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Consent-Health & Human Services   # 38.
Board of Supervisors
Meeting Date:
12/05/2023
Brief Title
First Amendment to Agreement No. 23-122 with Yolo Wayfarer Center dba Fourth and Hope
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

Approve first amendment to Agreement No. 23-122 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $150,000 for 2023-24 for a new contract maximum of $900,000 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)

Recommended Action

Approve first amendment to Agreement No. 23-122 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $150,000 for 2023-24 for a new contract maximum of $900,000 for the period of July 1, 2023 through December 31, 2023 for the provision of providing substance use disorder (SUD) treatment and prevention services.

 

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 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 provided 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 June 26, 2018 the BOS approved Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope for the provision of providing SUD residential treatment 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. 23-122 with Yolo Wayfarer Center dba Fourth and Hope pending a formal solicitation for these services to allow services to continue.

Staff is requesting approval of this second amendment to agreement no. 23-122 to add funds in the amount of $150,000 to cover the pending invoices under agreement no. 23-122 for the period of June 1, 2023 through December 31, 2023. The additional funding is to cover the costs for the increased number of referrals and to increase the population that can be served. With the additional funding recovery residence services will now be open to any Yolo resident exiting residential treatment, and not just reserved for AB109, CalWORKs and CWS.

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)

Collaborations (including Board advisory groups and external partner agencies)

County Counsel approved the agreement as to form
Department of General Services, Procurement Division

Competitive Bid Process/Vendor Performance

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
  • Company overview (20 points)
  • Experience and past performance( 100 points)
  • Responsiveness/Responsibility (? 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 Outcome Measures (50 points)
  • Financial Information (pass/fail)
  • Quality and completeness of submitted proposal (pass/fail)

Bids Received
CommuniCare Health Center $1,583,952
Turning Point Community Programs $278,388
Progress House $500,000
Community Recovery Resources *
Yolo Wayfarer Center dba Fourth and Hope $1,001,950
Heritage Oaks $785,929
BayMark Health Centers (MedMark, Fairfiels, MedMark Sacramento, Bi-Valley Medical) $1,181,581
C.O.R.E Medical Clinic, Ind. $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.

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    150,000
Amount budgeted for expenditure:
$    150,000
Additional expenditure authority needed:
$    0
One-time commitment:
Yes

Source of Funds for this Expenditure

Realignment
$50,000
Opioid settlement funding
$100,000

Further explanation as needed:

No general funds are required by this action. These services will be funded by realignment and opioid settlement funding (pending the approval of the budget resolution attached to Staff Report #13901 for CommuniCare OLE Adult SUD agreement). The action increased the contract maximum by $150,000 for a total of $900,000 for the period of July 1, 2023 through December 31, 2023. The amount of $50,000 is included in the HHSA adopted budget for fiscal year 2023-24 and $100,000 will be added to the HHSA adopted budget for fiscal year 2023-24 (pending approval of the budget resolution).

The following is the breakdown of funding for this agreement.
Fiscal Year 2023-24
July 1, 2023 through December 31, 2023
$900,000

Attachments

Form Review

Inbox Reviewed By Date
Financial Services Julie Dachtler 11/22/2023 02:26 PM
Financial Services mrobertson 11/27/2023 09:48 AM
County Counsel Hope Welton 11/27/2023 10:01 AM
Cindy Perez Cindy Perez 11/27/2023 02:09 PM
Form Started By:
Laura Checa
Started On:
11/09/2023 03:56 PM
Final Approval Date:
11/27/2023