Agenda

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Consent-Health & Human Services # 17.

Board of Supervisors

Child, Youth & Family

Meeting Date:	10/09/2018
Brief Title: Turning Point Community Programs Primary Care FY 18-19
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Jennie Pettet, Branch Child, Youth and Family Director, Health and Human Services, x2929
Supervisorial District Impact:

Subject

Approve agreement with Turning Point Community Programs in the amount of $930,102 to provide mental health services for early and periodic screening, diagnosis and treatment as needed for seriously emotionally disturbed full scope Medi-Cal eligible children and youth age 0-20 for the period of September 1, 2018 through June 30, 2019. (No general fund impact) (Larsen)

Recommended Action

Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background

The Yolo County Health and Human Services Agency (HHSA) is required to ensure the provision of early and periodic screening, diagnosis and treatment (EPSDT) community-based services to Medi-Cal eligible children and adolescents in our community. These services are federally and state mandated and also align with the County’s commitment to keeping children safe, healthy, at home, in school and in their communities. Most costly public services are often when children are removed from their home and placed in residential care and/or hospitalized.

Approval of this agreement with Turning Point Community Programs will further HHSA’s effort to support community-based services to children and families by increasing access to services in local communities and preventing out of home placements and higher cost of care from occurring more than necessary.

Performance Measures included in this Agreement are as follows:

Children’s Outpatient Behavioral Health Services

Turning Point Community Programs

Al Rowlett, Chief Executive Officer

Program Purpose

Reduce symptoms and functional impairments related to primary diagnosis, increase caregiver resources and ensure at home placement.

Program Information

The program serves Yolo County residents who are Medi-Cal eligible and meet medical necessity criteria for specialty mental health services (SMHS). Clients are between the ages of 0-17, and 18-21 if involved in Child Welfare Services and is a non-minor dependent. Specialty Mental Health Services include individual or group therapies and interventions that are designed to reduce mental disability and/or facilitate improvement or maintenance of functioning consistent with the goals of learning, development, independent living and enhanced self-sufficiency. Services are directed toward achieving the client’s/family’s goals and must be consistent with the current Client Treatment Plan.

PM1: How much did we do?

1.1

FTE	Classification
	Manager/Supervisor
	Clinicians
	Office Support

1.2

# of open and authorized clients

1.3

# of intakes

1.4

# of discharges

1.5

# of discharges to a lower level of care

1.6

# of referrals received

1.7

# of children meeting ICC or IHBS criteria

1.8

# of children served who are non-English speakers

PM2: How well did we do it?

2.1

% of clients who received an intake assessment within 14 days of referral

2.2

% of clients assessed with Child and Adolescent Needs and Strengths (CANS)

2.3

% of clients with completed authorization packet within 60 days of admit

2.4

% of authorization requests completed within 30 days of renewal

2.5

% of open clients with submitted 6 months progress report

2.6

# of clients per clinician

2.7

# of days to successful discharge (quarterly average)

2.8

% of discharge dispositions submitted within 14 days of discharge date

2.9

% of ICC and IHBS eligible clients with facilitated CFT every 90 days

2.10

% of clients who successfully met treatment plan goals

2.11

% of clients who received 1^st clinical appointment within 7 days post psychiatric hospitalization

2.12

% of clients who received 1^st psychiatric follow up within 30 days post psychiatric hospitalization

2.13

# of provider changes per client

PM3: Is anyone better off?

3.1

# of clients with decrease in # of items needing action on Child Behavioral/Emotional Need section of CANS from intake to discharge
% of clients with decrease in # of items needing action on Child Behavioral/Emotional Need section of CANS from intake to discharge

3.2

# of clients with decrease in # of items needing action on Life Domain Functioning section of CANS from intake to discharge
% of clients with decrease in # of items needing action on Life Domain Functioning section of CANS from intake to discharge

3.3

# of clients with decrease in # of items needing action on Caregiver Resources and Needs section of CANS from intake to discharge
% of clients with decrease in # of items needing action on Caregiver Resources and Needs section of CANS from intake to discharge

3.4

# of clients who remained in their home (without jail or psychiatric hospital admits) or maintained foster home placement
% of clients who remained in their home (without jail or psychiatric hospital admits) or maintained foster home placement

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this agreement as to form.

