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Consent-Health & Human Services # 28.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve second amendment to Agreement No. 18-131 with Turning Point Community Programs for substance use disorder services to add Substance Abuse and Mental Health Services Administration (SAMHSA) funding in the amount of $18,408 for 2018-19 and $18,408 for 2019-20, for a new contract maximum of $441,872; and delegate authority to the Health and Human Services Agency director to exercise up to three one-year extension options. (No general fund impact) (Larsen) |
| Recommended Action |
- Approve second amendment to Agreement No. 18-131 with Turning Point Community Programs for substance use disorder services to add Substance Abuse and Mental Health Services Administration (SAMHSA) funding in the amount of $18,408 for fiscal year 2018-19 and $18,408 for fiscal year 2019-20, for a new contract maximum of $441,872; and revise and clarify contract language as needed; and
- Delegate authority to the Director of the Yolo County Health and Human Services Agency (HHSA) or her/his designee to exercise the option year(s) and execute related option year letter notices not to exceed $202,528 per fiscal year, for a 5-year maximum payment obligation not to exceed $1,049,546 (Please see sections III. and IV. and of Att. A. Second Amendment.)
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| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
On May 8, 2018, the Board of Supervisors (BOS) approved an agreement with the Department of Health Care Services for Yolo County to opt into the Drug Medi-Cal Organized Delivery System (DMC-ODS) waiver, to receive funding in the amount of $13,943,284 for the DMC-ODS Intergovernmental Agreement No. 17-94092 for Substance Use Disorder Services, for the period June 30, 2018 through June 30, 2020. Among other things, the DMC-ODS waiver created opportunity for HHSA to further its integration efforts by examining the Adult Substance Use system of care and various funding streams for those services including: CalWORKs, Child Welfare Services, AB109, 2011 Realignment, Substance Abuse Block Grant, Stathum Funds, SAMSHA funding, etc.
On June 26, 2018, the BOS approved agreement No. 18-131 with Turning Point Community Programs for the provision of intensive outpatient services, outpatient services, case management, and physician consultation services in the amount of $405,056 for the period July 1, 2018 through June 30, 2020.
Approval of this Second Amendment adds SAMSHA Mental Health Block Grant (MHBG) funding in the amount of $18,408 for fiscal year 2018-19 and $18,408 for fiscal year 2019-20, for a new contract maximum of $441,872. Again this flexible use of funding allows HHSA to further its integration efforts for the Adult Substance Use system of care. MHBG is an annual award from SAMHSA and often is awarded at various times depending on the fiscal year. At the original time of execution for the FY18/19 contract, this award was anticipated but not fully secured and therefore was left out until a later date. HHSA has secured the MHBG for FY 18/19, a portion of which is allocated here to Turning Point. In addition, HHSA anticipates award of this same amount for FY 19/20 and therefore is adding both to the contract at this time. Subcontractors who are anticipated to receive the FY19/20 MHBG funding have been notified that this money is contingent on HHSA securing these dollars from SAMHSA.
This Second Amendment also provides the County with three (3) option years in the amount not to exceed $202,528 per fiscal year, for a 5-year maximum payment obligation not to exceed $1,049,456 (Please see Section III. B2. of Att. A. Second Amendment.) HHSA requests delegated authority to the HHSA Director to exercise the option year(s) and execute related option notices (Please see Section IV. of Att. A. Second Amendment.)
Performance measures where included in Agreement No. 18-131 and are not being changed by this amendment. |
| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel has approved this Agreement as to form. |
| Competitive Bid Process |
On February 26, 2018, HHSA issued a Request for Proposal seeking contractors to provide Substance Use Disorder (SUD) Adult Continuum of Care services to eligible Yolo County residents.
HHSA received eight proposals from this solicitation. Below is a table of all providers who submitted proposals. All proposals were evaluated and the following proposals were determined to meet all the required qualifications necessary to successfully provide these services: CommuniCare, Turning Point, Progress House, Community Recovery Resources, Yolo Wayfarer Center, BayMark, and CORE. Heritage Oaks was the only bid received that was not awarded a contract.
