Agenda

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Consent-Health & Human Services # 21.

Board of Supervisors

Child, Youth & Family

Meeting Date:	06/08/2021
Brief Title: Second Amendment with Stanford Youth Solutions for Primary Care Services
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Karleen Jakowski, Child, Youth & Family Branch Director, Health and Human Services Agency, x2978
Supervisorial District Impact:

Subject

Approve second amendment to Agreement No. 18-212 with Stanford Youth Solutions to extend the term of the agreement through June 30, 2022 and add funding for 2021-22 in the amount of $1,001,049 for a new contract maximum of $3,837,354, for the period of September 1, 2018 through June 30, 2022 for the provision of Mental Health Services of Early Periodic Screening Diagnosis and Treatment for Seriously Emotionally Disturbed full scope Medi-Cal eligible children and youth age 0-20; and revise and clarify contract language as needed. (No general fund impact) (Larsen)

Recommended Action

Approve second amendment to Agreement No. 18-212 with Stanford Youth Solutions to extend the term of the agreement through June 30, 2022 and add funding for fiscal year 2021-22 in the amount of $1,001,049 for a new contract maximum of $3,837,354, for the period of September 1, 2018 through June 30, 2022 for the provision of Mental Health Services of Early Periodic Screening Diagnosis and Treatment for Seriously Emotionally Disturbed full scope Medi-Cal eligible children and youth age 0-20; and revise and clarify contract language as needed; and
Re-delegate authority for the HHSA Director to exercise and issue a related option year notice granted with the approval of Agreement No. 18-212 not to exceed $1,001,049 for fiscal year 2022-23.

Strategic Plan Goal(s)

Thriving Residents

Reason for Recommended Action/Background

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) community-based services to Medi-Cal eligible children and adolescents’ services are mandated by federal statute and court agreements signed by the State. These services support the County’s commitment to keeping children safe, healthy, at home, in school, and in their communities. Most costly public services often occur when children are removed from their homes and placed in residential care and/or hospitalized.

Approval of this amendment with Stanford Youth Solutions will allow HHSA to continue supporting community-based EPSDT services to children and families by providing access to services in local communities and preventing higher cost of care from occurring more than necessary. This amendment also revises and clarifies contract language to align with current County requirements and State requirements.

Performance Measures included in this Agreement are as follows:
Performance Measures were included in Agreement No. 18-212 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 April 2, 2018, HHSA issued a Request for Proposal (RFP) seeking contractors to provide Outpatient Mental Health Treatment Services to eligible Children and Youth.

HHSA received six 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 Health Centers, Heritage Oaks, North American Mental Health Services (NAMHS), Stanford Youth Solutions, Turning Point Community Programs and Victor Community Support Services. Heritage Oaks and North America Mental Health Services (NAMHS) were the only bids received that were not be awarded a contract.

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:		$ 1,001,049
Amount budgeted for expenditure:		$ 1,001,049
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 1,001,049

Source of Funds for this Expenditure

$1,001,049

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

The action increases the contract maximum by adding funding in the amount of $1,001,049 for fiscal year (FY)2021-22, for a new total contract maximum of $3,837,354, for the period of September 1, 2018 through June 30, 2022.

No general funds are required by this action. These services will be funded by Medi-Cal. The related funding is included in the requested budget process for FY 2021-22. The funding for the option year extension for FY2022-23 will be included in the requested budget process for FY 2022-23.

The following is the breakdown of funding for this agreement.

FY 2018-19 September 1, 2018 through June 30, 2019	FY 2019-20 July 1, 2019 through June 30, 2020	FY 2020-21 July 1, 2020 through June 30, 2021	FY2021-22 July 1, 2021 through June 30, 2022	Total
$834,207	$1,001,049	$1,001,049	$1,001,049	$3,837,354

The agreement also includes a one (1) one-year extension option for July 1, 2022 through June 30, 2023 in an amount less than or equal to $1,001,049 as follows;

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
(FY 2022-23)	On or before June 30, 2023	Less than or equal to $1,001,049	Less than or equal to $4,838,403

In no event shall the term of the Agreement extend beyond June 30, 2023 nor shall the total contract maximum exceed the amount of FOUR MILLION EIGHT HUNDRED THIRTY-EIGHT THOUSAND FOUR HUNDRED THREE DOLLARS ($4,838,403), unless otherwise agreed to in writing by the parties and in conformity with the county of Yolo Procurement approved by the Yolo County Board of Supervisors.

Attachments
Att.A. Second Amendment

Form Review

Inbox	Reviewed By	Date
Karleen Jakowski	Karleen Jakowski	05/21/2021 01:02 PM
Financial Services	Tom Haynes	05/28/2021 02:07 PM
County Counsel	Hope Welton	05/28/2021 02:08 PM
Form Started By: Laura Checa		Started On: 12/18/2020 04:48 PM
Final Approval Date: 05/28/2021