with Drug Abuse Alternatives Center (DAAC) <https://www.daacinfo.org/> through which DAAC provides a number of behavioral health services, including residential therapeutic treatment services through DAAC’s Turning Point program. As a result of a contract amendment during fiscal year 2021-2022, it was determined that the cost for the residential therapeutic treatment services through fiscal year 2021-2022 would be higher than initially anticipated. The increase in cost is largely attributed to inflation and increased operating costs, resulting in an increased rate for each bed purchased per day in the Turning Point program. The proposed amendment increases the contract amount to allow appropriate payment to DAAC for providing services.
The current contract maximum amount includes $3,043,093 for fiscal year 2020-2021 and $2,343,466 for fiscal year 2021-2022, for a total amount of $5,386,559. The proposed amendment increases the fiscal year 2021-2022 amount by $775,425, to $3,118,891, for a new contract maximum amount of $6,161,984.
Discussion:
Drug Abuse Alternatives Center (DAAC) provides a number of behavioral health services to the Department of Health Services, including residential therapeutic treatment services through DAAC’s Turning Point program. The current contract with DAAC has a maximum amount of $3,043,093 for fiscal year 2020-2021 and $2,343,466 for fiscal year 2021-2022, for a total amount of $5,386,559, and a term of July 1, 2020 to June 30, 2022.
The original contract with DAAC was originally executed on October 14, 2020 with a term of July 1, 2020 through June 30, 2021 and a maximum amount of $3,043,093. On August 23, 2021 the first amendment was executed by the Department of Health Director under delegated authority, extending the term through September 30, 2021 and increasing the contract amount by $731,494 to $3,774,587. The second amendment was executed by the Department of Health Director under delegated authority on December 27, 2021, extending the term through December 31, 2021 and increasing the contract amount by $722,744 to $4,497,331. The third amendment, executed by the Department of Health Director under delegated authority, on July 1, 2022, extended the contract through June 30, 2022 and increased the contract amount by $889,228, for a new total of $5,386,559.
Through negotiations with DAAC during fiscal year 2021-2022 related to a contract amendment for the period January 1, 2022 through June 30, 2022, it was determined that the cost for the residential therapeutic treatment services provided during fiscal year 2021-2022 would be higher than initially anticipated. The increase in cost is largely attributed to inflation and increased operating costs, resulting in an increased rate for each bed purchased per day in the Turning Point program. The proposed amendment increases the fiscal year 2021-2022 amount by $775,425 to $3,118,891, for a new contract maximum amount of $6,161,984. The proposed amendment increases the contract amount to allow appropriate payment to DAAC for providing services.
Strategic Plan:
N/A
Prior Board Actions:
On February 8, 2022 the Board delegated authority to the DHS Department Director to execute agreements and amendments with multiple providers, including DAAC, for Mental Health and Substance Use Disorder Services, funded by Community Mental Health Services Block Grant and Substance Abuse Prevention and Treatment Block Grant Supplemental funding, in an amount not to exceed $3,172,240 through June 30, 2025, including $1,407,407 in fiscal year 2021-2022. Item #2022-1427
On December 14, 2021 the Board delegated authority to the DHS Department Director to execute extensions to current agreements with multiple providers, including DAAC, for Substance Use Disorder Services through June 30,2022. Item #2021-1150
On September 28, 2021 the Board delegated authority to the DHS Department Director to execute agreements and amendments with multiple providers, including DAAC, 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. Item #2021-0835
On June 8, 2021 the Board delegated authority to the DHS Department Director to execute of agreements and amendments with multiple providers, including DAAC, 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. Item 2021-0293
On August 4, 2020 the Board delegated authority to the DHS Department Director to execute of agreements and amendments with multiple providers, including DAAC, for mental health and substance use disorder services, for which delegated authority is not otherwise requested, with a term ending no later than June 30, 2021, for a fiscal year 2020-2021 not-to-exceed amount of $24,303,673. Item 2019-1926
Fiscal Summary
|
Expenditures |
FY 21-22 Adopted |
FY 22-23 Projected |
FY 23-24 Projected |
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Budgeted Expenses |
775,425 |
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Additional Appropriation Requested |
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Total Expenditures |
775,425 |
0 |
0 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
775,425 |
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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 |
775,425 |
0 |
0 |
Narrative Explanation of Fiscal Impacts:
Financed with AB109 Funds, Substance Abuse Block Grant Funding (both SABG and SABG Supplemental), and 2011 Realignment Funding, the Department booked a payable liability during FY 2021-2022 year-end closing. Once the agreement amendment is executed, invoices will be paid against the FY 2021-2022 liability. No budgetary changes nor additional funding are needed.
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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:
Attachment 1 - DAAC Amendment
Related Items “On File” with the Clerk of the Board:
None