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  Consent-Health & Human Services   # 18.       
Board of Supervisors Adult & Aging  
Meeting Date: 02/11/2020  
Brief Title:    Fourth Amendment to Agreement No 18-35 Canyon Manor
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 fourth amendment to Agreement No. 18-35 with Mental Health Management I, Inc. dba Canyon Manor to add intergovernmental transfer funding in the amount of $170,000 for 2019-20, for a new total contract maximum of $1,960,000; and to revise and clarify contract language. (No general fund impact) (Larsen)
Recommended Action
Approve fourth amendment to Agreement No. 18-35 with Mental Health Management I, Inc. dba Canyon Manor to add intergovernmental transfer (IGT) funding in the amount of $170,000 for 2019-20, for a new total contract maximum of $1,960,000; and to revise and clarify contract language.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
Mental Health Management I, Inc. dba Canyon Manor (Contractor) provides services to seriously mentally ill (SMI) adults, stepping them down to lower levels of care whenever possible, reducing acute psychiatric admissions and length of stay, and reducing Institute for Mental Disease placements. This facility provides goal-directed treatment, a decreased length of stay, and great collaboration and communication, while also being closer to home for the conserved clients. Use of these services furthers the County's efforts to utilize community-based services and to prevent higher cost of care from occurring more than necessary.

By adding intergovernmental transfer (IGT) funding of $170,000 for FY 2019-20 for a new contract maximum of $1,960,000, we allow the provider to continue services for SMI adults, stepping them down to lower levels of care.

Agreement 18-35 also provides for one optional year extension for fiscal year 2020-21. On or about January 15, 2019, via approval of the second amendment to Agreement 18-35, this Board delegated authority to the the Yolo County Health and Human Services Agency (HHSA) Director to exercise this optional year extension. This fourth amendment does not increase the optional extension amount of $535,000. However, with the approval of the increase requested for fiscal year 2019-20, should the HHSA Director exercise the optional year extension, the total contract maximum of this agreement will be $2,495,000.

Performance measures were included in Agreement No. 18-35 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 July 31, 2007, the Board of Supervisors granted an approval to HHSA for certain exceptions to the contract procurement policy.  According to this approval, Residential Treatment Services in a locked 24-hour facility is classified as “Any Willing Provider” and are exempt from the competitive bid process.

Fiscal Year 2020-21 will be the 5th and final year under this procurement method. These services will be sourced via a sole source letter for fiscal year 2021-22.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   170,000
Amount budgeted for expenditure:    $   170,000
Additional expenditure authority needed:    $  
On-going commitment (annual cost):    $   535,000
Source of Funds for this Expenditure
$170,000
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
The action increases the contract maximum by $170,000 for a total of $1,960,000 for the period of February 10, 2017 through June 30, 2020. No general funds are required by this action.  These services will be funded by IGT Funds.  The amount of $170,000 is included in the HHSA adopted budget for FY2019-20.  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:
 
Mental Health Rehabilitation Center (MHRC)
 
FY 2016–17
 
February 10, 2017
through
June 30, 2017
FY 2017–18
 
July 1, 2017 through
June 30, 2018
 
 
 
FY 2018–19
 
July 1, 2018
 through
June 30, 2019
FY 2019–20
 
July 1, 2019
 through
June 30, 2020
 
 
Total
Realignment  
$185,000
 
$535,000
 
$535,000
 
$535,000
 
$1,790,000
IGT $0 $0 $0 $170,000 $170,000
TOTAL $185,000 $535,000 $535,000 $705,000 $1,960,000


The agreement also includes a 1 one-year extension option for FY2020-21 in an amount less than or equal to $535,000.

Option Year/
Fiscal Year
Revised Agreement Term Per Option Year/Fiscal Year Increased Funding Amount Per Option Year/
Fiscal Year
   Revised Maximum Payment Obligation Per Option Year/ Fiscal Year
First
(FY 2020-21)
On or before
June 30, 2021
Less than or equal
to $535,000
Less than or equal
to $2,495,000

In no event shall the term of the Agreement extend beyond June 30, 2021 nor shall the maximum payment obligation exceed the amount of TWO MILLION FOUR HUNDRED NINETY-FIVE THOUSAND DOLLARS ($2,495,000), 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. Fourth Amendment

Form Review
Inbox Reviewed By Date
Financial Services mqader 01/31/2020 11:45 AM
County Counsel Hope Welton 01/31/2020 12:00 PM
Form Started By: Kimberly Mayfield Started On: 12/18/2019 08:39 AM
Final Approval Date: 02/03/2020

    

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