State of California - Health and Human Services Agency Department of Health Care Services California Opioid Settlement/Bankruptcy Technical Assistance The California Department of Health Care Services (DHCS) offers technical assistance to Participating requirements under the California Opioid Settlements and California Opioid Bankruptcies. Participationting Subdivisions interested in reviewing eligible opioid remediation activities Subdivisions interested in receiving guidance from DHCS must complete and submit this form. Any guidance provided by DHCS does not indicate approval of expenditures or expense bookkeeping under the opioid settlements and bankruptcies.?
All documentation, including quotes of the items) to be purchased (if applicable), should be emailed to the DHCS Opioid Settlements Team at [email protected]. Please include in the email subject "CA Opioid Settlement/Bankruptcy Technical Assistance Form - [name of your Subdivision]" 3 Organization: City of Orange Request Date:
Primary Contact: Nathalie Flores Title: Administrative Analyst Email Address: [email protected] Phone Number: (714) 288-2533 Subdivision/Local Government Name (e.g., San Bernardino County or City of Los Angeles):
If you are an entity funded by a Participating Subdivision/Local Government, please have your Participating Subdivision/Local Government submit this form.
Technical Assistance Requested (select all that apply):
Allowable expenditures Expense Expense tracking and record keeping Reporting (reporting tool) Other:
Please indicate which fund source will be used for the proposed activity:
• CA Bankruptcy (Mallinckrodt - NOAT |I)
V CA Abatement Accounts Fund
• CA Subdivision Fund*
* If you are unsure if your city or county is a Plaintiff Subdivision, please contact the California Attorney General's Office at [email protected] to confirm before submitting this form.
If you are a Plaintiff Subdivision, have you consulted with your city/county counsel or outside counsel regarding the use of CA Subdivision Funds on the proposed activity or expense? •Yes → NO
1 Participating Subdivisions are not required to indicate their planned expenditures to DHCS. 2 Pursuant to the provisions established in the California State Subdivision Agreements, a State Subdivision Agreement may be revised, supplemented, or refined if it meets the requirements established in the relevant agreements).
3 This form may not be used to satisfy DHCS annual reporting requirements for the opioid settlements or opioid bankruptcies.
DHCS 5255 (Revised 06/2024) Page 1 of 5
State of California - Health and Human Services Agency Department of Health Care Services Please describe the projects) that will be funded:
The City of Orange will allocate a portion of its National Opioid Settlement funds to support program costs for two (2) Navigation Centers located in the cities of Buena Park and Placentia. These centers serve as critical access points for individuals experiencing street homelessness to appropriately link to opioid use disorder (OUD), substance use disorder (SUD), and care for those in recovery who are especially vulnerable.
Operating as interim housing facilities, the centers provide comprehensive wraparound services including case management, employment assistance, behavioral health counseling, and substance use treatment.
Each client is supported by a dedicated case manager who works to connect them with permanent housing, stable income, and long-term treatment options aimed at achieving self-sufficiency.
The Navigation Centers also partner closely with the HOPE Center of Orange County to provide transportation to the facilities, ensuring individuals in need can safely access temporary housing and services. For individuals with mental health needs, the centers link clients to a broader system of care through the County's behavioral health services.
Notably, the Buena Park Navigation Center features an on-site medical clinic that offers treatment services, including Medication-Assisted Treatment (MAT), directly within the facility. The need for this service is evident-between February and August 2024, 22 individuals (2 being unsheltered) from the City of Orange received MAT services through KCS clinics.
The average length of stay at the Navigation Center(s) is approximately 90 days, during which clients are stabilized physically and emotionally. A gamut of services includes establishing vital documents such as birth certificate, social security card and CA Real ID along with health care linkages, counseling, job training, and social skill development including maintaining personal hygiene care.
By addressing immediate basic needs, the centers help to reduce the number of individuals to mitigate the risks associated with OUD, SUD, and untreated mental illness.
DHCS 5255 (Revised 06/2024) Page 2 of 5
State of California - Health and Human Services Agency Department of Health Care Services Please describe how these expenses relate to the List of Opioid Remediation Uses - Core Strategies and Approved Uses (including section/activity number):
The Buena Park and Placentia Navigation Centers directly align with the National Opioid Settlement's Core Strategies and Approved Uses, particularly in expanding access to MAT, wrap-around care, housing, and navigation services for vulnerable populations. #. Expense/Service (Core Strategies and Approved Uses)
1. Case management, wrap-around services including housing, employment assistance, health and counseling services (Schedule A - E.4 and Schedule B - B.1)
2. Embedded MAT clinic at Buena Park site (Schedule A - B.4 and Schedule B - A. 1, A.2)
3. Navigation and social work services (Schedule A - E.1, E.5 and Schedule B - B.2)
4. Partnership with HOPE Center for transportation to treatment (Schedule A - E.4 and Schedule B - B.7)
5. Mental health linkage and support (Schedule A - E.3 and Schedule B - A.1, B.2)
6. Services supporting self-sufficiency: job training, family reunification, life skills (Schedule A - E.4 and Schedule B - B.8)
*Please see detailed chart ATT. 1*
DHCS 5255 (Revised 06/2024) Page 3 of 5
State of California - Health and Human Services Agency Department of Health Care Services If applicable to the project and using funds from the CA Abatement Accounts Fund, please describe how these expenses relate to California's High Impact Abatement Activities (including activity number):
Num. Activity
1 Provision of matching funds or operating costs for substance use disorder facilities with an approved project within the Behavioral Health Continuum Infrastructure Program (BHCIP) 2 Creating new or expanded substance use disorder (SUD) treatment infrastructure 4 3 Addressing the needs of communities of color and vulnerable populations (including sheltered and unsheltered homeless populations) that are disproportionately impacted by SUD 4 Diversion of people with SUD from the justice system into treatment, including by providing training and resources to first and early responders (sworn and non-sworn) and implementing best practices for outreach, diversion and deflection, employability, restorative justice, and harm reduction
5 Interventions to prevent drug addiction in vulnerable youth 6 The purchase of naloxone for distribution and efforts to expand access to naloxone for opioid overdose reversals.
