Consent-Health & Human Services # 31.
Board of Supervisors
- Meeting Date:
- 04/12/2022
- Brief Title
- Fourth Amendment to Agreement 16-194 WellPath Medical Services
From:
Nolan Sullivan, Interim Director, Health and Human Services Agency
Staff Contact:
Brian Vaughn, Community Health Branch Director, Health and Human Services Agency, x8771
Supervisorial District Impact:
Subject
Approve fourth amendment to Agreement No. 16-194 with WellPath to add funding in the amount of $133,529.14 by adding $88,568.94 of County General Funds and $44,960.20 of Medication Assisted Treatment funds for 2021-22 for a new contract maximum of $20,069,587.14, for the provision of comprehensive medical services to the detainees of the Yolo County Jail and Juvenile Detention Facility for the term of December 1, 2016 through June 30, 2022; and revise and clarify contract language. (General fund impact 88,568.94) (Sullivan)
Recommended Action
- Approve fourth amendment to Agreement No. 16-194 with WellPath to add funding in the amount of $133,529.14 by adding $88,568.94 of County General Funds and $44,960.20 of Medication Assisted Treatment (MAT) funds for Fiscal Year 2021-22 for a new contract maximum of $20,069,587.14, for the provision of comprehensive medical services to the detainees of the Yolo County Jail and Juvenile Detention Facility for the term of December 1, 2016 through June 30, 2022; and revise and clarify contract language; and
- Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise monthly optional extensions up to $260,249.91 per month and 2) issue related optional notices. Please see Section 2 of Att. A. Fourth Amendment.
Strategic Plan Goal(s)
 |
Thriving Residents |
 |
Safe Communities |
Reason for Recommended Action/Background
Yolo County is mandated to provide effective and quality comprehensive medical health services to detainees of the Yolo County JDF. In an effort to provide high quality care to often over-looked population and for continuous compliance with federal and state regulations, HHSA along with the Probation Department and Sheriff’s Department have reviewed the services provided to this population and explored options to better serve detainees in the County.
This amendment is adding Medication Assisted Treatment (MAT) Services. MAT services use FDA-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders as a medical disorder. The MAT program provides addiction treatment and recovery within correctional facilities. MAT provides opioid addiction and other substance use disorders in more than 70 correctional facilities.
With the ongoing pandemic, an increase in the average daily jail population, and the recognition by multiple county departments that increased MAT support is critical, the need for additional medical and behavioral health services in the jail has increased over the past year. In order to meet the current needs of the inmate population, HHSA has worked with Wellpath to provide additional medical and behavioral health staffing to the jail. This will ensure that the inmates will continue to receive effective and comprehensive medical and behavioral health services.
HHSA is requesting approval of this amendment, which is adding optional months through December 31, 2022, until the RFP process for comprehensive medical services for detainees in the Yolo County Jails is completed. The extension of these services will allow WellPath to continue these vital services to clients and prevent a gap in services.
Performance Measures included in this Agreement are as follows:
Performance Measures are not associated with this Agreement.This amendment is adding Medication Assisted Treatment (MAT) Services. MAT services use FDA-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders as a medical disorder. The MAT program provides addiction treatment and recovery within correctional facilities. MAT provides opioid addiction and other substance use disorders in more than 70 correctional facilities.
With the ongoing pandemic, an increase in the average daily jail population, and the recognition by multiple county departments that increased MAT support is critical, the need for additional medical and behavioral health services in the jail has increased over the past year. In order to meet the current needs of the inmate population, HHSA has worked with Wellpath to provide additional medical and behavioral health staffing to the jail. This will ensure that the inmates will continue to receive effective and comprehensive medical and behavioral health services.
HHSA is requesting approval of this amendment, which is adding optional months through December 31, 2022, until the RFP process for comprehensive medical services for detainees in the Yolo County Jails is completed. The extension of these services will allow WellPath to continue these vital services to clients and prevent a gap in services.
Performance Measures included in this Agreement are as follows:
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process/Vendor Performance
On December 3, 2015, HHSA issued Request for Proposal (RFP) to solicit professional medical services for the inmates in Yolo County Jail and JDF. HHSA received two proposals in response to this solicitation. A Review Team composed of representative from HHSA, Probation, Sheriff, the County Administrator’s Office and an outside agency evaluated responses to the RFP. The proposal submitted by this vendor was ranked higher out of the two submissions.
