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Consent-Health & Human Services # 23.
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| Board of Supervisors |
Child, Youth & Family |
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| Subject |
| Approve third amendment to agreement with Yolo Family Service Agency to increase contract amount by $300,000 for a new contract maximum of $1,116,315; add service location and additional specialty mental health services and revise contract language where appropriate to clarify and refine the terms, conditions and requirements of the Agreement to provide mental health intervention services for children and youth under the age of 21 who are eligible for full scope Medi-Cal services in the juvenile justice and/or child welfare systems for the period July 1, 2014 through June 30, 2017. (No general fund impact) (Planell) |
| Recommended Action |
- Approve and authorize the Chair to sign Third Amendment to Agreement with Yolo Family Service Agency (YFSA) to increase contract amount by $300,000 for a new contract maximum amount of $1,116,315; add service location and additional specialty mental health services and revise contract language where appropriate to clarify and refine the terms, conditions, and requirements of the Agreement to provide mental health intervention services for children and youth under the age of 21 who are eligible for full scope Medi-Cal services in the Juvenile Justice or Child Welfare systems for the period July 1, 2014 through June 30, 2017.
- Delegate authority to the Director of Health and Human Services or his/her designee to sign and execute any additional forms, documents and/or Amendments as necessary relating to this Agreement.
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| Strategic Plan Goal(s) |
Collaborate to maximize success
Enhance and sustain the safety net
Preserve and ensure safe and crime free communities
Provide fiscally sound, dynamic and responsive services |
| Reason for Recommended Action/Background |
The provision of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) community-based services to Medi-Cal eligible children and adolescents is mandated by federal statute and court agreements signed by the state. In order to meet federal mandates and make efforts to reduce residential placements and hospitalization, Health and Human Services Agency (HHSA) continues to diligently work with local community-based organizations to develop a continuum of care that provides treatment options to children and families in the community that will deliver support services in the least restrictive environment possible.
This Agreement manifests the collaboration between HHSA and YFSA. YFSA provides services to children referred by HHSA, Child, Youth and Family Branch’s Child Welfare Services (CWS). In accordance with Senate Bill 785, YFSA also provides services to out-of-county foster youth residing in Yolo County. Through these collaborative efforts, HHSA is able to increase access to services and support while at the same time making efforts to reduce costs by preventing higher cost of care such as hospital and residential treatment.
On November 4, 2014, the Board of Supervisors approved the First Amendment to the Agreement with YFSA. This First Amendment increased the contract amount so that YFSA may provide mental health intervention services at the HHSA one-stop-shop for the residents of Winters and the surrounding area. On January 27, 2015, the contract was again amended and approved by the Board of Supervisors to increase the contract amount for FY1415 due to increased utilization.
Due to contracting out a majority of children’s mental health services there will be an expected increased utilization for EPSDT services. The Agency has determined additional funding is needed in order to continue to provide valuable mental health intervention services to children and adolescents. Approval of this Amendment allows YFSA to continue to provide services to Medi-Cal eligible children and adolescents without a disruption in services. This will further HHSA’s effort to support community-based services to children and families in local communities, as well as preventing higher cost of care from occurring more than necessary.
Competitive Bid Process:
On March 3, 2014, ADMH issued a Request for Proposals (RFP) from qualified providers interested in providing Child and Adolescent Early and Periodic Screening, Diagnosis and Treatment (EPSDT) to Seriously Emotionally Disturbed (SED) full scope Medi-Cal/EPSDT eligible children and youth under age 21. The proposal submitted by Yolo Family Service Agency was evaluated and found to meet all the required qualifications to provide these services.
Contracting History:
• On May 27, 2014, the Board of Supervisors approved original Agreement in the amount of $522,000 for the period July 1, 2014 through June 30, 2017.
• On November 4, 2014, the Board of Supervisors approved the First Amendment to increase contract amount by $249,315, add service locations and revise contract language to clarify and refine terms, conditions, and requirements of the Agreement.
• On January 27, 2015, the Board of Supervisors approved the Second Amendment to increase the contract amount for FY1415 and revise contract language to clarify and refine terms, conditions, and requirements of the Agreement. |
| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel has approved this Amendment as to form. |
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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: |
No county general funds are required by this action. The total increased amount for this Amendment is $300,000 for a new contract maximum amount of $1,116,315 for three fiscal years. The table below details the funding sources and annual amount. HHSA has included the funding for FY1516 in the approved budget. The amount for FY1617 will be included in the budget development cycle.
| Fiscal Year/fund source |
Original Contract |
Amendment |
New Contract |
| FY 2014-15 |
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| Medi-Cal (FFP) |
140,665 |
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140,665 |
| 2011 Realignment |
140,664 |
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140,664 |
| sub-total |
281,329 |
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281,329 |
| FY 2015-16 |
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| Medi-Cal (FFP) |
133,747 |
75,000 |
208,747 |
| 2011 Realignment |
133,746 |
75,000 |
208,746 |
| sub-total |
267,493 |
150,000 |
417,493 |
| FY 2016-17 |
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| Medi-Cal (FFP) |
133,747 |
75,000 |
208,747 |
| 2011 Realignment |
133,746 |
75,000 |
208,746 |
sub-total
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267,493 |
150,000 |
417,493 |
| Total Contract |
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| Medi-Cal (FFP) |
408,159 |
150,000 |
558,159 |
| 2011 Realignment |
408,156 |
150,000 |
558,156 |
| TOTAL CONTRACT |
816,315 |
300,000 |
1,116,315 |
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