Agenda

Back to Calendar Return

Consent-Health & Human Services # 19.

Board of Supervisors

Child, Youth & Family

Meeting Date:	09/25/2018
Brief Title: Stanford Youth Solutions Primary Care Services FY18-19
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Jennie Pettet, Child Youth & Family Branch Director, Health and Human Services Agency (x2929)
Supervisorial District Impact:

Subject

Approve agreement with Stanford Youth Solutions to provide Mental Health Services for Early Periodic Screening, Diagnosis and Treatment as needed for Seriously Emotionally Disturbed full scope Medi-Cal eligible children and youth age 0-20 in the amount of $834,207 for the period of September 1, 2018 through June 30, 2019. (No general fund impact) (Larsen)

Recommended Action

Approve agreement with Stanford Youth Solutions to provide Mental Health Services of Early Periodic Screening, Diagnosis and Treatment as needed for Seriously Emotionally Disturbed full scope Medi-Cal eligible children and youth age 0-20 in the amount of $834,207 for the period of September 1, 2018 through June 30, 2019.

Strategic Plan Goal(s)

Operational Excellence
Thriving Residents
Safe Communities

Reason for Recommended Action/Background

Regarding the provision of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) community-based services to Medi-Cal eligible children and adolescents, these services are mandated by federal statue and court agreements signed by the state, as well as tying in to the County’s greater commitment to keep children safe, healthy, at home, in school and in their communities. Most costly public services are often when children are removed from their home and placed in residential care and/or hospitalized.

Approval of this agreement with Stanford Youth Solutions will further HHSA’s effort to support community-based services to children and families by increasing access to services in local communities and prevent higher cost of care from occurring more than necessary.

Performance Measures included in this Agreement are as follows:

Children’s Outpatient Behavioral Health Services

Stanford Youth Solutions

Lisa Heintz, Chief Executive Officer

Program Purpose

Reduce symptoms and functional impairments related to primary diagnosis, increase caregiver resources and ensure at home placement.

Program Information

The program serves Yolo County residents who are Medi-Cal eligible and meet medical necessity criteria for specialty mental health services. Clients are between the ages of 0-17, and 18-21 if involved in Child Welfare Services and are a non-minor dependent. Specialty Mental Health Services include individual or group therapies and interventions that are designed to reduce mental disability and/or facilitate improvement or maintenance of functioning consistent with the goals of learning, development, independent living and enhanced self-sufficiency. Services are directed toward achieving the client’s/family’s goals and must be consistent with the current Client Treatment Plan.

PM1: How much did we do?

1.1

FTE	Classification
	Manager/Supervisor
	Clinicians
	Office Support

1.2

# of open and authorized clients

1.3

# of intakes

1.4

# of discharges

1.5

# of discharges to a lower level of care

1.6

# of referrals received

1.7

# of children meeting ICC or IHBS criteria

1.8

# of children served who are non-English speakers

PM2: How well did we do it?

2.1

% of clients who received an intake assessment within 14 days of referral

2.2

% of clients assessed with Child and Adolescent Needs and Strengths (CANS)

2.3

% of clients with completed authorization packet within 60 days of admit

2.4

% of authorization requests completed within 30 days of renewal

2.5

% of open clients with submitted 6 months progress report

2.6

# of clients per clinician

2.7

# of days to successful discharge (quarterly average)

2.8

% of discharge dispositions submitted within 14 days of discharge date

2.9

% of ICC and IHBS eligible clients with facilitated CFT every 90 days

2.10

% of clients who successfully met treatment plan goals

2.11

% of clients who received 1^st clinical appointment within 7 days post psychiatric hospitalization

2.12

% of clients who received 1^st psychiatric follow up within 30 days post psychiatric hospitalization

2.13

# of provider changes per client

PM3: Is anyone better off?