Request for Proposals (RFP) Service Requested:
Substance Use Disorder Adult Continuum of Care
Evaluation Criteria Included in RFP
- General company information (20 points)
- Experience and past performance (100 points)
- For contractors bidding on residential treatment services (6 points)
- Preferred qualifications (20 points)
- Responsiveness/responsibility (20 points)
- Pricing requirements (40 points)
- Proposer’s approach to project (100 points)
- Quality assurance and oversight (20 points)
- Outputs and outcomes measures (50 points)
- Financial information (pass/fail)
- Quality and completeness of submitted proposal (pass/fail)
Bids Received
| Bidder |
Scopes included in Bid |
Bid |
CommuniCare Health Center
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Intensive Outpatient, Outpatient, Case Management, Physician Consultation, Recovery Services, In-Person Screening/Referral |
$1,583,952
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| Turning Point Community Programs |
Intensive Outpatient, Outpatient, Case Management, Physician Consultation |
$278,388 |
| Progress House |
Low-Intensity Residential, Case Management, Physician Consultation |
$500,000 |
| Community Recovery Resources |
Low-Intensity Residential, High-Intensity Residential, Case Management, Physician Consultation, Withdrawal Management, Intensive Outpatient, Transitional Living |
* |
| Yolo Wayfarer Center dba Fourth and Hope |
Low-Intensity Residential, , High-Intensity Residential, Transitional, Case Management, Physician Consultation |
$1,001,950 |
| Heritage Oaks |
Intensive Outpatient, Outpatient, Case Management, Physician Consultation |
$785,929 |
BayMark Health Centers (MedMark, Fairfield; MedMark, Sacramento;
Bi-Valley Medical Clinic) |
Opioid (Narcotic) Treatment Program, Case Management, Physician Consultation |
$1,181,581** |
| CORE Medical Clinic, Inc. |
Opioid (Narcotic) Treatment Program, Case Management, Physician Consultation |
$2,000,000** |
* Community Recovery Resources declined to submit a bid amount. the entire program cost $3,823,974 was included in their proposal and expected to be funded by different sources.
** BayMark and CORE requested funding for two years. All bids shown denote an annual budget.
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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: |
The action increases the contract maximum by $18,408 for fiscal year 2018-19 and $18,408 for fiscal year 2019-20, for a total of $441,872 for the period of July 1, 2018 through June 30, 2020. No general funds are required by this action. These services will be funded by DMC-ODS and SAMHSA MHBG. The amount of $18,408 was included in the HHSA adopted budget for FY18-19. The amount of $18,408 was included in the HHSA proposed budget for FY19-20.
The following is the breakdown of funding for this agreement.
| Scope of Services |
Fiscal Year 2018-19
July 1, 2018
through
June 30, 2019 |
Fiscal Year 2019-20
July 1, 2019
through
June 30, 2020 |
Total |
Exhibit A.1
Outpatient Services (ASAM Level 1.0)
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$150,219
$18,408 (SAMHSA MHBG) |
$60,219
$18,408 (SAMHSA MHBG) |
$247,254 |
Exhibit A.2
Intensive Outpatient Services (ASAM Level 2.1) |
$ 24,886 |
$114,886 |
$139,772 |
Exhibit A.3
Case Management |
$ 26,073 |
$ 26,073 |
$ 52,146 |
Exhibit A.4
Physician Consultation |
$ 1,350 |
$ 1,350 |
$2,700 |
| Total |
$220,936 |
$220,936 |
$441,872 |
The agreement also includes three (3) one-year extension options for July 1, 2020 through June 30, 2021, July 1, 2021 through June 30, 2022, and July 1, 2022 through June 30, 2023 in an amount less than or equal to $202,528 per year, as follows:
Option Year/
Fiscal Year |
Revised Agreement Term Per Option Year/Fiscal Year |
Increased Funding Amount Per Option Year/
Fiscal Year |
Revised Agreement
Lifetime Maximum
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First/
(FY 2020-21) |
On or before
June 30, 2021 |
Less than or equal to
$202,528 |
Less than or equal to $644,400 |
Second/
(FY 2021-22) |
On or before
June 30, 2022 |
Less than or equal to
$202,528 |
Less than or equal to $846,928 |
Third/
(FY 2022-23) |
On or before
June 30, 2023 |
Less than or equal to
$202,528 |
Less than or equal to $1,049,456 |
In no event shall the term of the Agreement extend beyond June 30, 2023 nor shall the total contract maximum exceed the amount of ONE MILLION FORTY-NINE THOUSAND FOUR HUNDRED FIFTY-SIX DOLLARS ($1,049,456), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy duly approved by the Yolo County Board of Supervisors.
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