The use of funds for the two (2) Navigation Centers qualifies under multiple High Impact Abatement Activities, specifically HIAA #2 (treatment infrastructure), HIAA #3 (vulnerable populations including homeless), and HIAA #4 (diversion from justice system). These investments support both immediate recovery and long-term stabilization, key goals of the opioid settlement funding strategy. #. Expense/Service (Applicable HIAA #)
1. Case management, wrap-around services including housing, employment assistance, health and counseling services (HIAA #3)
2. Embedded MAT clinic at Buena Park site (HIAA #2)
3. Navigation and social work services (HIAA #4)
4. Partnership with HOPE Center for transportation to treatment (HIAA #3)
5. Mental health linkage and support (HIAA #3)
6. Services supporting self-sufficiency: job training, family reunification, life skills (HIAA #3) *Please see detailed chart ATT. 2*
4 May include cost overrun for BHCIP programs as needed.
DHCS 5255 (Revised 06/2024) Page 4 of 5
State of California - Health and Human Services Agency Department of Health Care Services If applicable, please include information pertaining to questions about expense reporting, expense tracking and record keeping, or other issues in the box below:
Subdivision Representative Signature: _ Date:_
DHCS 5255 (Revised 06/2024) Page 5 of 5
ATT. 1
Please describe how these expenses relate to the List of Opioid Remediation Uses - Core Strategies and Approved Uses (including section/activity number):
The Buena Park and Placentia Navigation Centers directly align with the National Opioid Settlement's Core Strategies and Approved Uses, particularly in expanding access to MAT, wrap- around care, housing, and navigation services for vulnerable populations.
Expense/Service Core Strategy Approved Use High Impact
(Schedule A) (Schedule B) Abatement Activity
(HIAA)
Case management, E.4 - Provide B.1 - Provide wrap- HIAA #3 - Addressing wrap-around comprehensive wrap- around services the needs of vulnerable services (housing, around services to including housing, populations including employment individuals in transportation, job sheltered/unsheltered assistance, health recovery placement, training, homeless and counseling and childcare
services)
Embedded MAT B.4 - Provide A. 1 - Expand HIAA #2 - Expanding clinic at Buena Park treatment and availability of SUD treatment site recovery support treatment for OUD infrastructure
services that and co-occurring
allow/integrate MAT SUD/MH using
MAT
A.2 - Support
evidence-based
ASAM continuum
care including
residential services
Navigation and E.1 and E.5 - B.2 - Provide the HIAA #4 - Diversion social work services Expand navigator full continuum of and deflection services services and care including case including early
behavioral health management and response coordination
workers community-based
services
Partnership with E.4 - Provide B.7 - Provide or HIAA #3 - Focus on HOPE Center for transportation as part support access for transportation to of wrap-around transportation to disproportionately treatment services treatment or impacted populations
recovery programs
Mental health E.3 - Broaden scope A.1 and B.2 - HIAA #3 - Services for linkage and support of recovery services Support integrated individuals with mental to include co- OUD and MH illness, a vulnerable
occurring SUD/MH treatment, and peer group
support services
Services supporting E.4 Job B.8 - Employment HIAA #3 - Promoting self-sufficiency (job placement/training training or recovery among training, family and childcare as educational vulnerable populations reunification, life wrap-around services for those in
skills) treatment
ATT. 2
If applicable to the project and using funds from the CA Abatement Accounts Fund, please describe how these expenses relate to California's High Impact Abatement Activities (including activity number):
The use of funds for the two (2) Navigation Centers qualifies under multiple High Impact Abatement Activities, specifically HIAA #2 (treatment infrastructure), HIAA #3 (vulnerable populations including homeless), and HIAA #4 (diversion from justice system). These investments support both immediate recovery and long-term stabilization, key goals of the opioid settlement funding strategy.
Expense/Service High Impact
Abatement Activity
(HIAA)
Case management, HIAA #3 - Addressing
wrap-around services the needs of
(housing, employment vulnerable populations
assistance, health and sheered/unshellered
counseling services)
homeless
Embedded MAT clinic HIAA #2 - Expanding
at Buena Park site SUD treatment
infrastructure
Navigation and social HIAA #4 - Diversion
work services and deflection services
including early
response coordination
Partnership with HIAA #3 - Focus on
HOPE Center for access for
transportation to disproportionately
treatment impacted populations
Mental health linkage HIAA #3 - Services
and support for individuals with
mental illness, a
vulnerable group
Services supporting HIAA #3 - Promoting
self-sufficiency (job recovery among
training, family vulnerable populations
reunification, life
skills)