Approve and delegate signing authority to the Yolo County Procurement Manager for the second amendment to Agreement No. 21-156 with CommuniCare Health Centers to extend the term to August 31, 2024, and to add funding in the amount of $526,223.63 for 2023-24 with rollover into FY24-25, for a new contract maximum of $1,137,277.13, for the period of September 1, 2021 through August 31, 2024, for the provision of providing mobile medicine services. (No general fund impact) (Sullivan)

Approve and delegate signing authority to the Yolo County Procurement Manager for the second amendment to Agreement No. 21-156 with CommuniCare Health Centers to extend the term to August 31, 2024, and to add funding in the amount of $526,223.63 for 2023-24 with rollover into FY24-25, for a new contract maximum of $1,137,277.13, for the period of September 1, 2021 through August 31, 2024, for the provision of providing mobile medicine services.

Dignity Health, Sutter Health and Yolo County Health & Human Services Agency (HHSA) collaborated to develop and implement a Mobile Medicine Program. The goal was to provide appropriate services and linkages to additional community-based behavioral health, physical health, and dental health services. The Mobile Medicine Program aims to decrease severity and chronicity of otherwise manageable healthcare conditions for typically unserved or underserved individuals throughout Yolo County by providing preventive screenings, wound care, mental health services, dental care, health education, referral to social services and primary care follow up.

The initial 24-month period has now passed, and CommuniCare has created a fiscally sustainable model of care to continue these services. Funding sources that can be used include, but are not limited to, Medi-Cal billing for behavioral health, physical health and dental.  Now, the County has received Housing and Homelessness Incentive Program (HHIP) funding from the Department for Healthcare services. HHIP aims to improve health outcomes and access to whole person care services by addressing housing insecurity and instability as social determinants of health for the Medi-Cal population.

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 has performed satisfactorily under this agreement. This program served 313 unique patients in the first half of 2023 (1/1/23-6/30/23). Mobile Medicine provided 515 primary care visits, and 75 behavioral health visits to Yolo County’s most vulnerable populations in this period.

County Counsel will approve this second amendment as to form
Department of General Services, Procurement Division
Yolo County Executive Commission to Address Homelessness

On March 10, 2021, the County issued a Request for Proposals (RFP) from qualified community-based organizations to provide Mobile Medicine Services. The RFP was open for six (6) weeks, and staff offered potential bidders an opportunity to ask questions during a Mandatory Bidders’ Conference on March 19, 2021. The County received one proposal from this solicitation from CommuniCare. CommuniCare’s proposal was evaluated by the RFP Review Committee and was determined to meet all the required qualifications necessary to successfully provide these services. Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.

Request for Proposals (RFP) Service Requested: Mobile Medicine Services

Evaluation Criteria Included in RFP
· General Company Information (20 points)
· Experience (70 points)
· Approach to Project (330 points)
· Cost Proposal (20 points)
· Responsiveness/Responsibility (20 points)
· Quality Assurance and Oversight (15 points)
· Financial Information (20 points)
· Past Performance (25 points)
· Reasonableness of Costs (49.50 points)
· Quality and Completeness of the Proposal (Pass/Fail)

Bids Received

 

HHSA confirms CommuniCare Health Centers has performed satisfactorily under this agreement. Thus, pursuant to the authority provided to the County Procurement Manager as the County Purchasing Agent under the current Yolo County Procurement Policy, the Procurement Manager has determined that it is in the best interest of the County to extend this Agreement, based on satisfactory service and to avoid the interruption of County business. 

 

Additionally, the County and CommuniCare will submit a proposal regarding the Mobile Medicine Program to the Yolo County Executive Commission to Address Homelessness (“the Commission”) for review and approval. The Commission is a board established to have one overarching planning body that develops and oversees a community-wide vision for ending homelessness. The County and community service providers present proposals to the Commission for review and approval. Members of the Commission are appointed by the jurisdictional or organizational governing body representing each position on the Commission. The Commission consists of six (6) Voting Members: one (1) individual who serves as a currently elected official in the City of Woodland, one (1) individual who serves as a currently elected official in the City of West Sacramento, one (1) individual who serves as a currently elected official in the City of Davis, one (1) individual who serves as a currently elected official in the City of Winters, one (1) individual who serves as an elected County Supervisor, and one (1) individual who serves as the elected representative of the Homeless Continuum of Care. Pursuant to the Commission’s Bylaws, one of their role(s) is to ensure the implementation of goals and strategies that address and achieve functional homelessness in the County.