HomeMy WebLinkAboutMINUTES - 03261985 - 1.49 TO: BOARD OF SUPERVISORS M`
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FROM: Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts Administrator49 COSta
DATE: March 14, 1985 County
SUBJECT: Approval of Contract Amendment Agreement with California Health Associates, Inc.
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chairwoman to execute on behalf of the County contract
amendment agreement #24-297--10 with California Health Associates, Inc., extending
the term of the contract for one additional month from March 31, 1985 through
April 30, 1985, with a payment limit increase of $6,168 for provision of methadone
maintanance and Basic Adult Care (BAC) heroin detoxification services.
II. FINANCIAL IMPACT:
This contract amendment agreement increases the payment limit of the contract from
$362,815 to a new total payment limit of $368,983. The service is funded by
Short-Doyle, Medi-Cal, Federal Block Grant, CCHP/HMO MIA Funds and County. Total
net County cost for this contract is $62,838 which includes $25,000 in CCHP/HMO MIA
funds. The contract funding is budgeted in General Fund Cost Center 5936.
III. REASONS FOR RECOMMENDATION/BACKGROUND:
The Board on January 31, 1984, approved Contract #24-297-6 with California Health
Associates, Inc. for Methadone Maintenance and Basic Adult Care (BAC) Heroin
Detoxification Services. On June 19, 1984, the Board approved Contract Amendment
Agreement #24-297-7 for additional BAC heroin detoxification services, and on
December 18, 1984, and February 26, 1985, the Board approved Contract Amendment
Agreements which extended the contract for an additional three months pending
completion of negotiations for a new contract.
An agreement between the Contra Costa Health Plan and the Alcohol/Drug Abuse/Mental
Health Division regarding methadone maintenance and heroin detoxification services
under a new contract has not been reached. Therefore, the Health Services
Department has requested this one month extension with a corresponding payment
limit increase to allow more time for completion of negotiations.
IV. CONSEQUENCES OF NEGATIVE ACTION:
Methodone Maintenance. There are 180 clients currently in treatment in the metha-
done maintenance program. Methadone maintenance treatment is usually long-term (18
months or more) and requires that the client become physiologically dependent on
the substance methadone. Failure to approve this contract amendment would result
in the termination of the present contract on its current expiration date (3/31/85)
EAS:sh
Attachments
CONTINUED ON ATTACHMENT: X _YES SIGNATUR
Li
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM N ATION OF BOAR COMMITTEE
_APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISOR ON THE DATE SHOWN.
ORIG: Health Services (Contracts)
CC: County Administrator ATTESTED 110,4
Auditor-Controller Phil Batchelor, Clerk of the Board of
Contractor Supervisors and County. Administrator
Com'
M882/7-88 BY �GG� L� , DEPUTY
Board Order
Contract #24-297-10
page 2
IV. CONSEQUENCES OF NEGATIVE ACTION: (Continued)
and would require that clients on the program be involuntarily detoxified or trans-
ferred to programs in other counties. The long-term effect could be the inability
to provide this cost-effective method of treatment which also has adverse con-
sequences for the criminal justice system as methadone maintenance treatment
'decriminalizes' the addict.
BAC Heroin Detox. Heroin detoxification services are a cove;ed Basic Adult Care
benefit of the Contra Costa Health Plan. These services are provided under this
contract with California Health Associates, Inc. which is the sole provider of this
service in the County. Failure to approve this contract amendment would result in
the termination of the present contract on its current expiration date (3/31/85)
and would end the County's ability to provide this service for indigents until a
new provider could be located.