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  Consent-Health & Human Services   # 30.       
Board of Supervisors Child, Youth & Family  
Meeting Date: 06/26/2018  
Brief Title:    CommuniCare Health Centers, Inc. EPSDT Amd6 FY14-18
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Jennie Pettet, Director of Child, Youth & Family Branch, Health & Human Services Agency, x2929
Supervisorial District Impact:

Subject
Approve sixth amendment to agreement with CommuniCare Health Centers, Inc. to extend the term through August 31, 2018 and increase the contract by $206,449 for a maximum amount of $2,308,667 to provide mental health services of Early Periodic Screening Diagnosis and Treatment as needed to Seriously Emotionally Disturbed full scope Medi-Cal eligible children and youth under the age of 21 for the period from July 1, 2014 through August 31, 2018. (No general fund impact) (Larsen)
Recommended Action
Approve sixth amendment to agreement with CommuniCare Health Centers, Inc. to extend the term through August 31, 2018 and increase the contract by $206,449 for a maximum amount of $2,308,667 to provide mental health services of Early Periodic Screening Diagnosis and Treatment as needed to Seriously Emotionally Disturbed full scope Medi-Cal eligible children and youth under the age of 21 for the period from July 1, 2014 through August 31, 2018.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
 
Reason for Recommended Action/Background
CommuniCare Health Centers, Inc. has accepted a two (2) month extension of their existing contract for the provision of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) community-based services to Medi-Cal eligible children and adolescents. This short-term extension for the period from July 1, 2018 through August 31, 2018 is needed to ensure that these critical services continue while a Request for Proposals (RFP) process is completed to select an ongoing provider. The Yolo County Health and Human Services Agency (HHSA) released a RFP on April 2,018 for Child, Youth and Family Outpatient Mental Health (including EPSDT services), and is currently in the process of negotiating contracts with the selected providers.
 
By approving the recommended action, HHSA will be allowed two additional months to complete negotiations with the newly selected providers and ensure that a high-quality contract is presented to the Board for approval.

Performance Measures:
Performance Measures are currently being reviewed by Program and are to be established in all new contracts in Fiscal Year (FY) 2018-19.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Amendment as to form.
Competitive Bid Process
Request for Proposals (RFP) Service Requested: Early, Periodic, Screening, Diagnosis and Treatment (EPSDT) Services

Evaluation Criteria Included in RFP
  • General Company Information (56 points)
  • Experience (24 points)
  • Responsiveness and Responsibility (40 points)
  • Proposer’s Approach to Project (120 points)
  • Service Fees and Cost Containment Initiatives (60 points)
  • Quality Assurance and Oversight (40 points)
  • Outputs and Outcome measures (40 points)
  • Financial Information (PASS/FAIL)
  • Quality and Completeness of Submitted Proposal (PASS/FAIL)
  • Demonstrated Competence/Past Performance (20 points)
  • Reasonableness of Cost (PASS/FAIL)
Bids Received
Bidder Bid
CommuniCare Health Centers, Inc. $287,197
Yolo Family Service Agency $235,875
Turning Point Community Programs $128,228
Victor Community Support Services $120,664

Competitive Bid Process:
The current contract being amended by this agenda item was selected through a Request for Proposals (RFP) that was released on March 3, 2014. Yolo County received four (4) proposals from that solicitation, and the proposal from CommuniCare was evaluated and determined to meet the required qualifications to provide these services.
 
Additionally, HHSA released a new RFP for Child, Youth and Family Outpatient Mental Health Services on April 2, 2018. Potential bidders were offered the opportunity to ask questions during a mandatory Bidders’ Conference on April 12, 2018, and the proposal remained open through May 17, 2018 (7 weeks). HHSA will provide the Board with additional information regarding the RFP process and selected providers when the completed contracts are presented to the Board for approval early in fiscal year 18/19.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   206,449
Amount budgeted for expenditure:    $   206,449
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$0
$103,225
$103,224
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action.  The total cost of the Agreement is $2,308,667 and will be funded with Medi-Cal Federal Financial Participation (FFP), Early Periodic Screening Diagnosis and Treatment, and Realignment funds.  The amount of $206,449 is included in the HHSA recommended budget for FY18-19. 
 
The contract amounts are detailed below:
Scope Fiscal Year
2014-15
Fiscal Year
2015-16
Fiscal Year
2016-17
Fiscal Year 2017-18 Fiscal Year 2018-19
A01 -
EPSDT Mental Health
$275,700  
$230,700
 
 
 
 
 
 
 
$798,130
 
 
 
 
 
 
 
$618,602
 
 
 
 
 
 
 
$206,449
A02-
EPSDT Mental Health Wraparound
(This scope of services was eliminated and merged into A03 in FY1617 for the period of 7/1/2016 to 11/30/2016.  This amendment reinstates the scope of services for 12/1/2016 to 6/30/2017.)
 
$73,000 $60,000
A03-
EPSDT Mental Health
SB163 Wraparound Services
 (This scope of services for FY1617 begin on 7/1/16 and end on 11/30/2016.  The compensation includes Child Psychiatrist services.)
 
$0.00 $0.00
A04
EPSDT Mental Health Wraparound
  $46,086      
Total
(The total for FY1617 is reduced by $250,870 from this contract and transferred to the new SB163 Wraparound contract.)
 
$348,700 $336,786 $798,130 $618,602 $206,449
Attachments
Att. A. Amendment

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 06/18/2018 08:38 PM
County Counsel Hope Welton 06/19/2018 07:27 AM
Form Started By: kbrockett Started On: 06/12/2018 09:35 AM
Final Approval Date: 06/19/2018

    

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