Consent-Health & Human Services # 32.
Board of Supervisors
- Meeting Date:
- 12/05/2023
- Brief Title
- Agreement with C.O.R.E. Medical Clinic, Inc.
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Samantha Fusselman, Adult and Aging Branch Director, Health and Human Services Agency, x2942
Supervisorial District Impact:
Countywide
Subject
Delegate signing authority to the Yolo County Procurement Manager to execute the agreement with C.O.R.E. Medical Clinic Inc. in the amount of $625,000 for the period of January 1, 2024 through June 30, 2024 for the provision of Substance Use Disorder Adult Continuum of Care services. (No general fund impact) (Sullivan)
Recommended Action
- Delegate signing authority to the Yolo County Procurement Manager to execute the agreement with C.O.R.E. Medical Clinic Inc. in the amount of $625,000 for the period of January 1, 2024 through June 30, 2024, for the provision of Substance Use Disorder Adult Continuum of Care services; and
- Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise optional year extensions up to a maximum five (5) year contract term; and 2) issue related option year notices.
Strategic Plan Goal(s)
 |
Thriving Residents |
 |
Safe Communities |
Reason for Recommended Action/Background
The County entered into an agreement with the California Department of Health Care Services (DHCS) to provide Drug Medi-Cal Organized Delivery System (DMC-ODS) Substance Use Disorder (SUD) treatment services to eligible clients. DMC-ODS is a program for organized SUD services to Medi-Cal eligible individuals with SUD residing in a county that has elected to participate in the DMC-ODS. The program provides members with access to care and system interaction needed to achieve sustainable recovery. The County also receives funding from a variety of other federal and state funding streams that assist the County in providing SUD treatment services to various client populations, including but not limited to: Substance Abuse Prevention and Treatment (SABG) Block Grant Funds; Substance Abuse and Mental Health Services Administration (SAMHSA); CalWORKS and CWS funding; 2011 Realignment, Opioid Settlement Funds, and Intergovernmental Transfer (IGT) Funds.
SUD Continuum of Cares services include the following:
SUD Continuum of Cares services include the following:
- Residential treatment services
- Outpatient and intensive outpatient treatment services
- Residential withdrawal management (detoxification) services
- Care Coordination services
- Recovery services
- Clinician Consultation
- Recovery Residence
- Narcotic treatment program services/opioid treatment program
These services will be provided to any eligible Yolo County resident referred through an access point established by Yolo County or referred by provider and will include, but not be limited to, the following
Populations/programs:
Populations/programs:
- CalWORKS Participants
- Individuals with an open Child Welfare Services (CWS) Case Plan
- Individuals who are Pregnant or Postpartum (Perinatal Services)
- Individuals who are involved with the Criminal Justice and those partially funded by system (AB109)
- Medically Indigent Adults
- Individuals with Co-Occurring substance use and mental health disorders and SUD disorders
C.O.R.E. Medical Clinic, Inc (C.O.R.E.) was selected to provide Opioid/Narcotic Treatment Program (OTP/NTP) services in Narcotic Treatment Program licensed facilities, Care Coordination, and Clinician Consultation Services. The services that C.O.R.E. will provide are crucial to helping Yolo County meet the needs of our residents who struggle with substance use and need OTP/NTP services as part of their continuum of care.
Approval of the request herein will enable HHSA to expedite the approval of the agreement for these crucial services and prevent lapse in services. The agreement is currently with C.O.R.E. for their review and signature. Once HHSA has obtained their approval and signature, the agreement will be routed to the Procurement Manager for the final County signature.
Performance Measures included in this Agreement are as follows:
The Performance Measures associated with this Agreement are included in Attachment A, Exhibit E
Approval of the request herein will enable HHSA to expedite the approval of the agreement for these crucial services and prevent lapse in services. The agreement is currently with C.O.R.E. for their review and signature. Once HHSA has obtained their approval and signature, the agreement will be routed to the Procurement Manager for the final County signature.
Performance Measures included in this Agreement are as follows:
The Performance Measures associated with this Agreement are included in Attachment A, Exhibit E
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 March 3, 2023 the County via the Department of General Services, Procurement Division (DGS-Procurement) issued a Request for Proposal (RFP) on behalf of the Health and Human Services Agency (HHSA) for Substance Use Disorder Adult Continuum of Care services. The solicitation was open for 64 days, (just over 9 weeks). On March 24, 2023 the County offered potential bidders an opportunity to ask questions during a bidder’s conference.
The County received three (3) proposal(s) from this solicitation. DGS reviewed the proposal for minimum requirements and all three (3) proposals were moved forward to the Review Committee, compromised of two (2) HHSA staff members, one (1) Yolo County Probation staff member, and one (1) Placer County staff member...
The Review Committee evaluated the proposals and determined that the proposal submitted by C.O.R.E. Medical Clinic, Inc., met all the required qualifications necessary to successfully provide these services. On or about June 27, 2023, the County issued an Intent to Award letter.
Additional information regarding the Competitive Bid Process is provided below, including a summary of the solicitation evaluation criteria.
Evaluation Criteria Included in RFP
The County received three (3) proposal(s) from this solicitation. DGS reviewed the proposal for minimum requirements and all three (3) proposals were moved forward to the Review Committee, compromised of two (2) HHSA staff members, one (1) Yolo County Probation staff member, and one (1) Placer County staff member...
