REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
September 9, 2025
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Revenue Agreement with California Department of Health Care Services for the Substance Use Disorder and Recovery Services Drug Medi-Cal Organized Delivery System
End
RECOMMENDATION(S)
Recommendation
Approve Revenue Agreement, including non-standard terms, with California Department of Health Care Services (State Agreement No. 25-50110), for the Substance Use Disorder and Recovery Services Drug Medi-Cal Organized Delivery System services, funded under the "zero-dollar" methodology, wherein the revenue received is determined by actual services provided and not from a funding maximum during the term, effective July 1, 2025, through 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.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The Revenue Agreement (Agreement) with California Department of Health Care Services (DHCS) for the Substance Use Disorder and Recovery Services (SUDRS) Drug Medi-Cal Organized Delivery System (DMC-ODS) is funded by Federal Financial Participation Drug Medi-Cal funds. Funding for the DMC-ODS program will be through the "zero-dollar" methodology of DHCS, wherein the dollar amount received by the Department of Behavioral Health (DBH) is determined by the actual services provided and not from a maximum set dollar amount per year during the term. Adequate appropriation and revenue have been included in DBH's 2025-26 budget and will be included in the 2026-27 recommended budget.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substanc...
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