TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Summer Isham, Contracts Supervisor
SUBJECT: Amendment No. 1 to Agreement No.220287B with Bi-Bett Corporation
RECOMMENDATION
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Director of Health and Human Services Agency (HHSA) requests approval of and authorization for the Chair to sign Amendment No. 1 to Agreement No. 220287B with Bi-Bett Corporation, for a new contract maximum of $751,289 for Fiscal Year 2022-2023, and each subsequent renewal, for the provision of withdrawal management and short-term residential treatment services.
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EXECUTIVE SUMMARY
Approval of today’s action will increase the contract maximum by $331,200, for a new contract maximum of $751,289, replace Exhibit A with Exhibit A-1 to add additional locations and services for withdrawal management and residential treatment, and replace Exhibit B with Exhibit B-1 to update the budget accordingly.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health & Human Services, Alcohol & Drug Services |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
Appropriations have been included in the approved Fiscal Year 2022-2023 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this amendment is not approved, Napa County will be out of compliance with the State-County Drug Medi-Cal Organized Delivery System (DMC-ODS) Interagency Agreement and Napa County clients will not have services available for acute withdrawal management care. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California
Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
Napa County Health and Human Services Agency operates a Drug Medi-Cal Organized Delivery System (DMC-ODS) that provides residents with a continuum of care for substance use treatment. This continuum of care is built upon the American Society of Addiction Medicine (ASAM) Criteria for substance use disorder treatment services. The levels of care within this model include withdrawal management services (ASAM level of care 3.2) and residential treatment (ASAM levels of care 3.1, 3.3 and 3.5).
Bi-Bett is a licensed and certified DMC-ODS provider that is part of the County’s existing network with an agreement to provide adult residential treatment services within the above-referenced levels of care. The amendment before the Board today adds the provision of withdrawal management services. It also enables the County to place clients at two additional Bi-Bett facilities in Solano and Contra Costa counties. To account for increased referrals to these facilities and the rates for withdrawal management services, this amendment will increase the contract maximum by $331,200 for a total of $751,289 commencing in the current fiscal year, and each subsequent renewal thereafter.