3.1

# of clients with decrease in # of items needing action on Child Behavioral/Emotional Need section of CANS from intake to discharge
% of clients with decrease in # of items needing action on Child Behavioral/Emotional Need section of CANS from intake to discharge

3.2

# of clients with decrease in # of items needing action on Life Domain Functioning section of CANS from intake to discharge
% of clients with decrease in # of items needing action on Life Domain Functioning section of CANS from intake to discharge

3.3

# of clients with decrease in # of items needing action on Caregiver Resources and Needs section of CANS from intake to discharge
% of clients with decrease in # of items needing action on Caregiver Resources and Needs section of CANS from intake to discharge

3.4

# of clients who remained in their home (without jail or psychiatric hospital admits) or maintained foster home placement
% of clients who remained in their home (without jail or psychiatric hospital admits) or maintained foster home placement

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

On April 2, 2018, HHSA issued a Request for Proposal (RFP) seeking contractors to provide Outpatient Mental Health Treatment Services to eligible children and youth.

HHSA received six proposals from this solicitation. Below is a table of all providers who submitted proposals. All proposals were evaluated and the following proposals were determined to meet all the required qualifications necessary to successfully provide these services: CommuniCare Health Centers, Heritage Oaks, North American Mental Health Services (NAMHS), Stanford Youth Solutions, Turning Point Community Programs and Victor Community Support Services. Because these proposals were considered to be of high quality, they will be offered a contract to provide these identified services. Separate agreements for the other bids will be submitted to the Board of Supervisors for approval. Heritage Oaks and North America Mental Health Services (NAMHS) were the only bids received that will not be awarded a contract.

Request for Proposals (RFP) Service Requested
Outpatient Mental Health Treatment Services

Evaluation Criteria Included in RFP

Qualifications (30 points)
Experience (30 points)
Description of Vendor Operations (25 points)
Vendor’s Approach to Project (60 points)
Demonstrated Competence/Past Performance (20 points)
Responsiveness/Responsibility (15 points)
Quality and Completeness of Submitted Proposal (30 points)
Financial Stability (15 points)

Bids Received

Bidder	Bid
CommuniCare Health Centers	$1,737,661
Heritage Oaks	$231,199
North America Mental Health Services (NAMHS)	$2,662,400
Stanford Youth Solutions	$3,846,333
Turning Point Community Programs	$1,908,102
Victor Community Support Services	$1,775,269

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 834,207
Amount budgeted for expenditure:		$ 834,207
Additional expenditure authority needed:		$
One-time commitment	Yes

Source of Funds for this Expenditure

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

Explanation (Expenditure and/or Revenue) (further explanation as needed)
No general funds are required by this action. These services will be funded by Medi-Cal. The amount of $834,207 is included in the HHSA adopted budget for FY18-19. The related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for this agreement.

	Fiscal Year 2018-19 September 1, 2018 through June 30, 2019	Total
Primary Care EPSDT Services	$834,207	$834,207

Option Years: The County may exercise its option to extend the term of the Agreement pursuant to Section I(A), above. Contractor must submit a contract budget for each option year in conformance with the requirements of Exhibit C. TERMS OF PAYMENT, Section I.

Option Year	New Lifetime Contract Term		Funding Added	New Lifetime Contract Maximum
One – (FY 19/20)	09/01/2018	06/30/2020	$1,001,049	$1,835,256
Two – (FY 20/21)	09/01/2018	06/30/2021	$1,001,049	$2,836,305
Three – (FY 21/22)	09/01/2018	06/30/2022	$1,001,049	$3,837,354
Four – (FY 22/23)	09/01/2018	06/30/2023	$1,001,049	$4,838,403

In no event shall the term of the Agreement extend beyond June 30, 2023 nor shall the total contract maximum exceed the amount of $4,838,403, unless otherwise agreed to in writing by the parties and in conformity with the county of Yolo Procurement Policy, Minute Order No. 18-55, Item No. 32, approved by the Yolo County Board of Supervisors on March 20, 2018 (“County Procurement Policy”).

Attachments
Att. A. Agreement

Form Review

Inbox	Reviewed By	Date
Financial Services	hnewens	09/19/2018 10:58 AM
County Counsel	Hope Welton	09/19/2018 11:12 AM
Form Started By: Kimberly Mayfield		Started On: 08/10/2018 07:55 AM
Final Approval Date: 09/19/2018