Agenda

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Consent-Health & Human Services # 21.

Board of Supervisors

Adult & Aging

Meeting Date:	09/29/2020
Brief Title: Second Amendment to Agreement No. 18-130 with Progress House, Inc.
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Ian Evans, Adult and Aging Deputy Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:

Subject

Approve second amendment to Agreement No. 18-130 with Progress House, Inc. to add funding in the amount of $55,000 for 2020-21 for a new contract maximum of $1,014,285 for the period of July 1, 2018 through June 30, 2021; add option year funding for 2021-22 and 2022-23 in the amount of $55,000 per option year; and add a Scope of Work and rates for Outpatient Services, Intensive Outpatient Services, and Recovery Residences/Transitional Living Services. (No general fund impact) (Larsen)

Recommended Action

Approve second amendment to Agreement No. 18-130 with Progress House, Inc. to add funding in the amount of $55,000 for fiscal year 2020-21 for a new contract maximum of $1,014,285 for the period of July 1, 2018 through June 30, 2021; add option year funding for FY2021-22 and 2022-23 in the amount of $55,000 per option year; and add a Scope of Work and rates for Outpatient Services, Intensive Outpatient Services, and Recovery Residences/Transitional Living Services; and
Increase the Delegated authority to the Director of the Health and Human Services Agency or her/his designee to: 1) exercise optional year extensions up to $408,095 per fiscal year for fiscal years 2021-22 and 2022-23 and 2) issue related option year notices. Please see Section III. COMPENSATION AND PAYMENTS TERMS of Att. A. Second Amendment.

Strategic Plan Goal(s)

Thriving Residents

Reason for Recommended Action/Background

On May 8, 2018, the Board of Supervisors approved an agreement with Department of Health Care Services to receive funding in the amount of $13,943,284 for the Drug Medi-Cal Organized Delivery System Intergovernmental Agreement No. 17-94092 for Substance Use Disorder Services.

A formal competitive process was completed and Progress House was selected to provide substance use disorder treatment and prevention services under Agreement No. 18-130 that was entered into on June 26, 2018.

Approval of this Agreement will allow Progress House to provide additional medically necessary services including Outpatient Services, Intensive Outpatient Services, and Recovery Residences/Transitional Living Services as described in Attachment A. Exhibits A.4, A.5, and A.6.

Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 18-130 and are not being changed by this Second Amendment.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

On February 26, 2018, HHSA issued a Request for Proposal (RFP) seeking contractors to provide Substance Use Disorder (SUD) Adult Continuum of Care services to eligible Yolo County residents.

HHSA received eight proposals from this solicitation. All proposals were evaluated and the following proposals were determined to meet all the required qualifications necessary to successfully provide these services:

CommuniCare

Turning Point,
Progress House
Community Recovery Resources
Yolo Wayfarer Center
Bay Mark (Bi-Valley Medical Clinic, MedMark Treatment Center – Fairfield, MedMark Treatment Center – Sacramento)
CORE
Because these proposals were considered to be of high quality, they were offered a contract to provide these identified services. Separate agreements for the other bids chosen were also submitted to the Board of Supervisors for approval.

Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.

Request for Proposals (RFP) Service Requested:
Substance Use Disorder Adult Continuum of Care

Evaluation Criteria Included in RFP

General company information (20 points)
Experience and past performance (100 points)
For contractors bidding on residential treatment services (6 points)
Preferred qualifications (20 points)
Responsiveness/responsibility (20 points)
Pricing requirements (40 points)
Proposer’s approach to project (100 points)
Quality assurance and oversight (20 points)
Outputs and outcomes measures (50 points)
Financial information (pass/fail)
Quality and completeness of submitted proposal (pass/fail)

Bids Received

Bidder	Bid
CommuniCare Health Center Turning Point Community Programs Progress House Community Recovery Resources Yolo Wayfarer Center dba Fourth and Hope Heritage Oaks BayMark Health Centers (MedMark, Fairfield; MedMark, Sacramento; Bi-Valley Medical Clinic) CORE Medical Clinic, Inc.	$1,583,952 $278,388 $500,000 * $1,001,950 $785,929 $1,181,581 $2,000,000

* Community Recovery Resources declined to submit a bid amount. The entire program cost $3,823,974 was included in their proposal and expected to be funded by different sources.
** BayMark and CORE requested funding for two years. All other bids shown denote an annual budget.

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 55,000
Amount budgeted for expenditure:		$ 55,000
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 408,095

Source of Funds for this Expenditure

$55,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

The action increases the contract maximum by $55,000 for fiscal year 2020-21 for a total contract maximum of $1,014,285 for the period of July 1, 2018 through June 30, 2021. No general funds are required by this action. These services will be funded by DMC-ODS Waiver SUD FFP. The amount of $55,000 is included in the HHSA recommended budget for FY 2020-21. 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.

Scope	FY 2018-19 July 1, 2018 through June 30, 2019	FY 2019-20 July 1, 2019 through June 30, 2020	FY 2020-21 July 1, 2020 through June 30, 2021	Scope Total
Clinically Managed Low- Intensity Residential Treatment (ASAM Level 3.1)	$235,790	$335,790	$335,790	$907,370
Case Management	$12,345	$12,345	$12,345	$37,035
Physician Consultation	$4,960	$4,960	$4,960	$14,880
Outpatient Services (ASAM Level 1.0)	$0.00	$0.00	$15,000	$15,000
Intensive Outpatient Services	$0.00	$0.00	$20,000	$20,000
Recovery Residences/Transitional Living Services	$0.00	$0.00	$20,000	$15,000
Fiscal Year Total	$253,095	$353,095	$408,095
Contract Total	$1,014,285

The agreement also includes 2 one-year extension options for July 1, 2021 through June 30, 2022 and July 1, 2022 through June 30, 2023 in an amount less than or equal to $408,095 per fiscal year.

Option Year/ Fiscal Year (OY/FY)	Revised Agreement Expiration Date Per OY/FY	Maximum Increased Funding Amount Per OY/ FY	Revised Agreement Lifetime Maximum Per OY/FY
First/ (FY 2021-22)	On or before June 30, 2022	Less than or equal to $408,095	Less than or equal to $1,422,380
Second/ (FY 2022-23)	On or before June 30, 2023	Less than or equal to $408,095	Less than or equal to $1,830,475

In no event shall the term of the Agreement extend beyond June 30, 2023 nor shall the total maximum payment obligation exceed the amount of ONE MILLION EIGHT HUNDRED THIRTY THOUSAND FOUR HUNDRED SEVENTY-FIVE DOLLARS ($1,830,475), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.

Attachments
Att. A. Second Amendment

Form Review

Inbox	Reviewed By	Date
Financial Services	mqader	09/21/2020 10:20 PM
County Counsel	Hope Welton	09/22/2020 09:14 AM
Form Started By: Laura Checa		Started On: 07/24/2020 08:33 AM
Final Approval Date: 09/22/2020