Behavioral Health Resource Network Proposal in Lincoln County Region
This content provides insights into the Behavioral Health Resource Network Proposal in Lincoln County Region, detailing budget negotiations, fund allocations, provider negotiations, and concerns raised during the process. It discusses the redirection of funds towards services for Substance Use Disorder (SUD) clients, budget reconciliation, and adjustments made to align with approved decisions.
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Behavioral Health Resource Network Proposal Lincoln County Region Aug 24, 2022
OAC Subcommittee Concerns/Feedback The following questions were answered through the budget negotiation process: How will Community Services Consortium ensure they are directing M 110 funds to SUD clients only? Yes, M 110 funds will only be used to provide services to SUD clients. Can Phoenix Wellness Center bill for some of their services? Phoenix currently bills for services that are billable through Medicaid, however there are many services that are not billable including services offered in the county jail and other services for people who are categorically ineligible. 3
OAC Subcommittee Concerns/Feedback OHA worked with all partially funded programs to revise budgets based on OAC decisions: - CHANCE removed all housing and harm reduction costs, as they were only approved for peer services. - Lincoln County HHS was only funded for SUD services and peer support. The county reduced their Bridges to Recovery program budget by removing most staff positions, but left two positions that are directly necessary to deliver MAT for uninsured people. - Phoenix Wellness Center was directed to reduce overall budget, as it was high for the region allocation. They reduced by 16.9%. They removed a MH Therapist, reduced training, reduced equipment and supplies, partial funds for a vehicle. 4
Lincoln County Budget Reconciliation (two BHRNs) - Lincoln County BHRN #1 TTL request - Lincoln County BHRN #2 TTL request - Lincoln County Allocation: - Over allocation: $3,430,211 $3,786,911 $4,655,401 $2,561,723 5
Lincoln County BHRN Negotiation - OHA facilitated discussions with all approved Lincoln County providers. Many indicated a strong preference to form two BHRNs. - Lincoln BHRN #1: Faith, Hope, and Charity, Coastal Phoenix Rising, Community Services Consortium, Conf. Tribes of Siletz, Lincoln HHS, Samaritan - Lincoln BHRN #2: Phoenix Wellness Center, Coastal Phoenix Rising, CHANCE, Lincoln HHS 6
Budget reconciliation process After OAC directed reductions were made, the region was left with $272,573 to redirect toward their housing provider, Coastal Phoenix Rising. Coastal Phoenix Rising discovered an error in their original budget. With the additional funds they will be able to cover the actual costs of the rooms/beds for BHRN clients and housing vouchers. 7
BHRN #1 - Budget Reconciliation Lincoln BHRN Provider Original Budget Revised Budget Change Coastal Phoenix Rising $207,404 $479,977 +$272,573 Community Services Consortium $390,494 $390,494 $0 Confederated Tribes of the Siletz $78,452 $78,452 $0 Faith, Hope, Charity $208,955 $208,955 $0 Lincoln Co. HHS $2,026,166 $1,196,010 -$830,156 Samaritan Treatment & Recovery $455,143 $455,143 $0 $3,366,614 $2,809,031 TOTAL -$557,583 8
BHRN #2 - Budget Reconciliation Lincoln BHRN Provider Original Budget Revised Budget Change Phoenix Wellness Center $1,850,219 $1,536,047 -$314,172 CHANCE $2,000,289 $310,320 -$1,689,969 Lincoln HHS n/a n/a n/a* Coastal Phoenix Rising n/a n/a n/a* TOTAL $3,885,508 $1,846,367 -$2,004,141 *Changes are accounted for in previous slide and will be used in all BHRNs. 9
Final Lincoln County Budget Reconciliation - Lincoln County TTL initial request $7,217,124 - BHRN #1 revised request - BHRN #2 revised request - Lincoln County TTL revised request - Lincoln County Allocation: - Over allocation: $2,809,035 $1,846,366 $4,655,401 $4,655,401 $0 10
Lincoln BHRN Matrixes Comprehensive Needs Assessment SUD Peer Harm Reduction Supported Employment Lincoln BHRN #1 Screening Housing Treatment Mentoring Faith, Hope and Charity, Inc. (FHC) X Coastal Phoenix Rising Community Services Consortium Confederated Tribes of X X the Siletz X Lincoln County Harm Reduction Program Samaritan Treatment & X Recovery X X X X 11
Lincoln BHRN Matrixes Comprehensive Needs Assessment SUD Peer Harm Reduction Supported Employment Lincoln BHRN #2 Screening Housing Treatment Mentoring CHANCE X Phoenix Wellness Center LLC X X X X X X Coastal Phoenix Rising X Lincoln County Harm Reduction Program X 12
OAC Subcontracting Approval Several organizations would like to subcontract with Lincoln County HHS for fiscal management, administrative support, and compliance technical assistance. Subcontracts require OAC approval. The following organizations request OAC approval to subcontract with Lincoln County HHS for fiduciary duties: Coastal Phoenix Rising Confederated Tribes of Siletz 13
