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  Consent-Health & Human Services   # 31.       
Board of Supervisors Adult & Aging  
Meeting Date: 02/13/2024  
Brief Title:    First Amendment to Agreement No. 23-200 with Psynergy Programs
From: Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact: Samantha Fusselman, Adult and Aging Branch Director, Health and Human Services Agency, x2492
Supervisorial District Impact: Countywide

Subject
Approve first amendment to Agreement No. 23-200 with Psynergy Programs, Inc. to add funding in the amount of $132,967, for a new contract maximum of $632,967, for the period of July 1, 2023 through June 30, 2024, for the provision of acute and/or sub-acute psychiatric inpatient services or specialty mental health services. (No general fund impact) (Sullivan)
Recommended Action
Approve first amendment to Agreement No. 23-200 with Psynergy Programs, Inc. to add funding in the amount of $132,967, for a new contract maximum of $632,967, for the period of July 1, 2023 through June 30, 2024, for the provision of acute and/or sub-acute psychiatric inpatient services or specialty mental health services. 
Strategic Plan Goal(s)
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
Psynergy Programs provides reliable adult residential home care in combination with intensive outpatient mental health services which assist individuals with mental illness to avoid the unnecessary expense and emotional trauma often associated with incarceration and hospitalization. The goals of Psynergy Programs’ services are to improve each individual’s quality of life, to help individuals gain the skills and ability necessary to stay out of locked hospital settings, and to move into a less restrictive living arrangement in the community.

California Advancing and Innovating Medi-Cal (CalAIM) Initiative
In January 2022, California Department of Health Care Services (DHCS) rolled out the CalAIM initiative that aims to provide broad delivery system program and payment reform across the Medi-Cal system. The goal is transformation of the Medi-Cal delivery system, moving it towards a population health approach that prioritizes prevention and whole person care. Focus shifts from compliance to quality and performance metrics.

On July 25, 2023, the County and Psynergy Programs entered into Agreement No. 23-200, with a term of July 1, 2023 through June 30, 2024, for the provision acute and/or sub-acute psychiatric inpatient services or specialty mental health services.

This first amendment adds funding in the amount of $132,967 for Fiscal Year 2023-24. The funding is needed due to the number of clients that have been served this year and that are projected to be served in FY2023-24.

Performance Measures included in this Agreement are as follows:
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures).
Collaborations (including Board advisory groups and external partner agencies)
County Counsel-review and approval of the Yolo County SMHS boilerplate
County Counsel-review and approval of amendment as to form
General Services Department, Procurement Division
CalMHSA-technical assistance with CalAIM Initiative
Competitive Bid Process/Vendor Performance
On or about May 16, 2022, the then acting Yolo County Procurement Manager approved a sole source letter in conformance with the then current Yolo County Procurement Policy.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   132,967
Amount budgeted for expenditure:    $   132,967
Additional expenditure authority needed:    $  
One-time commitment     Yes
Source of Funds for this Expenditure
$132,967
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action. These services will be funded by Realignment. The total amount of this action is $632,967 for the period of July 1, 2023 through June 30, 2024. The amount of $132,967 is included in the HHSA adopted budget for FY 2023-24.
 
Fiscal Year 2023-24
July 1, 2023 through June 30, 2024
$632,967
Attachments
Att. B. Performance Measures
Att. A. First Amendment

Form Review
Inbox Reviewed By Date
Karleen Jakowski Karleen Jakowski 02/01/2024 09:24 AM
Nolan Sullivan Nolan Sullivan 02/01/2024 09:49 AM
Financial Services Matt Robertson 02/01/2024 11:12 AM
County Counsel Hope Welton 02/01/2024 11:18 AM
Cindy Perez Cindy Perez 02/05/2024 02:19 PM
Form Started By: Kimberly Mayfield Started On: 01/17/2024 07:25 AM
Final Approval Date: 02/05/2024

    

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