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  Consent-Health & Human Services   # 29.       
Board of Supervisors Adult & Aging  
Meeting Date: 09/10/2019  
Brief Title:    First Amendment to Agreement No. 17-207 with Turning Point Community Programs FY17-20
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 renewal Agreement No. 17-207 with Turning Point Community Programs to extend the term of the agreement through June 30, 2020 and add funding in the amount of $186,384 for 2019-20, for a new contract maximum of $559,152. (No general fund impact) (Larsen)
Recommended Action
Approve first amendment to renewal Agreement No. 17-207 with Turning Point Community Programs to extend the term of the agreement through June 30, 2020 and add funding in the amount and of $186,384 for fiscal year 2019-20, for a new contract maximum of $559,152 and revise and clarify contract language.
Strategic Plan Goal(s)
Thriving Residents
Safe Communities
 
Reason for Recommended Action/Background
Turning Point Community Programs provides a community-based, outpatient program providing Medi-Cal specialty mental health services (SMHS) to consumers residing in the Pine Tree Gardens Board and Care facilities (PTG B&Cs) who have a history of or are at risk for psychiatric hospitalization and/or placements in Institutions for Mental Disease (IMD).  Currently, the County has 27 consumers placed in the PTG B&Cs.

These outpatient specialty mental health services aim to restore, maintain, or improve personal independence and functioning consistent with requirements for learning and development. Services are patterned upon evidence-based or best practice models of treatment, incorporating principles of “recovery” from symptoms of mental illness. The services are provided in a less restrictive environment, allowing consumers to receive appropriate level of services. This also allows the County to achieve cost savings by reducing placements in other higher level/higher cost placements.

The Yolo County Health and Human Services Agency (HHSA) is requesting approval of this amendment so Turning Point Community Programs may continue to provide these services to vulnerable HHSA consumers through FY2019-20.

The performance measures in the underlying agreement were not revised in this amendment.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this amendment as to form.
Competitive Bid Process
On March 3, 2014, HHSA (known at the time as the Yolo County Alcohol, Drug and Mental Health Department), issued a Request for Proposals (RFP) requesting proposals from qualified providers interested in providing Adult Outpatient Specialty Mental Health Services to consumers that were community centered, rather than facility based.  The RFP covered the provision of these services for a six-year term. HHSA received two (2) proposals from this solicitation.  After evaluation of the proposals received, Turning Point Community Programs was selected to provide these services. 

Evaluation Criteria Included in RFP (120 points total)
  • General Company (14 points)
  • Experience (6 points)
  • Responsiveness/Responsibility (10 points)
  • 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)
  • Reasonableness of Costs (20 points)
  • Demonstrated Competence/Past Performance (5)
  • Quality and Completeness of Proposal (pass/fail)
  • Financial Information (pass/fail)
 
Bidder Bid Funding Recommendations
Turning Point Community Programs $219,060 $186,384
BHC Heritage Oaks  $3,900,000  

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   186,384
Amount budgeted for expenditure:    $   186,384
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$93,192
$93,192
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action.  This agreement will be funded in part by Medi-Cal FFP for specialty mental health services. Based on client eligibility, the FFP match will either be Mental Health Realignment funding or Mental Health Services Act funding. For the period of July 1, 2019 through June 30, 2020, the amount of this agreement is $186,384  for a total three year contract maximum amount of $559,152. The amount of $186,384 is included in the HHSA recommended budget for FY2019-20.
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 09/03/2019 10:33 PM
County Counsel Hope Welton 09/04/2019 08:57 AM
Form Started By: Nicole Jamison Started On: 07/12/2019 05:44 PM
Final Approval Date: 09/04/2019

    

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