Approve sixth amendment with Vista Pacifica Enterprises, Inc. to add funding in the amount of $400,000 for 2022-23; extend the term of the Agreement through June 30, 2024; add funding in the amount of $400,000 for 2023-24 for a new contract maximum of $2,145,000 for the period of July 1, 2020 through June 30, 2024, and to update and clarify language in the Agreement for the provision of providing 24 hour supervised clinical care to adults with severe mental illness. (No general fund impact) (Sullivan)

Health and Human Services Agency has been providing consistent and quality care in secure residential settings, when deemed necessary, for the safety and stability of individuals with Severe Mental Illness (SMI) served by the local Mental Health Plan. Vista Pacifica Center in Riverside operates an Institute for Mental Disease (IMD) program in Riverside, providing treatment and care to Yolo County SMI beneficiaries since 2016.  The program offers specialized treatment including pharmacological, therapeutic, and rehabilitative interventions in a safe and secure environment.

On or about July 1, 2020, the County entered into an Agreement with Vista Pacifica to provide 24-hour care, non-state hospital locked setting to referred adults who are conservatees of Yolo County Public Guardian and require treatment in such a secure environment.

On or about July 21, 2020, the Parties amended the Agreement via the First Amendment to extend the term of the Agreement; add funding and updated and clarify language in the Agreement.

On or about December 18, 2020, the Parties amended the Agreement via the Second Amendment to update daily rates.

On or about September 14, 2021, the Parties amended the Agreement via the Third Amendment to reduce the annual funding used to cover costs to place clients with severe mental illness, many of whom are under a temporary or annual conservatorship order, in secure residential setting for an extended period time. This reduction is informed by actual use and cost data for this contractor over the last two fiscal years as the County has developed additional placement options with other Contractors for this same population.

On or about May 24, 2022, the Parties amended the Agreement via the Fourth Amendment to add funding to augment and cover remaining invoices for Fiscal Year 2021-22 and increases Fiscal Year 2022-23 based on current year actuals, projections, and clarifies language in the Agreement.

On or about July 19, 2022, the Parties amended the Agreement via the Fifth Amendment to update daily rates for FY 2022-23.

HHSA request approval of this Sixth Amendment which adds funding in the amount of $400,000 for FY 2022-23; extends the term of the Agreement through June 30, 2024; adds funding in the amount of $400,000 for FY 2023-24; updates the available optional extension, increases the optional extension amount; and updates and clarifies language in the Agreement. This increase is based on the actual costs of services provided by the contractor.

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 Vista Pacifica has performed satisfactorily under this agreement. Based on previously collected data including the total number of Yolo County Medi-Cal Beneficiaries served annually and percentage of Yolo County Medi-Cal Beneficiaries who were discharged to a lower level of care, Vista Pacifica has performed adequately as a subcontractor providing IMD Services.

County Counsel has approved this Agreement as to form.
Department of General Services, Procurement Division

On June 30, 2020, the Yolo County Procurement Manager approved a sole source procurement for these services.

Procurement reviewed HHSA’s request and determined that it was in the best interest of the County to approve the sole source, based on satisfactory service/reasonable prices and to avoid the interruption of County business. Without sole source approval, the County would lose the ability to provide mandated long-term inpatient psychiatric and convalescent care for County mental health clients. Factors considered, included but were not limited to:

1) vendor provides both secure and residential facilities as well as 24-hour SNF care with a geropsychiatry focus on our aging clients. Vendor also accepts some of our hardest to place older severely mentally ill consumers; 2) satisfactory vendor performance--the vendor has been a County vendor for over five years providing competitive rates and documented successful performance in inpatient psychiatric and convalescent care; 3) competitive pricing/cost savings; and 4) County would lose the ability to place consumers in the numerous facilities operated by Vista Pacifica throughout the state. The County would be limited in its ability to identify and place consumers quickly into facilities offering an appropriate level of care, and in some cases would be unable to meet federally mandated standards regarding the provision of care for consumers.