To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #24-243-79 with R.E.A.C.H. Project

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #24-243-79 with R.E.A.C.H. Project, a non-profit corporation, in an amount not to exceed $2,386,753 to provide drug abuse prevention and treatment services to youth and adults in East County, for the period from July 1, 2023 through June 30, 2024.
FISCAL IMPACT:
Approval of this contract will result in budgeted expenditures of up to $2,386,753 and will be funded by 84% Drug Medi-Cal ($2,004,873), 8% Federal Substance Abuse Prevention and Treatment Set-Aside Grants ($190,940); 8% Early and Periodic Screening, Diagnostic and Treatment ($190,940) revenues. (Rate increase)
BACKGROUND:
This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this contract to ensure no conflicts with labor relations. Contractor shall provide, operate, and administer Substance Use Disorder (SUD) prevention and treatment program services as certified by the State of California, must operate under the terms and conditions of the Drug Medi-Cal Organized Delivery System (DMC-ODS) and must be provided in its facility(ies) referenced in County Health Services Alcohol and Other Drugs (AODS) Department’s Work Plan.
The county has been contracting with R.E.A.C.H. Project since July 1981 to meet the social needs of county’s population by providing specialized substance abuse treatment and prevention programs to help clients to achieve and maintain sobriety and to experience the associated benefits of self-sufficiency, family reunification, cessation of criminal activity and productive engagement in the community. This contractor was approved by the Public Works Department’s Purchasing Division on August 30, 2023. Contractor was selected as they are the only Community Based Organization (CBO) that serves the geographic location where the services are provided. They are experts at serving unhoused Medi-Cal beneficiaries, are the only credentialed CBO for outpatient SUD services for youth and serve Medi-Cal beneficiaries from all over the county. They have a long-standing history with State Department of Health Care Services (DHCS) accreditation and compliance and meet all regulatory compliance required of managed care plans.
On August 16, 2022, the Board of Supervisors approved Contract #24-243-77 with R.E.A.C.H. Project, in the amount of $1,817,153, to provide drug abuse prevention and treatment services at contractor’s facilities throughout East County, for the period from July 1, 2022 through June 30, 2023.
On April 18, 2023, the Board of Supervisors approved Amendment Agreement #24-243-78 to increase the payment limit from $1,817,153 to $2,117,020, effective April 1, 2023, to provide additional drug abuse prevention and treatment services with no change in the term July 1, 2022 through June 30, 2023.
Approval of Contract #24-243-79 will allow the contractor to continue providing services through June 30, 2024. The delay of this contract was due to a significant postponement in receiving the FY 2023-24 rates for all AODS services from the DHCS.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, county’s clients will not receive substance abuse treatment from contractor, resulting in an overall reduction of services to a community at risk for incarceration.
Children’s Impact Statement:
This prevention and treatment program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include addicted youth being provided an opportunity to prevent or recover from the effects of alcohol or other drug use, become self-sufficient, and return to their families as productive individuals.
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. |
ATTESTED: |
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Monica Nino, County Administrator and Clerk of the Board of Supervisors |
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By: |