REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
April 23, 2024
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Amendment to Contract with Inland Valley Recovery Services for Substance Use Disorder Community-Based Recovery Service Centers Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Contract No. 21-984, effective January 1, 2024, with Inland Valley Recovery Services for the provision of Substance Use Disorder Community-Based Recovery Service Centers services, reflecting the legal name change to Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services, updating standard contract language, expanding its service area to include the Central Valley, and increasing the total contract amount by $1,061,474, from $4,149,320 to $5,210,794, with no change to the contract period of January 1, 2022 to December 31, 2026.
(Presenter: Georgina Yoshioka, Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The recommended increase of $1,061,474 to Contract No. 21-984 (Contract) with Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services (IVRS) is funded by the Substance Use Prevention, Treatment and Recovery Services Block Grant, Federal Financial Participation Drug Medi-Cal, and 2011 Realignment funds. Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2023-24 budget and will be included in future recommended budgets.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County (County) residents experiencing severe mental illness and/or SUD. An integral part of the service delivery system consists of County-operated and contracted service providers delivering an array of treatment and supportive services. DBH provides a full range of SUD prevention, treatment, education, and recovery support services for families and residents of the county with the goal of promoting prevention, recovery, and resiliency.
The Drug Medi-Cal (DMC) Organized Delivery System (ODS) provides a continuum of care, enables more local control and accountability, provides greater administrative oversight, creates utilization controls to improve care and efficient use of resources, implements evidenced based practices in SUD treatment, coordinates with other systems of care, and provides the beneficiary with access to the care and system interaction needed to achieve sustainable recovery. DMC ODS demonstrates how organized SUD care increases the success of DMC beneficiaries while decreasing other system health care costs. SUD Community-Based Recovery Service Centers (CBRSC) services are a benefit available within the DMC ODS continuum of care.
SUD CBRSC services include social activities, parenting education, aftercare and family groups, SUD education, life skills, and smoking reduction/cessation. Services offered at the centers assist in encouraging and reinforcing positive behavioral changes through substance-free activities in a community forum. IVRS provides both a recovery center and recovery services.
Amendment No. 1 (Amendment) to the Contract with IVRS reflects the legal name change and the addition of the Central Valley service area. The Central Valley service area includes Colton, Grand Terrace, Bloomington, Rialto, and Fontana. In addition, this Amendment will update standard contract language, adding Executive Order N-6-22 - Russia Sanctions and the Campaign Contribution Disclosure (Senate Bill 1439).
On November 3, 2023, Mental Health Systems, Inc. (MHS) notified DBH that it would be terminating its SUD CBRSC services contract with the County, effective December 31, 2023. In response, DBH program staff met with three current SUD CBRSC providers to determine their willingness and ability to expand their contracts to include the Central Valley (the region previously covered by MHS) and directed providers to solicit interest through letters of intent. After DBH program staff reviewed the letters of interest, DBH determined that IVRS would be best able to expand its services areas to include the East Valley, West Valley, and Central Valley, for the remainder of the contract period. This commitment by IVRS to expand its operations has provided for a seamless transition and maintained a high standard of continuity in care for the clients currently served under the Contract. This proactive approach ensured that the essential services provided to the community would continue without interruption, aligning with DBH’s commitment to delivering consistent, quality care.
If the Board of Supervisors (Board) approves the recommended Amendment, DBH anticipates IVRS will provide approximately 25,971 recovery service hours at an average cost of $40.87 per service hour over the remaining Contract period. DBH will also implement mechanisms to regularly review 1) client service data and progress, conduct site visits and annual monitoring to ensure performance and compliance standards of the contract(s) are met; 2) applicable claims data and claims for reimbursement to ensure fidelity and accuracy of service billing and optimization of Medi-Cal reimbursement in alignment with Contract terms and Department of Health Care Services billing requirements; and 3) provider invoices administratively and programmatically to ensure client and bed counts are accurate prior to payment processing.
This item is being presented at this time as it is the first available Board date following the necessary time to identify an eligible and appropriate provider, negotiate and complete the required DBH program, fiscal, administrative, and legal reviews.
PROCUREMENT
On December 14, 2021 (Item No. 19), as a result of a formal procurement, the Board approved the Contract with IVRS to provide SUD CBRSC services, in the amount of $4,149,320 for the period of January 1, 2022, through December 31, 2026.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Ellayna Hoatson, Contracts Supervisor, 388-0858) on March 28, 2024; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on April 2, 2024; Finance (Paul Garcia, Administrative Analyst, 386-8392) on April 4, 2024; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on April 8, 2024.