Title
a. Amend the FY 2018-19 Department of Health’s Adopted Budget (023-4000-8410-HEA012) to increase revenue and appropriations in the amount of $4,750,000 financed by fee for service revenues to meet increased demand for behavioral health services (4/5ths Vote Required); and
b. Authorize and Direct the Auditor-Controller to amend the FY 2018-19 Department of Health’s Adopted Budget (023-4000-8410-HEA012) (4/5ths Vote Required).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors adopt a resolution to:
a. Amend the FY 2018-19 Department of Health’s Adopted Budget (023-4000-8410-HEA012) to increase revenue and appropriations in the amount of $4,750,000 financed by fee for service revenues to meet increased demand for behavioral health services (4/5ths Vote Required); and
b. Authorize and Direct the Auditor-Controller to amend the FY 2018-19 Department of Health’s Adopted Budget (023-4000-8410-HEA012) (4/5ths Vote Required).
SUMMARY/DISCUSSION:
The Health Department seeks the Board of Supervisors support to amend the Behavioral Health Bureau’s (BHB), 023-4000-8410-HEA012, FY 2018-19 Adopted Budget to increase appropriations and corresponding revenues in the amount of $4,750,000. The recommended change will provide the level of resources required to meet the increased demand for behavioral health services.
The BHB has experienced an increased demand for mental health and substance use disorder services. Pertaining to mental health, higher levels of acuity in the client population have required more intensive treatment, which has resulted in the need to expand service agreements to meet the clients’ needs. On the substance use disorders system of care, in July of 2018, the BHB implemented the Substance Use Disorder Organized Delivery System (SUD ODS). The SUD ODS is a new delivery model for the provision of substance use disorder treatment services, which implements evidence-based practices in substance abuse treatment and coordinates with other systems of care to provide more holistic care to the eligible population. The demand for substance use treatment services has exceeded the department’s initial estimates. Combined, the increased demand for both mental health and substance use disorder services make it necessary to increase appropriations in order to accommodate the associated increased costs.
The reason this action was delayed is that BHB made every effort to accommodate the increased costs within the FY 2019 adopted budget by restraining in other areas. However, the estimated additional costs exceeded existing capacity
This work supports the Monterey County Health Department 2018-2022 Strategic Plan initiatives 2. Enhance public health and safety through prevention and 4. Engage MCHD workforce and improve operational functions to meet current and developing population health needs. It also supports one of the ten essential public health services, specifically, 7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The County Administrative Office Budget Office has reviewed the recommendation.
FINANCING:
The estimated additional costs associated will be funded with Federal Financial Participation (FFP) 75%, grant funds 5%, reimbursements from school districts 10%, and sales tax realignment 10%.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Miriam Y. Mendoza-Hernández, Finance Manager, Ext. 4578
Approved by: Elsa M. Jimenez, Director of Health, Ext. 4526
Attachment:
Resolution is on file with the Clerk of the Board