(a) HSA, in collaboration with DPH, shall establish the Cash Not Drugs Pilot Program as a three-year pilot program.
(b) To establish initial eligibility for assistance under the Pilot Program, a person must:
(1) receive financial assistance through CAAP;
(2) be evaluated and determined to need substance abuse treatment as required by Section 20.7-26.5(c) of the Administrative Code to receive further CAAP benefits; and
(3) enroll in the Pilot Program, subject to program availability, by producing an initial Negative Drug Test.
(c) To maintain eligibility for weekly assistance under the Pilot Program, a person must:
(1) have established initial eligibility under subsection (b);
(2) thereafter produce one Negative Drug Test per week;
(3) participate in a contingency management substance use treatment program; and
(4) meet any additional requirements established by HSA, in collaboration with DPH, in its discretion, that are reasonably necessary or appropriate to implement the Pilot Program.
(d) Subject to the fiscal and budgetary provisions of the Charter, HSA shall collaborate with DPH to implement the Pilot Program as follows:
(1) HSA shall administer the Pilot Program as a voluntary program. The Executive Director may limit eligibility for the Pilot Program, including, but not limited to, offering the Pilot Program on a first-come, first-served basis and capping participation in the Pilot Program. In designing and implementing the Pilot Program, HSA shall partner with DPH to incorporate the seven core principles of contingency management, which are target behavior, target population, type of reinforcer, magnitude (or amount) of reinforcer, frequency of reinforcement distribution, timing of reinforcement distribution, and duration of reinforcement.
(2) Subject to the civil service provisions of the Charter, HSA or DPH may contract for the administration of the Pilot Program through a competitive bidding process, provided that, the contractor shall have experience in recovery supporting services and substance use disorder treatment programs.
(3) Starting the first full week after a CND Participant satisfies the initial eligibility criteria set forth in subsection (b), HSA may, in its discretion, provide to such person payments in an amount of up to $100 per week for as long as such CND Participant maintains eligibility in the Pilot Program. HSA may provide payments using methods to safeguard against fraud and abuse, including but not limited to, smart debit cards with anti-relapse protections.
(4) HSA, in coordination with DPH, may offer CND Participants in the Pilot Program access to a protocol-driven and evidence-based treatment recovery program that includes an abstinence-based or MAT program for substance use disorder.
(5) HSA may, in its discretion, disenroll from the Pilot Program CND Participants who fail to meet the Pilot Program eligibility requirements in subsection (c), provided that, if HSA determines, in its discretion, that the CND Participant is making a good-faith effort to maintain or achieve sobriety, HSA may continue the CND Participant’s eligibility in the Pilot Program. Disenrolled CND Participants shall not have the right to appeal HSA’s decision. Disenrolled CND Participants may re-enter the Pilot Program at any time provided that they meet the initial eligibility criteria set forth in subsection (b).
(6) CND Participants may only participate in the Pilot Program using Drug Tests funded exclusively by the City and may not seek reimbursement for the Drug Tests from any other payer source. Any Drug Test used in the Pilot Program may not be sent to a CLIA laboratory for testing.
(e) Notwithstanding subsections (b) and (c), CND Participants shall be ineligible for further participation in the Pilot Program if HSA determines the CND Participant has, by means of fraud or willful noncompliance with Pilot Program requirements, obtained payments under the Pilot Program.
(Added by Ord. 257-24, File No. 240799, App. 11/14/2024, Eff. 12/15/2024)