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  Consent-Health & Human Services   # 17.       
Board of Supervisors Adult & Aging  
Meeting Date: 07/27/2021  
Brief Title:    Fifth Amendment with CommuniCare Health Centers, Inc.- SUD
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:
Subject
Approve fifth amendment to Agreement No. 18-154 with CommuniCare Health Centers, Inc. to extend the term of the agreement through June 30, 2022 and reduce funding for 2020-21 in the amount of $181,024 in order to shift funding to other substance use contractors; add funding in the amount of $1,061,107 for 2021-22 for a revised contract maximum of $4,493,776; add a Scope for data collection and screenings effective 2020-21; and revise and clarify contract language. (No general fund impact) (Larsen)
Recommended Action
  1. Approve fifth amendment to Agreement No. 18-154 with CommuniCare Health Centers, Inc. to extend the term of the agreement through June 30, 2022 and reduce funding for Fiscal Year (FY) 2020-21 in the amount of $181,024 in order to shift funding to other substance use contractors; add funding in the amount of $1,061,107 for FY 2021-22 for a revised contract maximum of $4,493,776; add a Scope for data collection and screenings effective FY 2020-21; and revise and clarify contract language; and
     
  2. Re-delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to exercise an optional year extension and issue a related notice, not to exceed $1,061,107 for fiscal year 2022-23, for a 5-year maximum payment obligation not to exceed $5,554,883.
Strategic Plan Goal(s)
Thriving Residents
Reason for Recommended Action/Background
On May 8, 2018, the Board of Supervisors approved an agreement with Department of Health Care Services (DHCS) to receive funding in the amount of $13,943,284 for the Drug Medi-Cal Organized Delivery System.
 
Yolo County completed a formal competitive selection process (see Competitive Selection details below) and Communicare Healthcare Centers, Inc. was selected to provide Intensive Outpatient, Outpatient Services, Case Management, Physician Consultation, Recovery Services, and In-Person Screening/Referral Services.  On July 10, 2018, the Board approved the underlying Agreement (“Agreement No. 18-154”) with Communicare Healthcare Centers, Inc. for the provision of those services.
 
Approval of this Amendment will allow CommuniCare to continue providing outpatient, intensive outpatient, case management services, recovery services, physician consultation services, and in person screening and access services. This amendment also adds an additional scope of work for Adverse Childhood Experience Screenings (ACEs) which will allow for  screenings and assessments to obtain scores and cognitive assessment results from behavioral health clients who are simultaneously involved in the criminal justice system within Yolo County for the Data Driven Recovery Project (DDRP). The results from the screenings and assessments will be converted into anonymized data and incorporated into a DDRP study funded by the Mental Health Services Oversight and Accountability Commission.

Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 18-154 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 (“RFP”) 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. Because these proposals were considered to be of high quality, they will be offered a contract to provide these identified services. Separate agreements for the other bids chosen will be submitted to the BOS for approval. Heritage Oaks was the only bid received that will not be 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 Intensive Outpatient, Outpatient, Case Management, Physician Consultation, Recovery Services, In-Person Screening/Referral $1,583,952
Turning Point Community Programs Intensive Outpatient, Outpatient, Case Management, Physician Consultation $278,388
Progress House Residential 3.1, Case Management, Physician Consultation $500,000
Community Recovery Resources Residential 3.1, Residential 3.5 Case Management, Physician Consultation, Residential 3.2 WM, Intensive Outpatient, Transitional Living *
Yolo Wayfarer Center dba Fourth and Hope Residential 3.1, Residential 3.5, 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 other bids shown denote an annual budget.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   -181,024
Amount budgeted for expenditure:    $   -181,024
Additional expenditure authority needed:    $  
On-going commitment (annual cost):    $   1,061,107
Source of Funds for this Expenditure
- $181,024
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
The action decreases the contract maximum by $181,024 for fiscal year 2020-21 and increases the contract maximum by $1,061,107 for fiscal year 2021-22 for new contract maximum total of $4,508,288, for the period of July 1, 2018 through June 30, 2022. No general funds are required by this action.  These services will be funded by DMC-ODS.  The amount of $1,065,207 is included in the HHSA adopted budget for fiscal year 2020-21, and the amount of $1,061,107 is included in the HHSA proposed budget for fiscal year 2021-22.  The related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for this agreement.
 
Scope of Services
 FY 2018-19
July 1, 2019 through
June 30, 2020		 FY 2019-20
July 1, 2019 through
June 30, 2020		 FY 2020-21
July 1, 2020 through
June 30, 2021		 FY 2021-22
July 1, 2021 through
June 30, 2022		  
Total
A.1 Outpatient Counseling $385,300 $445,300 $420,000 $420,000 $1,670,600
A.2 Intensive Outpatient $481,076 $296,076 $350,000 $350,000 $1,477,152
A.3 Recovery Services $25,571 $25,571 $ 25,571 $25,571 $102,284
A.4 Case Management $180,048 $180,048 $80,000 $80,000 $520,096
A.5 Physician Consultation $5,536 $5,536 $5,536 $5,536 $22,144
A.6 In-Person Screening/Referral $168,700 $168,700 $180,000 $180,000 $697,400
A.7 Adverse Childhood Experiences Screenings (ACEs)  
 
$0.00
  
 
$0.00		  
 
$4,100		  
 
$0.00		  
 
$4,100
Total $1,246,231 $1,121,231 $1,065,207 $1,061,107 $4,508,288
  
The agreement also includes one one-year extension option for Fiscal Year 2022-23 in an amount less than or equal to $1,061,107.
 
Option Year/
Fiscal Year (OY/FY)		 Revised Agreement Expiration Date
Per OY/FY		 Maximum Increased Funding Amount
Per OY/FY
Revised Agreement Lifetime Maximum
Per OY/FY
 
First/
(FY 2022-23)		 On or before
June 30, 2023		 Less than or equal
to $1,061,107		 Less than or equal
to $5,554,883

In no event shall the term of the Agreement extend beyond June 30, 2023 nor shall the total maximum payment obligation exceed the amount of FIVE MILLION FIVE HUNDRED FIFTY-FOUR THOUSAND EIGHT HUNDRED EIGHTY-THREE DOLLARS ($5,554,883), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.
Attachments
Att. A. Fifth Amendment
Form Review
Inbox Reviewed By Date
Financial Services crinde 07/20/2021 01:10 PM
County Counsel Phil Pogledich 07/21/2021 07:06 AM
Form Started By: Laura Checa Started On: 04/22/2021 02:29 PM
Final Approval Date: 07/21/2021

    

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