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Consent-Health & Human Services # 18.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve sixth amendment to Agreement No. 18-131 with Turning Point Community Programs to extend the term of the agreement through June 30, 2022; add funding in the amount of $69,992 for 2020-21; add funding in the amount of $288,350 for 2021-22 for a new contract maximum of $1,043,786; add a Scope for data collection and screenings effective 2020-21; and revise and clarify contract language to continue providing outpatient services, case management services, and physician consultation services. (No general fund impact) (Larsen) |
| Recommended Action |
- Approve sixth amendment to Agreement No. 18-131 with Turning Point Community Programs to extend the term of the agreement through June 30, 2022; add funding in the amount of $69,992 for fiscal year 2020-21; add funding in the amount of $288,350 for fiscal year 2021-22 for a new contract maximum of $1,043,786; add a Scope for data collection and screenings effective FY 2020-21; and revise and clarify contract language to continue providing outpatient services, case management services, and physician consultation services; and
- Re-delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to exercise an optional one-year extension and issue a related notice, not to exceed $288,350 for fiscal year 2022-23, for a new 5-year maximum payment obligation not to exceed $1,332,136.
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| Strategic Plan Goal(s) |
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Thriving Residents |
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| Reason for Recommended Action/Background |
On May 8, 2018, the Board of Supervisors (“BOS”) 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 Turning Point Community Programs was selected to provide for the provision of Intensive Outpatient, Outpatient Services, Case Management and Physician services. On July 10, 2018, the BOS approved the underlying Agreement (“Agreement 18-131”) with Turning Point Community Programs for the provision of those services.
Approval of this Amendment will allow Turning Point Community Programs to continue providing outpatient services, case management services, and physician consultation 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 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 (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 Board 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 |
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CommuniCare Health Center
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Intensive Outpatient, Outpatient, Case Management, Physician Consultation, Recovery Services, In-Person Screening/Referral
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$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 |
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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 $69,992 for fiscal year 2020-21 and adds funding in the amount of $288,350 for fiscal year 2021-22 for a new contract maximum of $1,043,786 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 $69,992 is included in the HHSA adopted budget for fiscal year 2020-21 and the amount of $288,350 is included in the 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 Service |
FY 2018-19
July 1, 2018
through
June 30, 2019 |
FY 2019-20
July 1, 2019
through
June 30, 2020
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FY 2020-21
July 1, 2020
through
June 30, 2021 |
FY 2021-22
July 1, 2021
through
June 30, 2022
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Total
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Scope A.1- Outpatient
Services
(ASAM Level 1.0) |
$150,219.00
$18,408.00
(SAMHSA MHBG |
$210,200.25
$18,408.00
(SAMHSA MHBG) |
$267,000
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$267,000
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$931,235.25 |
Scope A.2- Intensive
Outpatient Services
(ASAM Level 2.1) |
$24,886.00 |
$1,018.75 |
$10,000 |
$10,000 |
$45,904.75 |
Scope A.3- Case
Management |
$26,073.00 |
$11,073.00 |
$10,0000 |
$10,000 |
$57,146 |
Scope A.4-Physician
Consultation |
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,350.00 |
$5,400 |
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Scope A.5-
ACEs
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$0.00 |
$0.00 |
$4,100 |
$0.00** |
$4,100 |
| Total |
$220,936.00 |
$242,050.00 |
$292,450 |
$288,350 |
$1,043,786
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** Any unspent funding in a fiscal year may be rolled over into future fiscal years including any option years.
The agreement also includes 1, one-year extension option for fiscal year 2022-23 (July 1, 2022 through June 30, 2023) in an amount less than or equal to $288,350.
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Option Year/
Fiscal Year (OY/FY)
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Revised Agreement Expiration Date
Per OY/FY |
Maximum Increased Funding Amount
Per OY/ FY |
Revised Agreement Lifetime Maximum
Per OY/FY |
OY/FY 2022-23 |
On or before
June 30, 2023 |
Less than or equal
to $288,350 |
Less than or equal
to $1,332,136 |
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 ONE MILLION THREE HUNDRED THIRTY-TWO THOUSAND ONE HUNDRED THIRTY-SIX DOLLARS ($1,332,136), 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. |
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