Agenda

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Consent-Health & Human Services # 25.

Board of Supervisors

Adult & Aging

Meeting Date:	09/10/2019
Brief Title: First Amendment to Agreement No. 16-143 with Turning Point Community Programs
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Sandra Sigrist, Adult and Aging Branch Director, Health and Human Services Agency, x8794
Supervisorial District Impact:

Subject

Approve first amendment to Agreement No. 16-143 with Turning Point Community Programs to extend the term of the agreement through June 30, 2020; add funding for fiscal year 2019-20 in the amount of $1,011,525, for the new contract maximum of $4,046,100; and revise and clarify language. (No general fund impact) (Larsen)

Recommended Action

Approve First Amendment to Agreement 16-143 with Turning Point Community Programs to extend the term of the agreement through June 30, 2020 and add funding for fiscal year 2019-20 in the amount of $1,011,525, for the new contract maximum of $4,046,100; and revise and clarify language; and
Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to approve an Option Year Letter not to exceed $1,011,525 for fiscal year 2020-21, for a 5-year maximum payment obligation not to exceed $5,057,625. (Please see Section 3. of Att. A. First Amendment and the Explanation of Expenditure section of this staff report.)

Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background

On September 13, 2016, the Yolo County Board of Supervisors approved Agreement 16-143, a three-year agreement with Turning Point Community Programs (TPCP) to provide Full Service Partnership (FSP) and Assisted Outpatient Treatment (AOT) services for the period July 1, 2016 through June 30, 2019. These services are provided to Yolo County Health and Human Services Agency (HHSA) consumers who are Seriously Mentally Ill (SMI) adults that are at risk of placement in or transitioning back into the community after being placed in a high level of care, like institutions for mental disease, acute psychiatric hospitals, and state hospitals. The services are community based intensive services patterned upon evidenced based practices and incorporate Mental Health Services Act (MHSA) concepts of wellness, recovery, resiliency and attention to client driven services. The primary outcome objectives for these services are: decreasing the utilization and length of stay in costlier and more restrictive levels of care; reduction in homelessness; increasing consumer employment and increasing support of consumers and their families and caregivers.

Staff recommends approval of this first amendment as it will assist HHSA in meeting the vital objectives discussed above for some of HHSA’s most vulnerable consumers.

The Performance Measures associated with this agreement are included in Attachment B.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

On April 12, 2016, Yolo County Health and Human Services Agency issued a Request for Proposals # ADMHRFPCC1603 to elicit bids from qualified community based organizations to provide Mental Health Service Act Full Service Partnership and Assisted Outpatient Treatment services. The RFP was open for fifty-five (55) days (7 weeks and 6 days). Potential bidders were offered an opportunity to ask questions during a Mandatory Bidders’ Conference on April 25, 2016. Bidders were offered the opportunity to participate in the MBC Bidders’ Conference via conference call. Ultimately, three (3) agencies attended the Bidders’ Conference. The BidSync system was the method of bid submission made available to potential bidders.

HHSA received one (1) proposal from this solicitation. A Proposal Review Committee was formed that included three (3) HHSA employees from HHSA. The proposal submitted by TPCP was evaluated and determined to meet all the required qualifications necessary to successfully provide these services.

Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.

Request for Proposals Service Requested:
Mental Health Services Act Community Services and Support Programs Assertive Community Treatment Services for Full Service Partnership and Assisted Outpatient Treatment Clients

Evaluation Criteria Included in RFP (100 points)

General Company Information (10 points)
Experience and Past performance (15 points)
Responsiveness/Responsibility (5 points)
Approach to Project (25 points)
Service Fees and Cost Containment Initiatives (15 points)
Outputs and Outcome Measures (10 points)
Financial Information (pass/fail)
Quality and Completeness of Proposal (pass/fail)

Bids Received

Bidder	Bid
Turning Point Community Programs	Example: $1,011,525

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 1,011,525
Amount budgeted for expenditure:		$ 1,011,525
Additional expenditure authority needed:		$
On-going commitment (annual cost):	$

Source of Funds for this Expenditure

$505,763

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No county general funds are required by this action. The total cost of this Agreement is $4,046,100 over four fiscal years. The amount of $1,011,525 is included in the HHSA budget request for fiscal year 2019-20, and related funds will be included in future budgets. Further, the agreement provides that the County’s obligation to compensate Contractor pursuant to the agreement is contingent upon, and subject to, the County’s receipt of such funding from the State, and the absence or removal of any constraints imposed by the State upon such receipt and payment.

The following is the breakdown of the funding in this agreement.

Scope of Services	FY 2016–17 July 1, 2016 through June 30, 2017	FY 2017–18 July 1, 2017 through June 30, 2018	FY 2018–19 July 1, 2018 through June 30, 2019	FY 2019–20 July 1, 2019 through June 30, 2020	Total
MHSA FSP/AOT	$1,011,525	$1,011,525	$1,011,525	$1,011,525	$4,046,100

This First Amendment to Agreement No. 16-143 also clarifies the language regarding the remaining option year, providing for one option year not to exceed $1,011,525, as follows:

Option Year/ Fiscal Year	Budget Due Date	Revised Agreement Term Extension	Increased Funding Amount	Revised Maximum Payment Obligation
First (FY 2020-21)	On or before April 1, 2020	through June 30, 2021	Less than or equal to $1,011,525	Less than or equal to $5,057,625

In no event shall the term of the agreement extend beyond June 30, 2021 nor shall the total contract maximum exceed the amount of $5,057,625, including the remaining option year, unless otherwise agreed to in writing by the parties and in conformity with the Yolo County Procurement Policy approved by the BOS on December 11, 2018, via Minute Order No. 18-202.

Attachments
Att. A. First Amendment
Att. B. Performance Measures

Form Review

Inbox	Reviewed By	Date
Financial Services	Tom Haynes	08/15/2019 03:14 PM
County Counsel	Hope Welton	08/15/2019 03:24 PM
Form Started By: Nicole Jamison		Started On: 02/25/2019 06:23 PM
Final Approval Date: 08/15/2019