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  Consent-Health & Human Services   # 19.       
Board of Supervisors Adult & Aging  
Meeting Date: 11/20/2018  
Brief Title:    CommuniCare Health Centers – Adolescent Youth Treatment FY1819
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 fourth amendment to Agreement No. 14-79 with CommuniCare Health Center, Inc. to extend the term through June 30, 2019 and add funding for fiscal year 2018-19 in the amount of $17,026, for a new contract maximum amount of $142,247 to provide Alcohol and/or Other Drug Therapy Services to youth through the age of 18 who are eligible for the Adolescent Youth Treatment Program. (No general fund impact) (Larsen)
Recommended Action
Approve fourth amendment to Agreement No. 14-79 with CommuniCare Health Center, Inc. to extend the term through June 30, 2019 and add funding for fiscal year 2018-19 in the amount of $17,026, for a new contract maximum amount of $142,247 to provide Alcohol and/or Other Drug Therapy Services to youth through the age of 18 who are eligible for the Adolescent Youth Treatment Program for the period July 1, 2014 through June 30, 2019.
 
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
 
Reason for Recommended Action/Background
In 1998 the California legislature passed California Assembly Bill 1784, the Adolescent Alcohol and Drug Treatment and Recovery Program Act, to provide alcohol and/or other drug treatment for adolescents. In fiscal year 2011-12 the State Budget Act revised the State and federal Substance Abuse Prevention and Treatment (SAPT) grant funds and realigned fiscal and administrative responsibility for Alcohol and Drug services from the State Department of Health Care Services to the counties. The State mandates these programs, including the Adolescent and Youth Treatment Program (ATP) program. The ATP program provides individual and group therapy to youth through the age of eighteen (18). These youth need programs that address their developmental issues, provide comprehensive and integrated services, and involve families, while allowing them to remain in the most appropriate but least restrictive setting possible to enhance their overall potential success in the community.

In addition, Yolo County Health and Human Services Agency receives funding from the Substance Abuse and Mental Health Service Agency (SAMHSA) for a Mental Health Block Grant that is utilized to serve individuals needing co-occurring services (meaning both substance use and mental health services) and do not qualify for Medi-Cal billing. Yolo County uses this funding for a variety of services, one of which is with CommuniCare to provide co-occurring assessments and referral to services to youth who are incarcerated and have co-occurring service needs. CommuniCare has provided this service under the current contract with Yolo County since 2014.

Yolo County Health and Human Services Agency continuously works with local community-based organizations to develop a continuum of care that provides treatment options to children and their families in the community that will deliver support services in the least restrictive environment.  Throughout fiscal year 2018-2019, HHSA will be analyzing the various needs for substance use treatment to Yolo County adolescent clients and developing a plan for funding and services in future years.  Extending this agreement another year will allow time for this analysis to occur. The performance measures associated with this agreement are listed 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 March 21, 2014, the Yolo County Health and Human Services Agency (formerly known as the Department of Alcohol, Drug and Mental Health) issued an RFP requesting proposals from qualified providers interested in providing outpatient individual and group alcohol and/or drug therapy services to youth through the age of eighteen (18) who have a substance use diagnosis.  HHSA received one (1) proposal from this solicitation. The proposal submitted by CommuniCare Health Centers, Inc. was evaluated and found to meet all required qualifications to provide these services. HHSA plans to issue a new RFP for these services in Fiscal Year 2019-20.

Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.

Evaluation Criteria Included in RFP
  • General Company Information (10 points)
  • Experience and past performance (15 points)
  • Responsiveness/Responsibility (10 points)
  • Approach to Project (35 points)
  • Service Fees and Cost Containment Initiatives (15 points)
  • Quality Assurance and Oversight (10 points)
  • Outputs and Outcome Measures (5 points)
  • Financial Information (pass/fail)
  • Quality and Completeness of Proposal (pass/fail)
  • Reasonableness of Cost (pass/fail)
Bids Received
Bidder Bid Funding Recommendation
CommuniCare Health Centers $12,877 $17,026

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   17,026
Amount budgeted for expenditure:    $   17,026
Additional expenditure authority needed:    $  
One-time commitment     Yes
Source of Funds for this Expenditure
$13,401
$3,625
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action.  These services will be funded by Substance Abuse Block Grant (SABG) and Substance Abuse and Mental Health Services Administration (SAMHSA) funds.  The amount of $17,026 is included in the HHSA adopted budget for FY18-19.

The following is the breakdown of funding for this agreement.
Scope of Service Fiscal Year
14-15
July 1, 2014 through
June 30, 2015
Fiscal Year
15-16
 July 1, 2015 through
June 30, 2016
Fiscal Year
16-17
July 1, 2016 through
June 30, 2017
Fiscal Year
17-18
July 1, 2017 through
June 30, 2018
Fiscal Year
18-19
July 1, 2018 through
June 30, 2019
Adolescent & Youth Treatment
Program (ATP)
$17,868 $17,868 $17,868 $17,868 $17,868
Adolescent & Youth Treatment Program
(for services provided in the Juvenile Detention Facility)
$0 $15,969 $15,969 $15,969 $5,000
Total per FY $17,868 $33,837 $33,837 $33,837 $22,868
Total Contract Amount $142,247
 
 
Attachments
Att. A. Agreement
Att. B. Performance Measures

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 11/08/2018 02:42 PM
County Counsel Hope Welton 11/13/2018 12:52 PM
Form Started By: Kimberly Mayfield Started On: 10/18/2018 08:24 AM
Final Approval Date: 11/13/2018

    

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