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  Consent-Health & Human Services   #   21.    
Board of Supervisors Adult & Aging  
Meeting Date: 08/01/2017  
Brief Title:    Yolo Community Care Continuum Safe Harbor Amendment
From: Karen Larsen, Director, Health & Human Services Agency
Staff Contact: Kristy Brockett, Accountant Auditor I, Health & Human Services Agency, x2762

Subject
Approve seventh amendment to agreement with Yolo Community Care Continuum to increase maximum compensation by $32,700 for 2016-17, for an aggregate contract maximum amount of $3,900,430 for the provision of adult residential treatment services, crisis residential mental health services and after hours phone triage services.  (No general fund impact) (Larsen)
Recommended Action
Approve seventh amendment to agreement No. 14-64 with Yolo Community Care Continuum (YCCC) to increase maximum compensation by $32,700, for fiscal year 2016-17, for an aggregate contract maximum amount of $3,900,430 for the provision of crisis residential mental health services and after hours phone triage services; and update contract language where appropriate to clarify and refine the terms, conditions, and requirements of the Agreement accurately. 
 
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
 
Reason for Recommended Action/Background
Crisis Residential (Safe Harbor) and After Hours Phone Triage Amendment #7 -
YCCC provides Crisis Residential services to Yolo County consumers experiencing acute or severe psychiatric episodes requiring temporary removal from their home environment, and who meet the mental health medical necessity criteria.
 
Additional funds in the amount of $32,700 are needed to align with utilization of the crisis residential services during FY16/17. The After Hours Phone Triage services provides information about services needed to treat urgent conditions; how to access specialty mental health services; and how to use the beneficiary program resolution and Fair Hearing process.  There are no changes to this scope of service.
 
Approval of this amendment will further the Health and Human Services Agency’s efforts to support community-based services and prevent higher cost of care from occurring more than necessary.
 
The following is the breakdown of funding for this Agreement:
Crisis Residential (Safe Harbor) and After Hours Phone Triage
Scope of Services FY14-15 FY15-16 FY16-17 FY17-18 FY18-19 Total Contract Amount
             
Exhibit A.1 – Crisis Residential (Safe Harbor)
 
$324,833
 
$324,833
 
$324,833
 
 
 
 
$0
 
 
 
 
$0
 
 
 
 
 
 
 
$3,473,975
 
Amendment 1
 
$236,000 $0 $0 $0 $0
Amendment 2
 
$0 $175,167 $225,167
 
$0 $0
Amendment 3
 
$0 $0 $18,700 $0 $0
Amendment 4 $0 $0 $0 $0 $0
Amendment 5 $0 $0 $0 $0 $0
Amendment 6 $0 $0 $0 $905,871 $905,871
Amendment 7 $0 $0 $32,700 $0 $0
             
Exhibit A.2 – After Hours Phone Triage
 
$85,291
 
$85,291
 
$85,291
 
$0 $0
 
 
 
 
 
 
$426,455
Amendment 1 $0 $0 $0 $0 $0
Amendment 2 $0 $0 $0 $0 $0
Amendment 3 $0 $0 $0 $0 $0
Amendment 4 $0 $0 $0 $0 $0
Amendment 5 $0 $0 $0 $0 $0
Amendment 6 $0 $0 $0 $85,291 $85,291
Amendment 7 $0 $0 $0 $0 $0
           
Total $646,124 $585,291 $686,691 $991,162 $991,162 $3,900,430

Competitive Bid Process:
 
Crisis Residential (Safe Harbor) and After Hours Phone Triage
On February 25, 2014, Alcohol, Drug and Mental Health (ADMH), now known as Health and Human Services Agency (HHSA), issued a Request for Proposals (RFP) requesting proposals from qualified providers interested in providing Crisis Residential Services and an RFP requesting proposals from qualified providers interested in providing After Hours Phone Triage Services.

On March 21, 2014, HHSA received one (1) proposal from this solicitation.  After evaluation of the proposals received, YCCC was awarded on March 28, 2014 to provide these services. On April 29, 2014, our Board of Supervisors approved the contract.
Request for Proposals Service Requested:
Crisis Residential Services
 
Evaluation criteria included in Request for Proposals:
  • General Company Information (14 points)
  • Experience (6 points)
  • Responsiveness/Responsibility (10 points)
  • Proposal’s Approach to Project (30 points)
  • Service Fees and Cost Containment Initiatives (15 points)
  • Quality Assurance and Oversight (10 points)
  • Outputs and Outcome Measures (10 points)
  • Financial Information (pass/fail)
  • Quality and Completeness of Submitted Proposal (pass/fail)
  • Demonstrated Competence/Past Performance (5 points)
    • Total Points for Overall Presentation (100 points)
  • Reasonableness of Cost (20 points)
    • Total Overall Points (120 points)
 
Bids received:
Yolo Community Care Continuum $324,833
  • $224,522 Mental Health Core
  • $50,311 SAMHSA
  • $50,000 MHSA
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this amendment as to form.
 

Fiscal Information
Fiscal impact (see budgetary detail below)
Fiscal Impact of this Expenditure
Total cost of recommended action $32,700
Amount budgeted for expenditure $32,700
Additional expenditure authority needed $0
One-time commitment     Yes
Source of Funds for this Expenditure
General Fund $0
SAMHSA $0
FFP Medi-Cal $0
Realignment $0
Further explanation as needed
No county general funds are required by this action.
 
In total this amendment will increase fiscal year 16-17 by $32,700.  The increased amount for fiscal year 16-17 is included in HHSA’s budget.  HHSA will budget future fiscal years accordingly.
 
County shall pay Contractor using a combination of funding sources (SAMHSA, FFP Medi-Cal, Realignment, etc.), as Health and Human Services claims for federal financial participation (FFP) reimbursement first when applicable.
 
Attachments
Att. A. Amendment

Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 07/24/2017 02:29 PM
Financial Services Tom Haynes 07/25/2017 12:15 PM
County Counsel Hope Welton 07/25/2017 12:20 PM
Form Started By: kbrockett Started On: 07/18/2017 04:43 PM
Final Approval Date: 07/25/2017
Level double AA conformance,
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