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  Consent-Health & Human Services   # 14.       
Board of Supervisors Adult & Aging  
Meeting Date: 07/09/2019  
Brief Title:    Agreement with Yolo Community Care Continuum Farmhouse (Adult Residential Services) FY19-21
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 a new agreement with Yolo Community Care Continuum (YCCC) in the amount of $1,401,600 for the period July 1, 2019 through June 30, 2022 for the provision of adult residential treatment services through the YCCC Farmhouse Program. (No general fund impact) (Larsen)
Recommended Action
  1. Approve a new agreement with Yolo Community Care Continuum (YCCC) in the amount of $1,401,600 for the period July 1, 2019 through June 30, 2022, for the provision of adult residential treatment services through the Farmhouse Program; and
     
  2. Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to approve Option Year Letters not to exceed $467,200 per fiscal year, for fiscal years 2022-23 and 2023-24 for a 5-year maximum payment obligation not to exceed $2,336,000. (Please see Section III. of Att. A. Agreement.)
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
On June 24, 2014, the Yolo County Board of Supervisors (BOS) approved Agreement  No. 14-131 with YCCC in the amount of $1,801,152. Under this agreement YCCC provides Access to Care for Homeless and the Indigent (ACHIP) services and adult residential treatment for Seriously Mentally Ill adults meeting the mental health medical necessity criteria via the YCCC Farmhouse Program, for the period July 1, 2014 through June 30, 2017. On June 6, 2017 the term of Agreement No. 14-131 was extended through June 30, 2019 providing for a full 5-year contract term.
 
Yolo County continues to serve Seriously Mentally Ill adults meeting the mental health medical necessity criteria that require the long-term residential treatment services provided by the YCCC Farmhouse Program.  The goals of this program are to help clients increase their ability to live independently through skill building, job training and/or other educational programs to further their independence and to reduce costs to the County by reducing psychiatric hospital stays, Institute for Mental Disease (IMD) placements, and homelessness.

This agreement also delegates authority to the HHSA Director or her/his designee to approve Option Year Letters not to exceed $467,200 per fiscal year, for fiscal years 2022-23 and 2023-24 for a 5-year maximum payment obligation not to exceed $2,336,000. (Please see Section III. of Att. A. Agreement.)
 
Thus, staff recommends the approval of this renewal agreement for the provision of adult residential treatment for Seriously Mentally Ill adults meeting the mental health medical necessity criteria in the YCCC Farmhouse Program; and the delegation of authority to the HHSA Director for the approval of option letters for fiscal years 2022-23 and 2023-24.

The Performance Measures associated with this agreement are included in Attachment B.
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 BOS granted the Department of Alcohol, Drug, and Mental Health now embedded in the Health and Human Services Agency, an exemption from the County Procurement Policy allowing an "Any willing provider exception" for 24 hour residential services providers.
 
On March 20, 2018, the BOS approved the new Yolo County Procurement Policy via Minute Order No. 18-55, Item No. 32, effective July 1, 2018, which rescinded all previous exceptions to the competitive selection process. 
 
On or about January 30, 2019, the Yolo County Procurement Manager approved a sole source letter in conformance with the updated Yolo County Procurement Policy.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   467,200
Amount budgeted for expenditure:    $   467,200
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   467,200
Source of Funds for this Expenditure
$467,200
$467,200
$467,200
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
The total amount of this action is $1,401,600 for the period July 1, 2019 through June 30, 2022, with an amount of $467,200 for FYs 2019-20, 2020-21 and 2021-22.  No general funds are required by this action.  These services will be funded by State Mental Health Realignment funding. The amount of $467,200 is included in the HHSA recommended budget for FY 2019-20.

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 from July 1,2019 through June 30, 2022.
 
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
$467,200 $467,200 $467,200 $1,401,600
 
The agreement also includes the option for 2 additional one-year extensions for FYs 2022-23 and 2023-24, in an amount less than or equal to $467,200 per fiscal year.
 
In no event shall the term of the agreement extend beyond June 30, 2024 nor shall the total contract maximum exceed, including the 2 one-year extension options, exceed the amount of $ 2,336,000 unless otherwise agreed to in writing by the parties and in conformity with the Yolo County Procurement Policy.
 
Option Year/
 Fiscal Year
Maximum Agreement Term Extension Per
Option Year/Fiscal Year
Increased Funding Amount Per
Option Year/Fiscal Year
Revised Agreement Lifetime Maximum Per Option Year/Fiscal Year
 
First/
(FY 2022-23)
On or before
June 30, 2023
Less than or equal to $467,200 Less than or equal to $1,868,800
Second/
(FY 2023-24)
On or before
June 30, 2024
Less than or equal to $467,200 Less than or equal to $2,336,000
 
 
 
Attachments
Att. A. Agreement
Att. B. Performance Measures

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 07/01/2019 11:58 AM
County Counsel Hope Welton 07/02/2019 11:17 AM
Form Started By: Nicole Jamison Started On: 04/12/2019 05:51 PM
Final Approval Date: 07/02/2019

    

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