COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Human Services Agency

DATE:

February 19, 2003

BOARD MEETING DATE:

March 04, 2003

TO:

Honorable Board of Supervisors

FROM:

Maureen D. Borland, Director, Human Services Agency

Yvonne Frazier, Administrator, Alcohol and Other Drug Services

SUBJECT:

Flat Rate Alcohol and Drug Treatment Agreement with Daytop Village, Inc. for the Period July 1, 2002 through June 30, 2003.

Recommendation

Adopt a Resolution authorizing:

1.

The President of the Board of Supervisors to execute the flat rate agreement with Daytop Village, Inc. for the period July 1, 2002 through June 30, 2003; and

2.

The Director of the Human Services Agency to execute amendments and minor modifications during the term of the agreement; however, such authority is limited to:

a)

reducing the County's maximum fiscal obligation in the event there is a commensurate reduction in the funding received by the County;

b)

increasing the County's maximum fiscal obligation in the event there is a commensurate increase in funding received by the County; however, said increase shall be limited to a total of $25,000; and/or

c)

making changes in the types of treatment services provided by the Contractor, as long as the changes have no impact on the County's maximum fiscal obligation.

Background

This is a renewal agreement for alcohol and drug treatment services. Daytop Village, Inc. also has a fee-for-service agreement for the provision of similar services for Proposition 36 referred individuals. Those services are provided under a separate fee-for-service agreement, which was approved by the Board of Supervisors on October 22, 2002. Payments made under this agreement are intended to pay for services provided to individuals who qualify for alcohol and drug treatment services, and who lack the necessary resources to pay for all, or part, of these treatment services themselves. County payments are not intended to provide the full cost of care for all individuals referred by the County for services. Client fees, paid to the provider, will be used to offset the provider's cost of these services not fully funded by the County.

Discussion

Language contained in this flat rate agreement is the result of extensive negotiations between the County and the Treatment Provider's Coalition. Services provided under this agreement were paid under a continuing Resolution through December 31, 2002. It was anticipated that the FY 2002-03 agreement would be ready for the January 7, 2003 Board meeting; however, further negotiations were necessary to complete the agreement. This agreement contains adult treatment services only. Adolescent treatment services are still under negotiation with the provider. This flat rate agreement contains funding from the following sources: 1) state Negotiated Net Amount (NNA) Combined Drug/Medi-Cal Agreement for state Block Grant and Drug/Medi-Cal funds, and 2) County funds.

This agreement was delayed initially pending confirmation of available funding for FY 2002-03; and was further delayed due to extensive contract negotiations with the Contractor, to arrive at a mutually agreeable payment formula that will compensate the provider for a combination of two factors - units of service provided and the cost of maintaining availability on a continuous basis.

The Resolution and agreement have been reviewed and approved as to form by the County Counsel's office.

Performance Measures

Alcohol and Drug Services is in compliance with the Human Services Agency's Outcome Based Management (OBM) Program Plan. Below are the recommended Performance Measures for this Contractor's alcohol and drug treatment services included in the OBM Program Plan.

Outcome Based Management Performance Measures

Fiscal Year
2001-02 Data

Projected for
Fiscal Year 2002-03

Number of clients entering treatment.

37

56

Percent of clients reducing or abstaining from alcohol and/or other drug use at 3 months and 9 months post-intake.

3 months

78%

3 months

78%

9 months

78%

9 months

78%

Percent of criminal justice involved clients retained in treatment or until completion of program.

50%

50%

Vision Alignment

This flat rate agreement is consistent with the commitment to: Ensure basic health and safety for all and goal number 8: Help vulnerable people - the aged, disabled, mentally ill, at-risk youth and others - achieve a better quality of life. This agreement contributes to this commitment and goal by providing individuals admitted for alcohol and drug treatment services with the skills and knowledge necessary to live alcohol and drug free lives, which in turn contributes to the health and safety of the communities in San Mateo County.

Fiscal Impact

A total of $459,621 in funding is included in this agreement, and has been included in the FY 2002-03 Budget for Alcohol and Other Drug Services. Of the $459,621, $328,590 is from state Block Grant funds, $14,944 is from Drug/Medi-Cal funds; and $116,087 is Net County Cost.