Agenda

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Consent-Health & Human Services # 17.

Board of Supervisors

Adult & Aging

Meeting Date:	05/08/2018
Brief Title: CommuniCare Amendments FY17-18
From:	Karen Larsen, Director, Health & Human Services Agency
Staff Contact:	Sandra Sigrist, Adult & Aging Branch Director, Health & Human Services Agency, x8794
Supervisorial District Impact:

Subject

Approve two amendments to agreements with CommuniCare Health Centers, Inc. to collectively increase maximum compensation by $88,564 for the provision of substance use disorder treatment and child welfare services. (No general fund impact) (Larsen)

Recommended Action

Approve third amendment to Agreement No. 14-71 with CommuniCare Health Centers, Inc. to increase the contract amount by $49,564 for fiscal year 2017-18 to agree with actual expenditures, for a new contract maximum amount of $900,056 for the Perinatal Non-Drug Medi-Cal services; and
Approve sixth amendment to Agreement No. 14-132 with CommuniCare Health Centers, Inc. to increase the contract amount by $39,000 for fiscal year 2017-18 to agree with actual expenditures, for a new contract maximum amount of $954,000 for the Perinatal Drug Medi-Cal, Other Drug Medi-Cal and Child Welfare services.

Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background

These amendments are to increase the contract amounts for fiscal year 2017-18 to agree with actual expenditures. Over the past quarter, CommuniCare has experienced an influx of clients utilizing substance abuse treatment programs in Yolo County, specifically clients who have active Yolo County Medi-Cal and parenting mothers who are in continued need of intensive outpatient treatment services.

Approval of these amendments will allow HHSA to continue to exercise its responsibilities for the Substance Use Disorder Services.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved these agreements as to form.

Competitive Bid Process

Prior to the enactment of the FY2011-12 Budget Act, CommuniCare Health Centers, Inc. was a direct contractor to the State. The State Budget Act realigned fiscal and administrative responsibility to provide drug Medi-Cal services from the State to the counties. In turn, the contracting relationship and responsibilities for services shifted to the County effective fiscal year 2012-2013. These are entitlement services and thus any willing provider can contract with us.

On February 26, 2018 HHSA issued a Request for Proposals (RFP) for the Substance Use Disorder Adult Continuum of Care. Contracts will be awarded with potential start date of July 1, 2018.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 88,564
Amount budgeted for expenditure:		$ 88,564
Additional expenditure authority needed:		$ 0
One-time commitment	Yes

Source of Funds for this Expenditure

$44,282

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. These services will be funded by MediCal, SAPT, and State/Local funds. The amount of $88,564.00 is included in the HHSA proposed budget for FY17-18. The related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for these agreements.

Amendment #3 – Perinatal Non-Drug Medi-Cal Services:

Scope of Services	Fiscal Year 2014-15	Fiscal Year 2015-16	Fiscal Year 2016-17	Fiscal Year 2017-18
Perinatal Program Non-Drug Medical	$200,436	$200,436	$229,436	$220,000
**HIV & HCV Services	$24,874	$24,874	N/A	N/A
Total per Fiscal Year	$225,310	$225,310	$229,436	$220,000
Contract Total	$900,056

Amendment #6 – Perinatal Drug Medi-Cal, Other Drug Medi-Cal and Child Welfare Services:

Scope of Services	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
Perinatal Drug Medi-Cal Services	$50,000	$50,000	$50,000	$4,000
Other Drug Medi-Cal Services	$200,000	$130,000	$130,000	$215,000
Child Welfare Services- Substance Abuse Treatment	n/a	n/a	$57,500	$67,500
Total per Fiscal Year	$250,000	$180,000	$237,500	$286,500
Contract Total	$954,000

Attachments
Att. A. Amendment 3
Att. B. Amendment 6

Form Review

Inbox	Reviewed By	Date
Financial Services	Tom Haynes	05/01/2018 09:45 AM
County Counsel	Hope Welton	05/01/2018 05:38 PM
Form Started By: ccontreras		Started On: 04/18/2018 10:35 AM
Final Approval Date: 05/01/2018