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Consent-Health & Human Services # 27.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve fourth amendment to Agreement No. 18-55 with C.O.R.E Medical Clinic, Inc., to extend the term of the agreement through June 30, 2022; reduce funding by $100,000 for 2020-21 to shift the funds to a similar agreement with Yolo Wayfarer Center to expand eligible populations served starting in 2020-21 and add funding of $900,000 for 2021-22 for a new contract maximum of $3,800,000 to provide Opioid (Narcotic) Treatment Program services in Narcotic Treatment Program licensed facilities; and revise and clarify contract language. (No general fund impact) (Larsen) |
| Recommended Action |
- Approve fourth amendment to Agreement No. 18-55 with C.O.R.E Medical Clinic, Inc., to extend the term of the agreement through June 30, 2022; reduce funding by $100,000 for fiscal year 2020-21 to shift the funds to a similar agreement with Yolo Wayfarer Center to expand eligible populations served starting in fiscal year 2020-21 and add funding of $900,000 for fiscal year 2021-22 for a new contract maximum of $3,800,000 to provide Opioid (Narcotic) Treatment Program services in Narcotic Treatment Program licensed facilities; revise and clarify contract language; and
- 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 $9000,000 for fiscal year 2022-23, for a new 5-year maximum payment obligation not to exceed $4,700,000.
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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 approved an agreement with the 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 C.O.R.E. Medical Clinic, Inc. was selected to provide Opioid (Narcotic) Treatment Program services in Narcotic Treatment Program licensed facilities.
On June 26, 2018, the County entered into Agreement No. 18-55 with C.O.R.E. Medical Clinic, Inc. for the provision of these services for the period July 1, 2018 through June 30, 2020, in the amount of $2,000,000.
Staff recommends the approval of this agreement for C.O.R.E. Medical Clinic, Inc to continue to provide these vital services. With our nation continuing to grapple with the effects of the Opioid crisis, the services CORE provides are crucial to helping Yolo County continue to meet the needs of our residents who struggle with substance use and need OTP/NTP services as part of their continuum of care.
Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 18-55 and are not being changed by this Fourth 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, two of which offered Opioid (Narcotic) Treatment Program services - BayMark Health Services and C.O.R.E. Medical Clinic, Inc. Both proposals were evaluated and determined to meet all the required qualifications necessary to successfully provide these services. Because both proposals met all required qualifications and were of high quality, both BayMark Health Services and C.O.R.E. Medical, Clinic, Inc. were offered contracts to provide these identified services. During contract negotiations, it was discovered that BayMark Health Services, a parent company, has three separate entities that HHSA will be contracting with for these services; Bi-Valley Medical Clinic, Inc., MedMark Treatment Centers-Fairfield and MedMark Treatment Centers-Sacramento. These three agreements and C.O.R.E. Medical Clinic, Inc. were submitted separately to the Board for approval.
Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.
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 |
Bid |
BayMark Health Services (Bi-Valley Medical Clinic, MedMark-Fairfield and MedMark-Sacramento)*
C.O.R.E. Medical Clinic, Inc. |
$1,181,581
$1,000,000 |
*Baymark’s proposal included two years of service for 75 clients with additional services of case management and physician consultation and C.O.R.E.’s proposal was for one year of service for 130-140 clients.
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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: |
This action decreases the contract maximum by $100,000 and adds funding in the amount of $900,000 for fiscal year 2021-22 for a new contract maximum of $3,800,000 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 ODS Medi-Cal FFP. The amount of ($100,000) is included in the HHSA adopted budget for fiscal year 2020-21 and the amount of $900,000 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 Service |
Fiscal Year 2018-19
July 1, 2018
through
June 30, 2019 |
Fiscal Year 2019-20
July 1, 2019
through
June 30, 2020 |
Fiscal Year
2020-21
July 1, 2020
through
June 30, 2021 |
Fiscal Year
2021-22
July 1, 2021
through
June 30, 2022 |
Total |
| OTP/NTP |
$1,000,000 |
$1,000,000 |
$900,00 |
$900,000 |
$3,800,000 |
The agreement also includes one (1) one-year optional extension for fiscal year 2022-23 (July 1, 2022 through June 30, 2023) in an amount less than or equal to $900,000 per fiscal year, as follows:
Option Year/
Fiscal Year
(OY/FY) |
Revised Agreement Expiration Date
Per OY/FY |
Maximum Increased Funding Amount
Per OY/FY
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Revised Agreement Lifetime Maximum
Per O/FY
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First /
(FY 2022-23) |
On or before
June 30, 2023 |
Less than or equal
to $900,000 |
Less than or equal
to $4,700,000 |
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 SEVEN HUNDRED DOLLARS ($4,700,000), 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. |
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