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Consent-Health & Human Services   # 25.
Board of Supervisors
Meeting Date:
06/07/2022
Brief Title
Fourth Amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope
From:
Nolan Sullivan, Interim 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 fourth amendment Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $90,481.88 for 2021-22; and add funding of $108,578.28 for 2022-23 for a new contract maximum of $4,519,838.16 for the term of July 1, 2018 through June 30, 2023 for the provisions of substance use disorder. (No general fund impact) (Sullivan)

Recommended Action

Approve Fourth Amendment Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $90,481.88 Fiscal Year (FY) 2021-22; and add funding of $108,578.28 for FY 2022-23 for a new contract maximum of $4,519,838.16 for the term of July 1, 2018 through June 30, 2023 for the provisions of substance use disorder. 

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

On May 8, 2018, the Board of Supervisors approved an agreement with Department of Health Care Services (DHCS) to receive funding in the amount of $13,943,284 for the Drug Medi-Cal Organized Delivery System. A formal competitive selection process was completed (see Competitive Selection details below) and Yolo Wayfarer Center was selected to provide substance use disorder treatment and prevention services.
 
On June 29, 2021 the Agreement added an additional scope of work for Adverse Childhood Experience Screenings (ACEs) which will allow for screenings and assessments to obtain scores and cognitive assessment results from behavioral health clients who are simultaneously involved in the criminal justice system within Yolo County for the Data Driven Recovery Project (DDRP). The results from the screenings and assessments will be converted into anonymized data and incorporated into a DDRP study funded by the Mental Health Services Oversight and Accountability Commission.

Approval of this fourth amendment allows for additional funding in the amount of $90,481.88 for Fiscal Year 2021-22 and $108,578.28 for FY 2022-23 in Substance Abuse Block Grant (SABG) Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA) funding to expand the amount of Recovery Housing support provided by Yolo Wayfarer Center.  This funding was a recognition by the Federal government in the ARP Act for the need for expanded substance use services in various areas.  The CRRSAA funding has an expenditure date of December 31, 2022.
 
Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 18-132 and are not being changed by this Amendment.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process/Vendor Performance

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.
 
The Department confirms Yolo Wayfarer Center has performed satisfactorily on the current agreement.

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    90,482
Amount budgeted for expenditure:
$    90,482
Additional expenditure authority needed:
$    0
On-going commitment (annual cost):
$   1,056,588

Source of Funds for this Expenditure

DMC-ODS
$90,482

Further explanation as needed:

No general funds are required by this action. These services will be funded by DMC-ODS. The action increases the contract maximum by $90,481.88 for a total of $4,519,838.16 for the period of July 1, 2018 through June 30, 2023. The amount of $90,481.88 is included in the HHSA adopted budget for FY 2021-22. The related funding will be included in the requested budget process for FY 2022-23.

The following is the breakdown of funding for this agreement.
Scope of Services 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
FY 2021-22
July 1, 2021
through
June 30, 2022
FY 2022-23
July 1, 2022
through
June 30, 2023
Total
Scope A.1
Clinically Managed Low Intensity Residential Treatment (ASAM Level 3.1)
$522,500

$607,500

$641,500

$701,500

$701,500

$3,174,500
Scope A.2
Clinically Managed
High-Intensity
Residential Treatment (ASAM Level 3.5)

$55,000

$15,000

$105,000

$45,000

$45,000

$265,000
Scope A.3
Care Coordination Services
$14,814 $4,814 $25,000 $25,000 $25,000 $94,628
Scope A.4 Physician Consultation $6,510 $6,510 $6,510 $6,510 $6,510 $32,550
Scope A.5 Recovery Residences/ Transitional Living $120,000 $120,000 $170,000 $170,000 $170,000 $750,000
Scope A.6 Adverse childhood Experiences screenings (ACEs) N/A N/A $4,100** $0 $0 $4,100**
SABG
Coronavirus Response and Relief Supplemental Appropriation Act (CRRSAA)
N/A N/A N/A $90,481.88 $108,878.28 $199,060.16
Total $718,824 $753,824 $952,110 $1,038,491.88 $1,056,588.28 $4,519,838.16

Attachments

Form Review

Inbox Reviewed By Date
Financial Services Tom Haynes 05/27/2022 02:05 PM
County Counsel Hope Welton 05/27/2022 06:16 PM
Form Started By:
Kimberly Mayfield
Started On:
04/27/2022 08:28 AM
Final Approval Date:
05/31/2022