HomeMy WebLinkAboutMINUTES - 04091985 - 1.58 TO: BOARD OF SUPERVISORS f
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C
FROM: Mark Finucane, Health Services Director C
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: March 28, 1985 County
SUBJECT: Approval of Novation Contract 424-297-11 with California
Health Associates, Inc. for Methadone Clinic Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chairwoman to execute on behalf of the County Novation
Contract 424-297-11 with California Health Associates, Inc. in the amount of
$483,094 for the period July 1, 1984 - June 30, 1985, and $234,000 for the auto-
matic extension period from June 30, 1985 - December 31, 1985 for the continued
provision of methadone maintenance clinic services.
II. FINANCIAL IMPACT:
The maximum program payment limit for this contract is $483,094. The sources of
revenue for this contract are as follows:
Fedefal Block Grant $ 85,046
Federal Medi-Cal 112,933
State Medi-Cal Matching Funds 115,491
Regular State Short-Doyle (05) 115,007
County Short-Doyle Match 12,779
County Funding for COLA 19,656
Additional County Funding 22,182
TOTAL (Payment Limit) $ 483,094
This represents a $102,127 increase over the FY 83-84 methadone program payment
limit. This amount is the result of a maximized use in FY 1984-85 of the County's
Federal Medi-Cal allocation for drug programs, plus the cost-of-living increase
granted to contractors by the Board of Supervisors, and the shifting of approxima-
tely $36,000 in Pittsburg and Richmond facility costs to the contractor that were
borne by the County last year. This FY 1984-85 contract places the contractor at
risk for earning the $112,933 in Federal Medi-Cal funds, so that if no federally-
eligible clients are served, the County does not pay the contractor for that por-
tion of the payment limit.
III. REASONS FOR RECOMMENDATION/BACKGROUND:
Outpatient methadone maintenance has been a treatment option for opiate addicts in
Contra Costa County since 1972. The value of outpatient methadone treatment in the
maintenance and treatment of opiate addicts is well documented in research in the
drug treatment field.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
--2—L 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 SUPERVISORS ON THE DATE SHOWN.
ORIG: Health Services (Contracts)
C C: County Administrator ATTESTED 7
Auditor-Controller Phil Batchelor, Clerk of the Board of
Contractor Supervisors and County Administrator
M382/7-83 BY DEPUTY
Board Order
Novation Contract #24-297-11
Page 2
Outpatient methadone maintenance services were contracted to California Health
Associates, Inc. in FY 1982-83. Prior to that time, the services were provided
directly by County staff. This contract has proved to be cost effective, and the
levels of service adequate.
The most recent Board action taken on this contract was an extension of the
FY 1983-84 contract through April 1985 which was authorized by the Board - on
March 26, 1985.
IV. CONSEQUENCES OF NEGATIVE ACTION:
There are 180 clients currently in treatment in the methadone maintenance program.
Methadone maintenance treatment is usually long-term (18-months or more) and
requires that the client become physiologically dependent on the substance metha-
done. Failure to approve this contract would result in the termination of the pre-
sent contract on its current expiration date (April 30, 1985) and would require
that clients on the program be involuntarily detoxified or transferred to programs
in other counties. The long-term effect could be the inability to provide this
cost-effective method of treatment which would have adverse consequences for the
criminal justice system as methadone maintenance treatment "decriminalizes" the
addict.
DG:sh
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