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Consent-Health & Human Services # 21.
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| Board of Supervisors |
Child, Youth & Family |
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| Subject |
| Approve third amendment to Agreement No. 14-15 with Turning Point Community Programs to extend the term of this agreement through June 30, 2018; add funding for 2017-18 in the amount of $50,400 for a new contract maximum amount of $3,132,954; and revise and add contract language where appropriate to clarify and refine the terms, conditions, and requirements of the agreement accurately, for the period July 1, 2014 through June 30, 2018. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve and authorize the Chair to sign third amendment to Agreement No. 14-58 with Turning Point Community Programs to extend the term of this agreement through June 30, 2018; add funding for 2017-18 in the amount of $50,400 for a new contract maximum amount of $3,132,954; and revise and add contract language where appropriate to clarify and refine the terms, conditions, and requirements of the agreement accurately, for the period July 1, 2014 through June 30, 2018. |
| Strategic Plan Goal(s) |
Operational Excellence
Safe Communities
Sustainable Environment |
| Reason for Recommended Action/Background |
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; it ties to the county’s greater commitment to keep children safe, healthy, at home, in school and in their communities. This amendment allows Health Services to continue efforts to support community-based services to children and families by increasing access to services in local communities and preventing higher cost and more restricted treatment alternatives, by placing children and youth in residential care and/or hospitalizations from occurring more than necessary.
On October 7, 2013, a Request for Proposals (RFP) was issued requesting proposals from providers interested in providing EPSDT- Community Based Services/Therapeutic Behavioral Services (CBS/TBS) to Yolo County clients. On February 11, 2014, the Board of Supervisors approved Turning Point Community Programs as the awardee/contractor of the RFP to provide EPSDT-CBS/TBS services to Yolo County clients for the term of February 12, 2014 through June 30, 2015 (Agreement No. 14-15). Effective March 23, 2015, the agreement was amended to increase the original contract amount so that services for eligible children, adolescents and their families may continue.
On June 9, 2015, a second amendment (Agreement No. 15-101) was approved by the Board of Supervisors (BOS) to allow the continuation of mental health services through June 30, 2017. Continuation of mental health services at school, home, or other sites in the community as needed to Seriously Emotionally Disturbed (SED) Medi-Cal/EPSDT eligible children and youths under age 21 can reduce involvement with the juvenile system and out-of-home placements and increase school success and facilitate the transition to adulthood. Approval of the second amendment allowed Turning Point Community Programs to continue its services to the existing clients as well as receive new referrals from Health Services.
On June 9, 2015, the BOS approved the County and Turning Point Community Programs agreement to utilize the option year and to extend the Agreement for the period of July 1, 2017 through June 30, 2018.
Approval of this third amendment will allow the continuation of mental health services through June 30, 2018. An increase of $50,400 will allow for continued services and meet the need for increased referrals and utilization of services. Not approving this amendment could result in children not receiving timely mental health services.
Funding Source
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FY2013-15
Original Contract |
FY2014-15
First Amendment |
FY2015-17
Second Amendment |
FY2015-18
BOS Approved Extension for FY1718 |
FY2015-18
Third Amendment |
Total |
| Medi-Cal FFP |
$333,100 |
$47,500 |
$773,785 |
$386,892 |
$25,200 |
$1,564,477 |
| 2011 Realignment (BH Subaccount) |
$333,099 |
$47,500 |
$773,785 |
$386,893 |
$25,200 |
$1,564,477 |
| Contract Total |
$666,199 |
$95,000 |
$1,547,570 |
$773,785 |
$50,400 |
$3,132,954 |
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| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel has approved this Agreement as to form
County Purchasing has provided guidance to the RFP process |
| Competitive Bid Process |
EPSDT CBS/TBS Services:
On October 7, 2013, the Department of Alcohol, Drug and Mental Health (ADMH) (now a Division of Health Services) issued an RFP for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) – Community Based Services/Therapeutic Behavioral Services (CBS/TBS) and on January 9, 2014 ADMH posted via BidSync a Preliminary Intent to Award Notice for these services.
Contracting History:
October 7, 2013, the Department of Alcohol, Drug and Mental Health (ADMH) (now a Division of Health Services) issued an RFP for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) – Community Based Services/Therapeutic Behavioral Services (CBS/TBS)
February 11, 2014, the Board of Supervisors approved Turning Point Community Programs as the awardee/contractor of the RFP.
March 23, 2015, the Agreement was amended to increase the original contract amount.
June 9, 2015, the Agreement was amended again to increase the original contract amount and extend the term.
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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 impact in Fiscal Years 14-15; 15-16 or 16-17. No County general funds are required by this action. The total cost of the amendment is $50,400. For FY 17-18, the $824,185 cost is included in the Department’s proposed budget. There is a plan to RFP these services for FY 18-19.
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