The Review Committee evaluated the proposals and determined that the proposal submitted by C.O.R.E. Medical Clinic, Inc., met all the required qualifications necessary to successfully provide these services. On or about June 27, 2023, the County issued an Intent to Award letter.
Additional information regarding the Competitive Bid Process is provided below, including a summary of the solicitation evaluation criteria.
Evaluation Criteria Included in RFP
- Company overview (20 points)
- Experience and past performance (100 points)
- Responsiveness/Responsibility (20 points)
- Approach to Project (100 points)
- Pricing Requirements (40 points)
- Quality Assurance and Oversight (20 points)
- Outputs and Outcome Measures (50 points)
- Overall presentation of Recovery Services, Recovery Residences/Transitional living, In-person Access, Screenings and Referral (350 points)
- Overall presentation of Outpatient, Intensive Outpatient, Withdrawal Management, and OTP/NTP services (370 points)
- Overall presentation of Residential 3.1, and 3.5 Services (376 points)
- Quality and Completeness of Submitted Proposal (pass/fail)
- Financial Information (pass/fail)
Bids Received
| Bidder | Scope | Bid |
| CommuniCare OLE Health Centers (Adult SUD) | Outpatient, intensive outpatient, recovery, care coordination, clinician consultation, Early intervention, contingency management/recovery incentives, and In-person access, screening, and referral services | $4,108,716 |
| In-custody SUD services, | ||
| CommuniCare OLE Health Centers (In-Custody SUD) | ||
| Yolo Wayfarer Center dba Fourth and Hope | low intensity, high intensity, recovery services, recovery residence, care coordination, and clinician consultation services | $4,027,547 |
| C.O.R.E. Medical Clinic, Inc. | Opioid/Narcotic Treatment Program (OTP/NTP), Care Coordination, and Clinician Consultation Services. | $2,900,622 |
| Granite Wellness Centers* | 3.1 residential, 3.5 residential and perinatal services. | $2,147,659 |
*not awarded under this RFP
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 625,000
- Amount budgeted for expenditure:
- $
- Additional expenditure authority needed:
- $
- On-going commitment (annual cost):
- $
Source of Funds for this Expenditure
- SUD Realignmen
- $535,000
- Opioid Settlement
- $90,000
Further explanation as needed:
No general funds are required by this action. These services will be funded by SUD Realignment and Opioid Settlement funding (pending approval of the budget resolution attached to Staff Report #13901 for CommuniCare OLE Adult SUD agreement) and Federal Financial Participation (FFP) Medi-Cal eligible services drawdown. The total amount of this action is $625,000 for the period of January 1, 2024 through June 30, 2024. The amount of $535,000 is included in the HHSA adopted budget for fiscal year 2023-24 and $90,000 will be added to the HHSA adopted budget for fiscal year 2023-24 (pending the approval of the budget resolution). The related funding will be included in the requested budget process for future fiscal years.
The following is the breakdown of funding for this agreement.
The following is the breakdown of funding for this agreement.
| Fiscal Year 2023-24 January 1,2024 through June 30, 2024 |
|
| $625,000 |
This Agreement also includes four (4) additional twelve (12) month periods in an amount less than or equal to $1,080,000 per fiscal year and one (1) additional six (6) month optional period in an amount less than or equal to $540,000 as follows:
| Option Year/ Fiscal Year (OY/FY) |
Revised Agreement Expiration Date Per OY/FY |
Maximum Increased Funding Amount Per OY/FY |
Revised Agreement Lifetime Maximum Per OY/FY |
| OY/FY 2024-25 | On or before June 30, 2025 |
Less than or equal to $1,080,000 | Less than or equal to $1,705,000 |
| OY/FY 2025-26 | On or before June 30, 2026 |
Less than or equal to $1,080,000 | Less than or equal to $2,785,000 |
| OY/FY 2026-27 | On or before June 30, 2027 |
Less than or equal to $1,080,000 | Less than or equal to $3,865,000 |
| OY/FY 2027-28 | On or before June 30, 2028 |
Less than or equal to $1,080,000 | Less than or equal to $4,945,000 |
| 6 months OY/FY 2028-29 |
On or before December 31, 2028 |
Less than or equal to $540,000 |
Less than or equal to $5,485,000 |
In no event shall the term of the Agreement extend beyond December 31, 2028, nor shall the total contract maximum exceed the amount of FIVE MILLION FOUR HUNDRED EIGHTY-FIVE THOUSAND DOLLARS ($5,485,000), unless otherwise agreed to in writing by the parties and in conformity with the then-current County Procurement Policy.
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | Julie Dachtler | 11/22/2023 02:24 PM |
| Financial Services | mrobertson | 11/27/2023 09:48 AM |
| County Counsel | Hope Welton | 11/28/2023 02:36 PM |
| County Counsel | Hope Welton | 11/29/2023 11:15 AM |
| Cindy Perez | Cindy Perez | 11/29/2023 04:36 PM |
- Form Started By:
- Laura Checa
- Started On:
- 10/11/2023 09:28 AM
- Final Approval Date:
- 11/29/2023