Consent-Health & Human Services # 37.
Board of Supervisors
- Meeting Date:
- 06/06/2023
- Brief Title
- Eleventh Amendment to Agreement No. 18-154 with CommuniCare Health Centers, Inc.
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Karleen Jakowski, Assistant Director, Health and Human Services Agency, x2978
Supervisorial District Impact:
Countywide
Subject
Approve eleventh amendment to Agreement No.18-154 with CommuniCare Health Centers, Inc. to add funding in the amount of $365,000 for a new contract maximum of $5,974,893.55 for the period of July 1, 2018 through June 30, 2023 for the provision of substance use disorder services. (No general fund impact) (Sullivan)
Recommended Action
Approve eleventh amendment to Agreement No.18-154 with CommuniCare Health Centers, Inc. to add funding in the amount of $365,000 for a new contract maximum of $5,974,893.55 for the period of July 1, 2018 through June 30, 2023 for the provision of substance use disorder services.
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 (DHCS) to receive funding in the amount of $13,943,284 for the Drug Medi-Cal Organized Delivery System.
Yolo County completed a formal competitive selection process (see Competitive Selection details below) and CommuniCare Healthcare Centers, Inc. was selected to provide Intensive Outpatient, Outpatient Services, Case Management, Physician Consultation, Recovery Services, and In-Person Screening/Referral Services.
On July 10, 2018, the Yolo County Board of Supervisors (“BOS”) approved the underlying Agreement (“Agreement 18-154”) with CommuniCare Healthcare Centers, Inc. for the provision of those services.
The Agreement has since been amended to shift funds, clarify language, and update rates.
On June 23, 2020 the BOS approved the third amendment reducing the total maximum compensation.
On July 27, 2021 the BOS approved the fifth amendment reducing (FY) 2020-21 funding and increasing (FY) 2021-22 funding.
On June 8, 2022the BOS approved the eight amendment that increased funding for (FY) 2021-22 and for (FY)2022-23.
Staff recommends approval of this eleventh amendment that increases funding for (FY) 2022-23 so CommuniCare Healthcare Centers, Inc. may continue providing these vital services to eligible Yolo County consumers. We are adding funding to four scopes of services to ensure that services continue and consumers continue to benefit from these services for the remainder of the fiscal year.
Performance Measures included in this Agreement are as follows:
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures)
HHSA confirms CommuniCare Healthcare Centers, Inc. has performed satisfactorily under this agreement 98.5% of consumers were retained in outpatient services. 34% reduction rate in substance use. 98% reduction in incarceration days.
Yolo County completed a formal competitive selection process (see Competitive Selection details below) and CommuniCare Healthcare Centers, Inc. was selected to provide Intensive Outpatient, Outpatient Services, Case Management, Physician Consultation, Recovery Services, and In-Person Screening/Referral Services.
On July 10, 2018, the Yolo County Board of Supervisors (“BOS”) approved the underlying Agreement (“Agreement 18-154”) with CommuniCare Healthcare Centers, Inc. for the provision of those services.
The Agreement has since been amended to shift funds, clarify language, and update rates.
On June 23, 2020 the BOS approved the third amendment reducing the total maximum compensation.
On July 27, 2021 the BOS approved the fifth amendment reducing (FY) 2020-21 funding and increasing (FY) 2021-22 funding.
On June 8, 2022the BOS approved the eight amendment that increased funding for (FY) 2021-22 and for (FY)2022-23.
Staff recommends approval of this eleventh amendment that increases funding for (FY) 2022-23 so CommuniCare Healthcare Centers, Inc. may continue providing these vital services to eligible Yolo County consumers. We are adding funding to four scopes of services to ensure that services continue and consumers continue to benefit from these services for the remainder of the fiscal year.
Performance Measures included in this Agreement are as follows:
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures)
HHSA confirms CommuniCare Healthcare Centers, Inc. has performed satisfactorily under this agreement 98.5% of consumers were retained in outpatient services. 34% reduction rate in substance use. 98% reduction in incarceration days.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Department of General Services, Procurement Division
Department of General Services, Procurement Division
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. 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, Turning Point, Progress House, Community Recovery Resources, Yolo Wayfarer Center, BayMark, and CORE. 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 chosen will be submitted to the BOS for approval. Heritage Oaks was the only bid received that will not be awarded a contract.
