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  Consent-Health & Human Services   # 19.       
Board of Supervisors Adult & Aging  
Meeting Date: 09/01/2020  
Brief Title:    Sixth Amendment to Agreement No. 18-35 with Mental Health Management I, Inc. dba Canyon Manor
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:

Subject
Approve sixth amendment to Agreement PO No. 2247 with Mental Health Management I, Inc. dba Canyon Manor to add funding in the amount of $185,000 for 2020-21, for a new total contract maximum of $2,760,000, for the period of February 10, 2017 through June 30, 2021. (No general fund impact) (Larsen)
Recommended Action
  1. Approve sixth amendment to Agreement PO No. 2247 with Mental Health Management I, Inc. dba Canyon Manor to add funning in the amount of $185,000 for FY2020-21, for a new total contract maximum of $2,760,000, for the period of February 10, 2017 through June 30, 2021; and
     
  2. Ratify the authority of the Health and Human Services Agency (HHSA) Director to exercise and issue the optional extension for FY2020-21, in the amount of $535,0000.
Strategic Plan Goal(s)
Thriving Residents
Reason for Recommended Action/Background
Mental Health Management I, Inc. dba Canyon Manor provides services to seriously mentally ill (SMI) adults, stepping them down to lower levels of care whenever possible, reducing acute psychiatric admissions and length of stay and Institute for Mental Disease placements. This facility provides goal-directed treatment, a decreased length of stay, and great collaboration and communication, while also being closer to home for the conserved clients. Use of these services furthers HHSA’s efforts to utilize community-based services and to prevent higher cost of care from occurring more than necessary.
 
Approval of this sixth amendment ensures the County has the necessary funding to continue providing services for SMI adults, stepping them down to lower levels of care. This increase in funding is necessary to cover the costs associated with the increase in the provider’s daily rate for treatment for FY2020-21.
 
In addition, with the approval of the second amendment to Agreement PO No. 2247, this Board delegated authority to the HHSA Director or her/his designee to exercise optional year extension for FY2020-21, in the amount of $535,000, for a 5-year maximum payment obligation not to exceed $2,325,000.  However, with the approval of the Fourth Amendment and Fifth Amendments to Agreement 18-35, increases to the FY2019-20 contract budget were made, totaling $250,000. Thus, the 5-year maximum payment obligation including the $535,000 available option year for FY2020-21 was also increased by $250,000, from $2,325,000 to $2,575,000.  The HHSA Director exercised the optional extension for FY2020-21 in the amount of $535,000 as previously authorized. However, that action increased the 5-year maximum payment obligation to $2,575,000.  Thus, staff requests the ratification of the HHSA Director’s exercise of the optional extension for fiscal year 2020-21, in the amount of $535,000. (Note: with the approval of this sixth amendment, adding $185,000 to FY2020-21, the 5-year maximum payment obligation amount is now $2,760,000.)
 
For the above reasons, staff recommends the approval of this sixth amendment to Agreement PO No. 2247.

Performance Measures included in this Agreement are as follows:
The Performance Measures are updated with this agreement and are included in Attachment A.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process
On July 31, 2007, the Board of Supervisors granted an approval to Yolo County Health and Human Services Agency (HHSA) for certain exceptions to the contract procurement policy.  According to this approval, Residential Treatment Services in a locked 24-hour facility is classified as “Any Willing Provider” and are exempt from the competitive bid process. Fiscal Year 2020-21 is the 5th and final year under this procurement method.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   185,000
Amount budgeted for expenditure:    $   185,000
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$185,000
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
This action increases the contract budget for FY2020-21 by $185,000 for new FY budget of $720,000, and a revised total contract maximum of $2,760,000, for the period of February 10, 2017 through June 30, 2021. No general funds are required by this action.  These services will be funded by Realignment Funds.  The amount of $185,000 is included in the HHSA recommended budget for FY2020-21. 

The following is the breakdown of funding for this agreement.
Scope of Services: Mental Health Rehabilitation Center (MHRC)
Fiscal Year (FY) Realignment CMH Total
FY 2016–17
February 10, 2017
through
June 30, 2017
 
$185,000
 
$0
 
$185,000
FY 2017–18
July 1, 2017
through
June 30, 2018
 
$535,000
 
$0
 
$535,000
FY 2018–19
July 1, 2018
 through
June 30, 2019
 
$535,000
 
$0
 
$535,000
FY 2019–20
July 1, 2019
 through
June 30, 2020
 
$705,000
 
$80000
 
$785,000
FY 2020–21
July 1, 2020
 through
June 30, 2021
 
$720,000
 
$0
 
$720,000
Total $2,680,000 $80,000 $2,760,000
Attachments
Att. A. Sixth Amendment

Form Review
Inbox Reviewed By Date
Financial Services mqader 08/24/2020 02:03 PM
County Counsel Hope Welton 08/24/2020 02:14 PM
Form Started By: Laura Checa Started On: 07/24/2020 08:08 AM
Final Approval Date: 08/26/2020

    

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