The Department confirms WellPath has performed satisfactorily on the current agreement.
The Department confirms WellPath has performed satisfactorily on the current agreement.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 133,529
- Amount budgeted for expenditure:
- $ 133,529
- Additional expenditure authority needed:
- $
- One-time commitment:
- Yes
Source of Funds for this Expenditure
- County General Fund
- $88,569
- MAT
- $44,960
Further explanation as needed:
On December 3, 2015, HHSA issued Request for Proposal (RFP) for soliciting the professional medical services for the inmates in Yolo County Jail and JDF. HHSA received two proposals is response to this solicitation. A Review Team composed of representative from HHSA, Probation, Sherriff, the County Administrator’s Office and an outside agency evaluated responses to the RFP. The proposal submitted by CFMG was ranked higher out of the two submissions.
The Department confirms WellPath has performed satisfactorily on the current agreement.
The Department confirms WellPath has performed satisfactorily on the current agreement.
| Fiscal Year (FY) | Funding Source | Service Dates | Amount |
| FY 2016-17 | CGF | December 1, 2016 through June 30, 2017 | $2,054,821.00 |
| FY 2017-18 | CGF | July 1, 2017 through June 30, 2018 | $3,617,439.00 |
| FY 2018-19 | CGF | July 1, 2018 through June 30, 2019 | $3,725,962.00 |
| FY 2019-20 | CGF | July 1, 2019 through June 30, 2020 | $4,179,852.00 |
| FY 2020-21 | CGF | July 1, 2020 through December 31, 2020 | $2,142,174.00 |
| January 1, 2021 through June 30, 2021 | $1,395,963.00 | ||
| FY 2021-22 | CGF | July 1, 2021 through December 31, 2021 | $1,395,964.00 |
| January 1, 2022 through June 30, 2022 | $1,512,451.94 | ||
| MAT | January 15, 2022 through June 30, 2022 | $44,960.20 | |
| Total | $20,069,587.14 | ||
The agreement also includes six (6) one-month extension options for July 2022, August 2022, September 2022, October 2022, November 2022 and December 2022 in an amount less than or equal to $260,249.91 per month.
| Option Month/Fiscal Year (OM/FY) | Revised Agreement Expiration Date Per OM/FY | Maximum Increased Funding Amount Per OM/FY | Revised Agreement Lifetime Maximum Per OM/FY |
| OM/FY July 2022-23 |
On or before July 31, 2022 |
Less than or equal to $260,249.91 as follows.
$252,075.32 CGF
and $8,174.58 MAT |
Less than or equal to $20,329,837.05 |
| OM/FY August 2022-23 |
On or before August 31, 2022 |
Less than or equal to $260,249.91 as follows. $252,075.32 CGF and $8,174.58 MAT |
Less than or equal to $20,590,086.96 |
| OM/FY September 2022-23 |
On or before September 30, 2022 |
Less than or equal to $260,249.91 as follows. $252,075.32 CGF and $8,174.58 MAT |
Less than or equal to $20,850,336.87 |
| OM/FY October 2022-23 |
On or before October 31, 2022 |
Less than or equal to $260,249.91 as follows. $252,075.32 CGF and $8,174.58 MAT |
Less than or equal to $21,110,586.78 |
| OM/FY November 2022-23 |
On or before November 30, 2022 |
Less than or equal to $260,249.91 as follows. $252,075.32 CGF and $8,174.58 MAT |
Less than or equal to $21,370,836.69 |
| OM/FY December 2022-23 |
On or before December 31, 2022 |
Less than or equal to $260,249.91 as follows. $252,075.32 CGF and $8,174.58 MAT |
Less than or equal to $21,631,086.60 |
In no event shall the term of the Agreement extend beyond December 31, 2022 nor shall the total contract maximum exceed the amount of TWENTY-ONE MILLION SIX HUNDRED THIRTY-ONE THOUSAND EIGHTY-SIX DOLLARS AND SIXTY CENTS ($21,631,086.60), 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
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | Tom Haynes | 04/04/2022 04:49 PM |
| County Counsel | Hope Welton | 04/04/2022 05:03 PM |
- Form Started By:
- Kimberly Mayfield
- Started On:
- 10/21/2021 11:13 AM
- Final Approval Date:
- 04/05/2022