Consent-Health & Human Services # 38.
Board of Supervisors
- Meeting Date:
- 06/06/2023
- Brief Title
- Eighth Amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope
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 eighth amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $480,886 for 2022-23 for a new contract maximum of $5,364,534.16 for the period of July 1, 2018 through June 30, 2023 for the provision of providing substance use disorder treatment and prevention services. (No general fund impact) (Sullivan)
Recommended Action
Approve eighth amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $450,886 for 2022-23 for a new contract maximum of $5,364,534.16 for the period of July 1, 2018 through June 30, 2023 for the provision of providing substance use disorder (SUD) treatment and prevention 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.
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 allows 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 are converted into anonymized data and incorporated into a DDRP study funded by the Mental Health Services Oversight and Accountability Commission.
On June 23, 2020 the Board of Supervisors (BOS) approved the first amendment increasing (FY) 2019-20 funding and extending the term of the Agreement.
On June 29, 2021 the BOS approved the second amendment increasing (FY) 202-21 and (FY) 2021-22 funding.
The agreement has also been amended to shift fund, update rates, and clarify language.
Approval of this eighth amendment allows for additional funding in the amount of $450,886 for FY2022-23. In FY2022-23 County has seen a significant increase in participants accessing services, more screenings have been done than in the past, and more have qualified for residential services at higher levels. The additional funding is needed to meet the needs of the increase in residential services.
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 allows 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 are converted into anonymized data and incorporated into a DDRP study funded by the Mental Health Services Oversight and Accountability Commission.
On June 23, 2020 the Board of Supervisors (BOS) approved the first amendment increasing (FY) 2019-20 funding and extending the term of the Agreement.
On June 29, 2021 the BOS approved the second amendment increasing (FY) 202-21 and (FY) 2021-22 funding.
The agreement has also been amended to shift fund, update rates, and clarify language.
Approval of this eighth amendment allows for additional funding in the amount of $450,886 for FY2022-23. In FY2022-23 County has seen a significant increase in participants accessing services, more screenings have been done than in the past, and more have qualified for residential services at higher levels. The additional funding is needed to meet the needs of the increase in residential services.
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)
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures)
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. All proposals were evaluated, and the following proposals were determined to meet all the required qualifications necessary to successfully provide these services:
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 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
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.HHSA confirms Yolo Wayfarer Center dba Fourth and Hope 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 Manger 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.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 450,886
- Amount budgeted for expenditure:
- $ 450,886
- Additional expenditure authority needed:
- $ 0
- One-time commitment:
- Yes
Source of Funds for this Expenditure
- DMC-ODS
- $400,000
- SABG/ARPA
- $50,886
Further explanation as needed:
No general funds are required by this action. These services will be funded by DMC-ODS, SABG/CRRSAA, SABG/ARPA, AB109, and Realignment. The action increases the contract maximum by $450,886 for the period of July1, 2018 through June 30, 2023. The amount of $450,886 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 |
| Scope A.1 Clinically Managed Low Intensity Residential Treatment (ASAM Level 3.1) |
$522,500 | $607,500 | $641,500 | $701,500 | $881,500 | $3,354,500 |
| Scope A.2 Clinically Managed High-Intensity Residential Treatment (ASAM Level 3.5) |
$55,000 | $15,000 | $105,000 | $45,000 | $643,510 | $863,510 |
| Scope A.3 Care Coordination Services |
$14,814 | $4,814 | $25,000 | $25,000 | $40,000 | $109,628 |
| 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 | NA | NA | $4,100** |
| Scope A.7 SABG/ CRRSAA Coronavirus Response and Relief Supplemental Appropriation Act |
N/A | N/A | N/A | $90,481.88 | $108,878.28 | $199,360.16 |
| SABG/ARPA SLE Beds |
N/A | N/A | N/A | N/A | $50,886 | $50,886 |
| Total | $718,824 | $753,824 | $952,110 | $1,038,491.88 | $1,901,284.28 | $5,364,534.16 |
Any unspent funding in a fiscal year for Scope A.7 may be rolled over into future fiscal years (including any option years) to be used only for Scope A.7. CRRSAA Funding must be fully expended by December 31, 2022
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | mrobertson | 05/26/2023 01:47 PM |
| County Counsel | Hope Welton | 05/26/2023 02:09 PM |
- Form Started By:
- Laura Checa
- Started On:
- 03/28/2023 01:05 PM
- Final Approval Date:
- 05/26/2023