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Consent-Health & Human Services # 18.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Delegate authority to the Yolo County Procurement Manager to approve agreements with: CommuniCare Health Centers, Inc. in the amount of $45,121 for the period of August 1, 2020 through March 31, 2021 to fund a Medication Assisted Treatment Peer Navigator position; and WellPath, Inc. in the amount of $31,150 for the period of August 1, 2020 through March 31, 2021 to support and expand Medication Assisted Treatment services provided in the County jail to individuals in need. (No general fund impact) (Larsen) |
| Recommended Action |
- Delegate authority to the Yolo County Procurement Manager to approve an agreement with CommuniCare Health Centers, Inc. ("CCHC") in the amount of $45,121 for the period of August 1, 2020 through March 31, 2021 to fund a Medication Assisted Treatment ("MAT") Peer Navigator position;
- Delegate authority to the Yolo County Procurement Manager to approve an agreement with WellPath, Inc. ("WellPath") in the amount of $31,150 for the period of August 1, 2020 through March 31, 2021 to support and expand MAT services provided in the County jail to individuals in need; and
- Delegate authority to the Yolo County Procurement Manager to execute any amendments to the resulting agreements with CCHC and WellPath, including financial amendments not to exceed $100,000 per agreement.
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| Strategic Plan Goal(s) |
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Thriving Residents |
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| Reason for Recommended Action/Background |
The County of Yolo, via its Health and Human Services Agency ("HHSA"), received funding from Health Management Associates under the State Targeted Response to the Opioid Crisis Grant (“STR Opioid Grant”) for the Medication Assisted Treatment Expansion Project 2.0 (“STR Opioid Grant MAT Expansion Project”). The main focus of the STR Opioid Grant MAT Expansion Project is to expand the availability of MAT treatment for in-custody clients that are in need of referrals, counseling, education tools, and discharge planning. It is crucial that individuals receive education regarding proper medication, assistance while in-custody, and linkage to behavioral health treatment when discharged.
The County will allocate $45,121 of the grant funds received to CCHC for the period of August 1, 2020 through March 31, 2021 to fund a 1.0 FTE MAT Peer Navigator position (“Peer Navigator”). The Peer Navigator shall have personal experience and identify as a mental health services consumer or the family member of a mental health services consumer, or have previous involvement in substance use and/or involvement in the criminal justice system. The Peer Navigator will collaborate with the CCHC MAT and Transitions of Care Team to receive referrals and provide coordination via referrals from WellPath (or the current contracted behavioral health service and physical health care providers for Yolo County inmates) and other staff to provide assistance in successfully navigating clients leaving incarceration to ongoing substance use treatment, prioritizing individuals who need ongoing MAT treatment as part of their exit plan. Among other tasks, the Peer Navigator will use their personal and professional life experience to provide peer support/case management to MAT clients and assist them with navigating physical heath, behavioral health, and social service systems to obtain the services that are necessary for stability and wellness. Performance measures will be included in the resulting agreement.
The County will allocate $31,150 of the grant funds received to WellPath for the period of August 1, 2020 through March 31, 2021 to support and expand MAT services provided by WellPath as the current contracted behavioral health service and physical health care providers for Yolo County inmates in the County jail to individuals in need. This will allow for all patients to be screened during their routine 7-day Health Appraisal. All appropriate patients will be referred to the MAT Coordinator for additional follow-up and assessment for OUD/SUD. WellPath will also provide education and appropriate counseling services to patients in the facility regarding MAT treatment, including motivational interviewing, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, etc. Performance measures will be included in the resulting agreement.
The services under both of these agreements will assist with reduction in both recidivism and overdose rates for this population. Granting authority to the Procurement Manager will reduce administrative process time and allow for the resulting agreements to be fully executed as soon as possible. There is a small window in which to utilize these funds (by March 31, 2021). |
| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel will approve the resulting agreements as to form.
Yolo County Procurement Manager provided guidance on the underlying procurement and agreement language for federal subawards. |
| Competitive Bid Process |
| This agreement is being sought by a Sole Source approved by the Procurement Manager. |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
No general funds are required by this action. These services will be funded by the grant received from Health Management Associates under the State Targeted Response to the Opioid Crisis Grant (“STR Opioid Grant”). The total amount of this action is $76, 271 for the period of August 1, 2020 through March 31, 2021. The amount of $76,271 is included in the HHSA Adopted Budget for Fiscal Year 2020-21.
The breakdown of funding for these agreements is as follows:
| PROVIDER |
SCOPE |
FISCAL YEAR 2020-21 |
TOTAL |
| CommuniCare Health Centers |
Peer Navigator- MAT Expansion |
$45,121 |
$76, 271 |
| WellPath |
MAT Expansion |
$31,150 |
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