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  Regular-Health & Human Services   # 44.       
Board of Supervisors   
Meeting Date: 11/22/2016  
Brief Title:    California Forensic Medical Group - Behavioral Health Services Agreement & Medical Services Agreement
From: Karen Larsen, Director, Health & Human Services Agency
Staff Contact: Chris Contreras, Administrative Services Analyst, Health & Human Services Agency, x8289

Subject
Approve agreements with California Forensic Medical Group (CFMG) to provide comprehensive medical services for detainees of the Yolo County Jail and youth of the Yolo County Juvenile Detention Facility in the amount of $9,398,222 and to provide comprehensive behavioral health services for detainees of the Yolo County Jail and youth of the Yolo County Juvenile Detention Facility in the amount of $1,563,402 for the period December 1, 2016 through June 30, 2019. (General fund impact $2,360,817) (Larsen)
 
Recommended Action
  1. Approve agreement with California Forensic Medical Group (CFMG) in the amount of $9,398,222 to provide comprehensive medical services to detainees of the Yolo County Jail and youth of the Yolo County Juvenile Detention Facility for the period December 1, 2016 through June 30, 2019; and
  2. Approve agreement with California Forensic Medical Group (CFMG) in the amount of $1,563,402 to provide comprehensive behavioral health services to detainees of the Yolo County Jail and youth of the Yolo County Juvenile Detention Facility for the period December 1, 2016 through June 30, 2019.
  3. Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to sign and execute any additional forms, documents and/or Amendments as necessary relating to these Agreements.
Strategic Plan Goal(s)
Operational Excellence
Safe Communities
 
Reason for Recommended Action/Background
Yolo County is mandated to provide effective and quality basic medical, dental and behavioral health services to detainees of the Yolo County Jail and to youth of the Yolo County JDF. In an effort to continue to comply with federal and state mandates, Health and Human Services Agency (HHSA) along with the Probation Department and Sheriff’s Department have reviewed services currently provided to this population and how to better serve detainees and youth.
 
On December 3, 2015 HHSA issued two RFPs to provide comprehensive medical services and comprehensive behavioral health services. HHSA worked collaboratively with the Probation Department, the Sheriff’s Department and the County Administrator’s Office (CAO). All parties were involved in the development of the RFP and evaluation of the bids received.
 
As a result of the RFP solicitation, HHSA received two proposals.  The evaluation team consisted of a representative from HHSA, Probation, Sheriff, CAO and an outside agency. The proposals for each service were reviewed independently and the evaluation team ranked CFMG’s proposals for comprehensive medical services and comprehensive behavioral health services the highest.  Therefore, HHSA is recommending to the Board of Supervisors that CFMG be approved to provide comprehensive medical services and behavioral health services from December 1, 2016 through June 30, 2019.
 
Approval of this Agreement will allow services to continue without a gap or transition period for detainees of the Yolo County Jail and youth of the JDF, as CFMG is the current vendor for these services.
 
Both Agreements are funded by county general funds for the period December 1, 2016 through June 30, 2019 for the amounts as detailed below:
 
Funding Source – General Funds CFMG
Comprehensive Medical Services
CFMG
Comprehensive Behavioral Health Services
Total
FY16-17
(December 1, 2016 through June 30, 2017)
$2,054,821 $305,996 $2,360,817
FY17-18
(July 1, 2017 through
June 30, 2018)
$3,617,439 $619,412 $4,236,851
FY18-19
(July 1, 2018 through
June 30, 2019)
$3,725,962 $637,994 $4,363,956
Total $9,398,222 $1,563,402 $10,961,624
 
Performance Measures:
These contracts provide explicit performance thresholds for the vendor to meet.  Rather than being separated into a performance document, they are embedded in the scope of work.  Staff will be working on summarizing the measures and developing appropriate reporting mechanisms.
 
Competitive Bid Process:
On December 3, 2015, HHSA issued two (2) RFPs, one for Comprehensive Medical Services and the other for Comprehensive Behavioral Health Services. On March 9, 2016 HHSA posted via BidSync a Preliminary Intent to Award Notice for Comprehensive Medical Services and a Preliminary Intent to Award Notice for Comprehensive Behavioral Health Services.
Collaborations (including Board advisory groups and external partner agencies)

Yolo County Health and Human Services Agency, Probation Department, Sheriff’s Department, County Counsel and the County Administrator’s Office have participated and worked closely throughout the RFP development and evaluation process.

All parties involved have reviewed the proposed Agreements. County Counsel has approved the Agreements to form.


Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   2,360,817
Amount budgeted for expenditure:    $   2,360,817
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   4,236,851
Source of Funds for this Expenditure
$2,360,817
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
Both Agreements will be funded by county general funds.  Expenditures and Revenues are included in the adopted budget for Health and Human Services Agency for fiscal year 2016-17.  HHSA will budget the funding accordingly for future fiscal years.
 
Attachments
Att. A. Medical Agreement
Att. B. Behavioral Health Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 11/16/2016 12:07 PM
County Counsel cscarlata 11/16/2016 02:45 PM
Form Started By: jlara-jimenez Started On: 02/10/2016 02:52 PM
Final Approval Date: 11/16/2016

    

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