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  Consent-Health & Human Services   # 17.       
Board of Supervisors Adult & Aging  
Meeting Date: 06/06/2017  
Brief Title:    YCCC Farmhouse Amd4 & Safe Harbor Amd6 FY14-19
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Chris Contreras, Administrative Services Analyst, Health and Human Services Agency, x8289

Subject
Approve amendments to two agreements with Yolo Community Care Continuum to extend the term through June 30, 2019; and collectively increase maximum compensation by $2,925,823 for an aggregate contract maximum amount of $6,878,464 for the provision of adult residential treatment services, crisis residential mental health services, and after hours phone triage services.  (No general fund impact) (Larsen)
Recommended Action
  1. Approve fourth amendment to Agreement No. 14-131 with Yolo Community Care Continuum (YCCC) for the Adult Residential Treatment (Farmhouse) Services, to extend the term through June 30, 2019; include funding for the extended term; adjust contract maximum to remove scope of services for the Access to Care for Homeless and the Indigent (ACHIP) effective July 1, 2017, for a new contract maximum amount of $3,010,734; and update contract language where appropriate to clarify and refine the terms, conditions and requirements of the Agreement accurately; and 
     
  2. Approve sixth amendment to Agreement No. 14-64 with Yolo Community Care Continuum (YCCC) for the Crisis Residential (Safe Harbor) and After Hours Phone Triage Services, to extend the term through June 30, 2019; include funding for the extended term, for a new contract maximum amount of $3,867,730; and update contract language where appropriate to clarify and refine the terms, conditions and requirements of the Agreement accurately.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
 
Reason for Recommended Action/Background
These two (2) amendments with YCCC extend the term through June 30, 2019; increase maximum compensation; and revise and add language where appropriate to clarify and refine the terms, conditions and requirements of these Agreements, specifically as follows:
 
1.         Adult Residential Treatment (Farmhouse) Amendment #4 -
The YCCC Farmhouse facility and program provides long-term residential treatment services to seriously mentally ill adults.  The goals of this program are to help clients increase their ability to live independently through skill building, job training and/or other educational programs to further their independence thereby reducing psychiatric hospital stays, Institute for Mental Disease placements, and homelessness.
 
 Effective July 1, 2017, the ACHIP services will be removed from this agreement. The services provided through that contract are now being assumed under other programs and funding.
 
2.         Crisis Residential (Safe Harbor) and After Hours Phone Triage Amendment #6 -
YCCC provides Crisis Residential services to Yolo County consumers experiencing acute or severe psychiatric episodes requiring temporary removal from their home environment, and who meet the mental health medical necessity criteria.
 
The scope of services for the Crisis Residential (Safe Harbor) services has been modified to include the Housing Placement Assistance with one part-time Housing Navigator to work exclusively with HHSA clients at Safe Harbor on appropriate housing referral and placement including discharge planning per the approved Yolo County Substance Abuse and Mental Health Services Administration (SAMHSA) grant program.
 
The After Hours Phone Triage services provides information about services needed to treat urgent conditions; how to access specialty mental health services; and how to use the beneficiary program resolution and Fair Hearing process.  There are no changes to this scope of service.
 
Approval of these amendments will further the Health and Human Services Agency’s efforts to support community-based services and prevent higher cost of care from occurring more than necessary.
 
The following is the breakdown of funding for these Agreements:
 
1.  Adult Residential Treatment (Farmhouse)  
Scope of Services FY14-15 FY15-16 FY16-17 FY17-18 FY18-19 Total Contract Amount
Exhibit A.1 – ACHIP
 
$300,000
 
$300,000
 
$300,000
 
$0
 
$0
 
 
 
$1,000,622
 
Amendment 2
 
  $50,311 $50,311    
Exhibit A.2 – Adult Residential
Treatment (Farmhouse)
 
$300,384
 
$300,384
 
$300,384
 
   
 
 
 
 
 
 
 
 
 
$2,010,112
 
Amendment 1
 
$10,000        
Amendment 3
 
  $64,944 $90,517
 
   
This Amendment     $9,099 $467,200 $467,200
Total $610,384 $715,639 $750,311 $467,200 $467,200 $3,010,734


2.  Crisis Residential (Safe Harbor) and After Hours Phone Triage
Scope of Services FY14-15 FY15-16 FY16-17 FY17-18 FY18-19 Total Contract Amount
Exhibit A.1 – Crisis Residential (Safe Harbor)
 
$324,833
 
$324,833
 
$324,833
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$3,441,275
 
Amendment 1
 
$236,000        
Amendment 2
 
  $175,167 $225,167
 
   
Amendment 3
 
    $18,700    
This Amendment       $905,871 $905,871
Exhibit A.2 – After Hours Phone Triage
 
$85,291
 
$85,291
 
$85,291
 
   
 
 
 
 
 
 
$426,455
This Amendment       $85,291 $85,291
             
Total $646,124 $585,291 $653,991 $991,162 $991,162 $3,867,730

Competitive Bid Process:
 
1.         Adult Residential Treatment (Farmhouse)
On April 7, 2014, Alcohol, Drug and Mental Health (ADMH), now known as Health and Human Services Agency (HHSA), issued a Request for Proposals (RFP) requesting proposals from qualified providers interested in providing ACHIP services including benefit assistance, crisis mental health treatment, substance use disorder treatment, and supportive housing services for the un-served and underserved populations of Yolo County who are experiencing symptoms of mental illness and are seeking access to supportive services.
 
HHSA received one (1) proposal from this solicitation.  After evaluation of the proposal received, YCCC was selected to provide these services. 
 
On June 24, 2014, the Yolo County Board of Supervisors approved the agreement with YCCC to provide these services.
 
2.         Crisis Residential (Safe Harbor) and After Hours Phone Triage
On February 25, 2014, Alcohol, Drug and Mental Health (ADMH), now known as Health and Human Services Agency (HHSA), issued a Request for Proposals (RFP) requesting proposals from qualified providers interested in providing Crisis Residential Services and an RFP requesting proposals from qualified providers interested in providing After Hours Phone Triage Services.
 
For the Crisis Residential Services RFP, HHSA received two (2) proposals from this solicitation.  After evaluation of the proposals received, YCCC was selected to provide these services.
 
For the After Hours Phone Triage RFP, HHSA received three (3) proposals from this solicitation.  After evaluation of the proposals received, YCCC was selected to provide these services.
 
On April 29, 2014, the Yolo County Board of Supervisors approved the agreement with YCCC to provide these services.
 
HHSA plans to issue Request for Proposals (RFP) for these services for the 2018-19 fiscal year.
Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved these amendments as to form.


Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   1,467,461
Amount budgeted for expenditure:    $   1,467,461
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   1,458,362
Source of Funds for this Expenditure
$100,622
$683,420
$683,419
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action.
 
In total these amendments will increase fiscal year 16-17 by $9,099 and increase fiscal year 17-18 by $1,458,362.  The increased amount for fiscal year 17-18 is included in HHSA’s proposed budget.  HHSA will budget future fiscal years accordingly.
 
 
Attachments
Att. A. YCCC Farmhouse Amendment
Att. B. YCCC Safe Harbor & Triage Amendment

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 05/30/2017 03:36 PM
County Counsel Hope Welton 05/30/2017 03:43 PM
Form Started By: ccontreras Started On: 04/28/2017 12:16 PM
Final Approval Date: 05/30/2017

    

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