Approve second amendment to Agreement No. 23-120 with C.O.R.E. Medical Clinic, Inc. to add funding in the amount of $180,000 for 2023-24 for a new contract maximum of $630,000 for the period of July 1, 2023 through December 31, 2023 for the provision of providing substance use disorder treatment and prevention services. (No general fund impact) (Sullivan)

Approve second amendment to Agreement No. 23-120 with C.O.R.E. Medical Clinic, Inc. to add funding in the amount of $180,000 for 2023-24 for a new contract maximum of $630,000 for the period of July 1, 2023 through December 31, 2023,for the provision of providing substance use disorder (SUD) treatment and prevention services

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 beneficiaries 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, and Intergovernmental Transfer (IGT) Funds.

On July 10, 2018 the BOS approved Agreement No. 18-55 with C.O.R.E Medical Clinic, for the provision of providing Opioid/Narcotic Treatment Program (NTP) services with an initial term of July 1, 2018 through June 30, 2022 with three optional extensions through FY 22-23. The County took all of its optional extensions. HHSA then requested BOS approval of a six-month extension of the procurement for the short-term renewal agreement no. 23-120 with C.O.R.E Medical Clinic, Inc. pending a formal solicitation for these services to allow services to continue.

Staff is requesting approval of this second amendment to add funds in the amount of $180,000 to cover the pending invoices under agreement no. 23-120 for the period of June 1, 2023 through December 31, 2023. The additional funds will cover increased rates/costs and increased # of referrals to MAT.

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)

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

On or about February 26, 2018, Yolo County issued a formal request for proposal (2018 RFP) to solicit providers for the Yolo County Substance Use Disorder (“SUD”) Adult Continuum of Care services to eligible Yolo County residents. As a result of the 2018 RFP contracts were awarded to 7 providers: Baymark Health Centers, CommuniCare Health Centers, Community Recovery Resources, C.O.R.E Medical Clinic, Progress House, Turning Point Community Programs, and Yolo Wayfarer Center dba Fourth Hope.

On or about June 6, 2023 the BOS approved a six-month extension of the 2018 RFP to continue services pending the formal solicitation of these services.
On or about March 3, 2023, Yolo County issued a formal request for proposal (2023 RFP) to solicit providers for the Yolo County Substance Use Disorder (“SUD”) Adult Continuum of Care services. The 2023 RFP closed on May 12, ,2023 and is in process with a target to have newly awarded contracts in place on or before January 1, 2024. Pending the new agreements, services continue under this Agreement No. 23-120.

Additional information regarding the 2018 RFP is provided below, including a summary of the solicitation evaluation criteria.

Evaluation Criteria Included in RFP

Bids Received

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
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**
C.O.R.E 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