HHSA received eight 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, Turning Point, Progress House, Community Recovery Resources, Yolo Wayfarer Center, BayMark, and CORE. 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 chosen will be submitted to the BOS for approval. Heritage Oaks was the only bid received that will not be awarded a contract.
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 | Scopes included in Bid | Bid |
| CommuniCare Health Center | Intensive Outpatient, Outpatient, Case Management, Physician Consultation, Recovery Services, In-Person Screening/Referral | $1,583,952 |
| Turning Point Community Programs | Intensive Outpatient, Outpatient, Case Management, Physician Consultation | $278,388 |
| Progress House | Residential 3.1, Case Management, Physician Consultation | $500,000 |
| Community Recovery Resources | Residential 3.1, Residential 3.5 Case Management, Physician Consultation, Residential 3.2 WM, Intensive Outpatient, Transitional Living | * |
| Yolo Wayfarer Center dba Fourth and Hope | Residential 3.1, Residential 3.5, Transitional, Case Management, Physician Consultation | $1,001,950 |
| Heritage Oaks | Intensive Outpatient, Outpatient, Case Management, Physician Consultation | $785,929 |
| BayMark Health Centers (MedMark, Fairfield; MedMark, Sacramento; Bi-Valley Medical Clinic |
Opioid (Narcotic) Treatment Program, Case Management, Physician Consultation | $1,181,581** |
| CORE Medical Clinic, Inc | Opioid (Narcotic) Treatment Program, Case Management, Physician Consultation | $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.
** BayMark and CORE requested funding for two years. All other bids shown denote an annual budget.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 365,000
- Amount budgeted for expenditure:
- $ 365,000
- Additional expenditure authority needed:
- $ 0
- One-time commitment:
- Yes
Source of Funds for this Expenditure
- DMC-ODS
- $350,000
- SABG/ARPA
- $15,000
Further explanation as needed:
No general funds are required by this action. These services will be funded by DMC-ODS and SABG/ARPA. The action increases the contract maximum by $365,000 for a total of $5,974,893.55 for the period of July 1, 2018 through June 30, 2023. The amount of $365,000 is included in HHSA adopted budget for fiscal year 2022-23.
The following is the breakdown of funding for this agreement.
The following is the breakdown of funding for this agreement.
| Scope of Services | FY 18-19 July 1, 2018 through June 30, 2019 |
FY 19-20 July 1, 2019 through June 30, 2020 |
FY 20-21 July 1, 2020 through June 30, 2021 |
FY 21-22 July 1, 2021 through June 30, 2022 |
FY 22-23 July 1, 2022 through June 30, 2023 |
Total |
| A.1 | $385,300 | $445,300 | $420,000 | $405,000 | $605,000 | $2,260,600 |
| A.2 | $481,076 | $296,076 | $346,893 | $335,000 | $485,000 | $1,944,045 |
| A.3 | $25,571 | $25,571 | $25,571 | $25,571 | $25,571 | $127,855 |
| A.4 | $180,048 | $180,048 | $80,000 | $55,000 | $55,000 | $550,096 |
| A.5 | $5,536 | $5,536 | $5,536 | $5,536 | $5,536 | $27,680 |
| A.6 | $168,700 | $168,700 | $183,107 | $235,000 | $235,000 | $990,507 |
| *A.7 | NA | NA | $4,100 | $0 | $0 | $4,100 |
| *SABG (CRRSAA) | NA | NA | NA | $50,973.69 | $4,036.86 | $55,010.55 |
| SABG (ARPA) Peer Support |
NA | NA | NA | NA | $15,000 | $15,000 |
| Total | $1,246,231 | $1,121,231 | $1,065,207 | $1,112,080.69 | $1,430,143.86 | $5,974,893.55 |
Any Unspent funding in a fiscal year for Scope A.7 and CRSAA may be rolled over into future fiscal years(including any option years). CRRSAA Funding must be fully expended by December 31, 2022.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | mrobertson | 05/26/2023 01:33 PM |
| County Counsel | Hope Welton | 05/26/2023 01:38 PM |
- Form Started By:
- Laura Checa
- Started On:
- 03/28/2023 12:57 PM
- Final Approval Date:
- 05/26/2023