Agenda

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Consent-Health & Human Services # 30.

Board of Supervisors

Adult & Aging

Meeting Date:	06/29/2021
Brief Title: Second Amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:

Subject

Approve second amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to extend the term of the agreement through June 30, 2022; add funding in the amount of $68,916 for 2020-21; funding in the amount of $948,010 for 2021-22 for a new contract maximum of $3,372,768 for the term of July 1, 2018 through June 30, 2022 to provide substance use disorder treatment and prevention services; and add a Scope for data collection and screenings effective 2020-21; and revise and clarify contract language. (No general fund impact) (Larsen)

Recommended Action

Approve second amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to extend the term of the agreement through June 30, 2022; add funding in the amount of $68,916 fiscal year 2020-21; funding in the amount of $948,010 for fiscal year 2021-22 for a new contract maximum of $3,372,768 for the term of July 1, 2018 through June 30, 2022 to provide substance use disorder treatment and prevention services; and add a Scope for data collection and screenings effective FY 2020-21, and 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 extension and issue a related notice, not to $948,010 for fiscal year 2022-23 for a 5-year maximum payment obligation not to exceed $4,320,778.

Strategic Plan Goal(s)

	Thriving Residents
	Safe Communities

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.

A formal competitive selection process was completed (see Competitive Selection details below) and Yolo Wayfarer Center was selected to provide substance use disorder treatment and prevention services.

Approval of this Amendment will allow Yolo Wayfarer Center to continue providing residential services, case management services, physician consultation services, and recovery residences, and transitional living 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 were included in Agreement No. 18-132 and are not being changed by this Second 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. 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
Bay Mark (Bi-Valley Medical Clinic, MedMark Treatment Center – Fairfield, MedMark Treatment Center – Sacramento)
CORE

Because these proposals were considered to be of high quality, they were offered a contract to provide these identified services. Separate agreements for the other bids chosen were also submitted to the Board of Supervisors 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
CommuniCare Health Center Turning Point Community Programs Progress House Community Recovery Resources Yolo Wayfarer Center dba Fourth and Hope Heritage Oaks BayMark Health Centers (MedMark Fairfield; MedMark Sacramento; Bi-Valley MedicalClinic) CORE Medical Clinic, Inc.	$1,583,952 $278,388 $500,000 * $1,001,950 $785,929 $1,181,581** $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.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 68,916
Amount budgeted for expenditure:		$ 68,916
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 948,010

Source of Funds for this Expenditure

$68,916

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

The action increases the contract maximum by $68,916 for fiscal year 2020-21 and increases the contract maximum by $948,010 for fiscal year 2021-22 for a new contract maximum of $3,372,868, 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 $68,916 is included in the HHSA adopted budget for FY2020-21 and the amount of $948,010 is included in the HHSA proposed budget for FY 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 Services	FY 2018-19 July 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	FY 2021-20 July 1, 2021 through June 30, 2022	Total
Clinically Managed Low-Intensity Residential Treatment (ASAM Level 3.1)	$522,500	$607,500	$641,500	$641,500	$2,413,000
Clinically Managed High-Intensity Residential Treatment (ASAM Level 3.5)	$55,000	$15,000	$105,000	$105,000	$280,000
Case Management	$14,814	$4,814	$25,000	$25,000	$69,628
Physician Consultation	$6,510	$6,510	$6,510	$6,510	$26,040
Recovery Residences/ Transitional Living	$120,000	$120,000	$170,000	$170,000	$580,000
Adverse childhood Experiences screenings (ACEs)	N/A	N/A	$4,100**	$0.00	$4,100
Total	$718,824	$753,824	$952,110	$948,010	$3,372,768

** Any unspent funding in a fiscal year for Scope A.6 may be rolled over into future fiscal years (including any option years) to be used for Scope A.6.

The agreement also includes (1) one-year extension options for July 1, 2022 through June 30, 2023 and in an amount less than or equal to $948,010 per fiscal year.

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
First/ (FY 2022-23)	On or before June 30, 2022	Less than or equal to $948,010	Less than or equal to $4,320,778

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 FOUR MILLION THREE HUNDRED TWENTY THOUSAND SEVEN HUNDRED SEVENTY-EIGHT DOLLARS ($4,320,778), 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. Second Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	crinde	06/21/2021 08:11 PM
County Counsel	Hope Welton	06/21/2021 09:00 PM
Form Started By: Laura Checa		Started On: 05/12/2021 11:55 AM
Final Approval Date: 06/22/2021