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Consent-Health & Human Services # 20.
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| Board of Supervisors |
Child, Youth & Family |
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| Subject |
| Approve sixth amendment with Turning Point Community Programs to extend the term through August 31, 2018 and add funding for 2018-19 in the amount of $239,171, for a new contract maximum of $3,821,725, 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 February 12, 2014 through August 31, 2018. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve sixth amendment with Turning Point Community Programs to extend the term through August 31, 2018 and add funding for fiscal year 2018-19 in the amount of $239,171, for a new contract maximum of $3,821,725, 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 February 12, 2014 through August 31, 2018. |
| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
Turning Point Community Programs has accepted a two (2) month extension of their existing contract for the provision of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) and community-based services (CBS) /therapeutic behavioral services (TBS) 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 Turning Point 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. |
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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 cost of the Agreement is $3,821,725 and will be funded with Medi-Cal Federal Financial Participation (FFP), Early Periodic Screening Diagnosis and Treatment, and Realignment funds. The amount of $239,171 is included in the HHSA recommended budget for FY18-19.
The contract amounts are detailed below:
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 |
FY2015-18
Fourth Amendment |
FY2015-18
Fifth Amendment |
FY2018-19
Sixth
Amendment |
Total |
| Medi-Cal FFP |
$333,100 |
$47,500 |
$773,785 |
$386,892 |
$25,200 |
$124,800 |
$100,000 |
$120,000 |
$1,911,277 |
| 2011 Realignment (BH Subaccount) |
$333,099 |
$47,500 |
$773,785 |
$386,893 |
$25,200 |
$124,800 |
$100,000 |
$119,171 |
$1,910,448 |
| Contract Total |
$666,199 |
$95,000 |
$1,547,570 |
$773,785 |
$50,400 |
$249,600 |
$200,000 |
$239,171 |
$3,821,725 |
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