Important note: the following recommendation was approved by the Board of Supervisors on Jan. 26, 2016.
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System; Stephen Kaplan, Director, Behavioral Health & Recovery Services
Subject: Agreement with healthRIGHT 360 for substance use disorder treatment services, medication assisted treatment services, outpatient mental health services, and outreach and engagement services
RECOMMENDATION:
Adopt a resolution authorizing an agreement with healthRIGHT 360 for substance use disorder treatment services, medication assisted treatment services, outpatient mental health services through the Mental Health Plan, and outreach and engagement services, for the term July 1, 2015 through June 30, 2016, in an amount not to exceed $5,524,033.
BACKGROUND:
In 2014, healthRIGHT 360 (HR360) merged with two community-based organizations (CBOs) that independently contracted with the County: Asian American Recovery Services and Women’s Recovery Association. All services were merged into a single contract under HR360. These services included: substance use prevention and treatment services; mental health services to seriously emotionally disturbed students at middle schools within San Mateo County; outpatient mental health services authorized by the Mental Health Plan; and the North County Outreach Collaborative (NCOC) providing outreach, linkage and case management services to emotionally disturbed youth and others residing in the north region of the County.
In April 2015, Behavioral Health and Recovery Services (BHRS) released a Request for Proposals (RFP) for school-based mental health services to four middle schools in the County to serve Severely Emotionally Disturbed children. HR360 responded with a proposal that was selected to provide these services.
DISCUSSION:
HR360 has been and shall continue to be the fiscal and lead agency for the North County Prevention Partnership by providing substance use prevention services in the Daly City and Pacifica region. HR360 will also provide substance use disorder treatment services to adults, youths, and families, including outpatient, residential treatment and medication assisted treatment, sober living environments, and case management services. In addition, HR 360 will provide school-based mental health services, outpatient mental health services through the Mental Health Plan, and outreach and engagement services through the NCOC.
Under the Administrative Memorandum B-1, agreements that provide housing services and related supports are exempt from the RFP process. HR360 is one of six residential treatment providers in the County.
BHRS agreements related to alcohol and other drug services are late because negotiations between the California Department of Health Care Services and the federal government regarding the Drug Medi-Cal waiver were not finalized until August 2015. Protracted negotiations with HR 360 regarding Medication Assisted Treatment program start-up costs contributed additional delays.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
The agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing individuals and families in the County with prevention and treatment services to support recovery, which in turn contributes to the health and safety of communities throughout the County. Successful treatment discharge occurs when a program participant completes his/her treatment/recovery plan or when a participant is transferred to the next appropriate level of care. It is anticipated that 56% of clients will achieve a successful treatment discharge.
PERFORMANCE MEASURES:
|
Measure |
FY 2014-15 Actual |
FY 2015-16 Projected |
|
Percentage and number of program participants with a successful treatment discharge |
N/A * |
56% 150 clients |
* Data is under development and will be available in FY 2015-16.
FISCAL IMPACT:
The term of the agreement is July 1, 2015 through June 30, 2016. The amount of the agreement is not to exceed $5,524,033. Of this amount, the Mental Health Services Act will fund $549,359, Federal Financial Participation for Drug Medi-Cal and Managed Care will fund $175,000, Healthy Kids and HealthWorx for Mental Health Managed Care will fund $27,000, Medicare for Mental Health Managed Care will fund $63,000, Capitated Medi-Cal Expansion from the Health Plan of San Mateo will fund $1,169,094, CalWORKs will fund $62,278, the Substance Abuse and Prevention Treatment Block Grant will fund $775,901, Measure A will fund $240,549, 2011 Realignment for Mental Health Managed Care and Drug Court will fund $427,668, and AB109 will fund $278,877. The remaining $1,755,307 is net county cost, which includes aggregate funding for Unified Reentry.
Funds for these services are included in the BHRS FY 2015-16 Adopted Budget. The payment provisions and levels of service remain essentially the same as those of the prior agreement.
Important note: this is a copy of the official report -- item 33 on the Board's agenda.