Competitive Bid Process

On April 2, 2018, HHSA issued a Request for Proposals (RFP) from qualified community based organizations to provide outpatient mental health treatment services. The RFP was open for 46 days (just over 6 weeks), and staff offered potential proposers an opportunity to ask questions during a Mandatory Bidders’ Conference on April 12, 2018. Proposers were offered the opportunity to submit proposals via the electronic BidSync system or by dropping off a paper proposal directly at HHSA.

HHSA received six proposals from this solicitation. A Proposal Review Committee was formed that included 3 HHSA employees from 2 different HHSA branches. The proposal submitted by Turning Point Community Programs was selected as one of the top choices by all members of the Review Committee, and was evaluated and determined to meet all the required qualifications necessary to successfully provide these services.

Separate agreements for the other successful proposals will be submitted to the Board of Supervisors for approval. Heritage Oaks and North America Mental Health Services (NAMHS) were the only proposals received that will not be awarded a contract.

Additional information regarding the competitive bid process is provided below, including a summary of the RFP evaluation criteria.

Request for Proposals (RFP) Service Requested
Outpatient Mental Health Treatment Services

Evaluation Criteria Included in RFP

Qualifications (30 points)
Experience (30 points)
Description of Vendor Operations (25 points)
Vendor’s Approach to Project (60 points)
Demonstrated Competence/Past Performance (20 points)
Responsiveness/Responsibility (15 points)
Quality and Completeness of Submitted Proposal (30 points)
Financial Stability (15 points)

Bids Received

Bidder	Bid
CommuniCare Health Centers	$1,737,661
Heritage Oaks	$231,199
North America Mental Health Services (NAMHS)	$2,662,400
Stanford Youth Solutions	$3,846,333
Turning Point Community Programs	$1,908,102
Victor Community Support Services	$1,775,269

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 930,102
Amount budgeted for expenditure:		$ 930,102
Additional expenditure authority needed:		$
One-time commitment	Yes

Source of Funds for this Expenditure

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. These services will be funded by Medi-Cal. The amount of $930,102 is included in the HHSA adopted budget for FY18-19. 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.

	Fiscal Year 2018-19 September 1, 2018 through June 30, 2019	Total
Primary Care EPSDT Services	$930,102	$930,102

Option Years: The County may exercise its option to extend the term of the Agreement pursuant to Section I(A), above. Contractor must submit a contract budget for each option year in conformance with the requirements of Exhibit C. TERMS OF PAYMENT, Section I. (See Att. A).

Option Year	New Lifetime Contract Term		Funding Added	New Lifetime Contract Maximum
One – (FY 19/20)	09/01/2018	06/30/2020	$1,169,273	$2,099,375
Two – (FY 20/21)	09/01/2018	06/30/2021	$1,169,273	$3,268,648
Three – (FY 21/22)	09/01/2018	06/30/2022	$1,169,273	$4,437,921
Four – (FY 22/23)	09/01/2018	06/30/2023	$1,169,273	$5,607,194

In no event shall the term of the Agreement extend beyond June 30, 2023 nor shall the total contract maximum exceed the amount of $5,607,194, unless otherwise agreed to in writing by the parties and in conformity with the County of Yolo Procurement Policy, Minute Order No. 18-55, Item No. 32, approved by the Yolo County Board of Supervisors on March 20, 2018 (“County Procurement Policy”).

Attachments
Att. A. Agreement

Form Review

Inbox	Reviewed By	Date
Financial Services	Tom Haynes	10/02/2018 03:38 PM
County Counsel	cscarlata	10/03/2018 08:37 AM
Form Started By: Kimberly Mayfield		Started On: 09/11/2018 01:13 PM
Final Approval Date: 10/03/2018