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  Consent-Health & Human Services   # 26.       
Board of Supervisors Adult & Aging  
Meeting Date: 09/10/2019  
Brief Title:    Twelfth Amendment-Yolo Community Care Continuum- Safe Harbor
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 twelfth amendment to Agreement No. 14-64 with Yolo Community Care Continuum to reduce funding in the amount of $217,191 for 2018-19 to align with actual utilization, for a new contract maximum of $3,768,359. (No general fund impact) (Larsen)
Recommended Action
Approve twelfth amendment to Agreement No. 14-64 with Yolo Community Care Continuum (YCCC) to reduce funding in the amount of $217,191 for fiscal year 2018-19 to align with actual utilization, for a new contract maximum of $3,768,359.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
YCCC provides adult crisis residential mental health services to Yolo County (“the County”) consumers experiencing acute or severe psychiatric episodes requiring temporary removal from their home environment. These consumers must meet the Medi-Cal mental health medical necessity criteria.
 
Given less than expected utilization of services at YCCC’s facilities by the County consumers in FY 2018-19, Yolo County Health and Human Services Agency (HHSA) is reducing the contract budget by $217,191. Some of the cost savings from this amendment may be added to other mental health services agreements as needed to cover increased utilization for FY 2018-19 in those agreements. 
 
Staff hereby recommends approval of this amendment to reduce the contract budget for FY 2018-19 by $217,191.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process
On February 25, 2014, HHSA then operating as the Department of Alcohol, Drug and Mental Health, issued a Request for Proposals (RFP) from qualified community based organizations to provide crisis residential services for adults experiencing acute or severe psychiatric episodes requiring temporary removal from their home environment.
 
From this solicitation, HHSA received two (2) proposals for Crisis residential services. The proposal submitted by YCCC was evaluated and determined to meet all the required qualifications necessary to successfully provide crisis residential services.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   -217,191
Amount budgeted for expenditure:    $   0
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$0
- $200,000
- $17,191
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action. The action decreases the contract maximum by $217,191 for a total contract maximum of $3,768,359, for the period of July 1, 2014 through June 30, 2019. These funds are being reduced from Mental Health Core funding in the amount of $200,000 and SAMSHA Mental Health Block Grant (MHBG) funding in the amount of $17,191, for FY 2018-19. The amounts included in the HHSA adopted budget for FY 2018-19 was $1,071,522, out of which $217,191 is now being reduced leaving an encumbered amount of $854,331 for these services.
The following is the breakdown of funding for this agreement.

 
Scope of Service Fiscal Year
2014-15 		Fiscal Year
2015-16 		Fiscal Year
2016-17 		Fiscal Year
2017-18 		Fiscal Year
2018-19
Exhibit A.1:
Crisis Residential Services (Safe Harbor)
 
 
 		 $300,522
(Mental
Health Core)
 
$14,400
(SAMSHA)
 
$245,911
(MHSA)		 $500,000
(Mental
Health Core) 
 
 
 
 
 
 		 $601,400
(Mental
Health Core) 
 
 
 
 
 
 		 $910,631(Mental
Health Core)		 $821,211
(Mental
Health Core)
 
$33,120
(SAMSHA-MHBG
 CFDA 93.958)
Exhibit A.2:
After Hours
Phone Triage*		 $85,291 $ 85,291 $ 85,291 $85,291 n/a
Total per FY $646,124 $585,291 $686,691 $995,922 $854,331
Total Contract Maximum                                                  $3,768,359
*the effective service date of the After Hours Phone Triage Services is July 1, 2014 through June 30, 2018
 
Attachments
Att. A. Amendment
Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 08/15/2019 03:15 PM
County Counsel Hope Welton 08/15/2019 03:24 PM
Form Started By: tchawla Started On: 05/07/2019 03:52 PM
Final Approval Date: 08/15/2019

    

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