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Consent-Health & Human Services   # 23.
Board of Supervisors
Meeting Date:
05/07/2024
Brief Title
Second Amendment to Agreement No. 23-162 with Victor Community Support Services
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Tony Kildare, Child, Youth & Family Branch Director, Health and Human Services Agency, x2929
Supervisorial District Impact:
Countywide

Subject

Approve second amendment to Agreement No. 23-162 with Victor Community Support Services to extend the term of the Agreement through June 30, 2025, add funding in the amount of $999,061 for a new contract maximum of $1,998,122; and add one optional extension for 2025-26 for the provision of K-12 School Partnership services to the West Sacramento Catchment Area (Washington Joint Unified School District) in compliance with the new California Advancing and Innovating Medi-Cal (CalAIM). (No general fund impact) (Sullivan)

Recommended Action

  1. Approve second amendment to Agreement No. 23-162 with Victor Community Support Services to extend the term of the Agreement through June 30, 2025, add funding in the amount of $999,061 for a new contract maximum of $1,998,122; and add one optional extension for 2025-26 for the provision of K-12 School Partnership services to the West Sacramento Catchment Area (Washington Joint Unified School District) in compliance with the new California Advancing and Innovating Medi-Cal (CalAIM); and
     
  2. Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise optional year extension up to $999,061 for fiscal year 2025-26 and 2) issue related option year notices. Please see Section III. of Att. A. Second Amendment

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

On or about May 26, 2021, the County issued a competitive solicitation (details in the Competitive Bid Process section, below) to solicit a provider for K-12 School Partnership Services for the West Sacramento Catchment Area (Washington Unified School District.) The Yolo County K-12 School Partnership Program works to expand the historically more limited array of services and supports available to students and to integrate mental health services into the school systems by utilizing an integrated systems model and multi-tiered systems of support.  The goal of this integrated approach is to blend resources, training, systems, data, and practices to improve outcomes for all children and youth. The program also emphasizes prevention, early identification, and intervention of the social, emotional, and behavior needs of students, as well as supports outcomes around preventing the development of mental health challenges in children of all ages, improved linkages to mental health services for children and their families, improved mental health wellness, school engagement, and personal, social, and community stability. The primary goal is to ensure that all school-age youth in Yolo County can access mental health services in a safe, comfortable environment that is familiar to them through an improved school-based service delivery system.

The resulting agreement was awarded to Victor Community Support Services (VCSS) and on November 15, 2021 the County and VCSS entered into Agreement No. 21-265, which provided an initial term of November 15, 2021 through June 30, 2024, with two optional extensions for FY’s 2024-25 ($468,787) and 2025-26 ($468,787).

California Advancing and Innovating Medi-Cal (CalAIM) Initiative
In January 2022, California Department of Health Care Services (DHCS) rolled out the CalAIM initiative aimed to provide broad delivery system program and payment reform across the Medi-Cal system. The goal was transformation of the Medi-Cal delivery system, moving it towards a population health approach that prioritizes prevention and whole person care. Focus shifted from compliance to quality and performance metrics. Specialty Mental Health Services (SMHS) requirements and policies pursuant to the CalAIM initiative were updated, and as a result of these updates, the County was required to revise the terms and conditions in the provider agreements for these services.  In preparation for this system wide change, the County worked closely with CalMHSA who provided the County and other SMHS Medi-Cal counties with technical assistance around the CalAIM initiative. The County received new boilerplate templates from CalMHSA for both DMC/SUD treatment services and SMHS Medi-Cal services that included updated programmatic regulatory requirements and updated billing/claiming requirements.

On or about June 27, 2023, the County and Victor Community Support Services entered into a one-year renewal agreement for the provision of K-12 School Partnership services to the West Sacramento Catchment Area (Washington Joint Unified School District) in an amount of $999,061 for the period of July 1, 2023 through June 30, 2024.

HHSA requests approval of this second amendment which extends the term of the Agreement through June 30, 2025; adds funding for 2024-25 and adds one optional extension for 2025-26.

Performance Measures
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures)

HHSA confirms Victor Community Support Services has performed satisfactorily under this agreement. Victor has been providing services to Washington Unified under the K-12 School Partnership since November 2021. During that time, they have submitted satisfactory RBA data reports to HHSA timely as well as completed the required MHSA Demographic reports and MHSSA data reports. They have participated as a collaborative partner with HHSA and Washington Unified to adjust service delivery in response to the district’s needs. Victor participates in several K-12 School Partnership collaboration meetings each month and demonstrates true commitment to serving the students and staff of Washington Unified.

Collaborations (including Board advisory groups and external partner agencies)

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

Competitive Bid Process/Vendor Performance

On May 26, 2021, the County issued a competitive solicitation via a request for proposals (RFP) from qualified community-based organizations to provide K-12 School Partnership Services for the West Sacramento Catchment Area (Washington Unified School District.) The RFP was open for 44 days, just over 6 weeks, and staff offered potential bidders an opportunity to ask questions during a Mandatory Bidders’ Conference on June 4, 2021. HHSA received 3 proposals for the West Sacramento Catchment Area.

The proposal submitted by Victor Community Support Services was selected as one of the top choices by all members of the Review Committee and was evaluated and determined to meet all the required qualifications necessary to successfully provide these services. 

Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.
 
Evaluation Criteria Included in RFP
· Program and Project Approach (55%)
· Administration and Staffing (15%)
· Program/Project Budget and Cost Proposal (5%)
· Reporting Capabilities (5%)
· Compliance Plan Approach (5%)

Bids Received
Bidder Catchment Area and Bid Amount
CommuniCare Health Centers Davis - $489,617
Woodland - $621,396
West Sacramento - $483,422
Victor Community Support Services Davis - $460,964
Woodland - $602,422
West Sacramento - $468,797
Rural - $305,400
Yolo Wayfarer Center Woodland - $1,304,244
West Sacramento - $1,559,250

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    999,061
Amount budgeted for expenditure:
$    999,061
Additional expenditure authority needed:
$   
On-going commitment (annual cost):
$    999,061

Source of Funds for this Expenditure

MHSA
$499,531
MHSSA
$499,531

Further explanation as needed:

No general funds are required by this action. These services will be funded by Mental Health Services Act (MHSA) and Mental Health Student Services Act (MHSSA) funding. The action increases the contract maximum by $999,061 for a total of $1,998,122 for the period of July 1, 2023 through June 30, 2025. The amount of $999,061 is included in the HHSA recommended budget fiscal year 2024-25. The related funding will be included in the requested budget process for future fiscal years.
Fiscal Year 2023-24
July 1, 2023
through
June 30, 2024
Fiscal Year 2024-25
July 1, 2024
through
June 30, 2025
Total
$999,061 $999,061 $1,998,122

This Agreement also includes one optional extension for FY 2025-26 in an amount less than or equal to $999,061 per fiscal year.
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 2025-26 On or before
June 30, 2026
Less than or equal to
$999,061
Less than or equal to
$2,997,183







In no event shall the term of the Agreement extend beyond June 30, 2026, nor shall the total contract maximum exceed the amount of TWO MILLION NINE HUNDRED NINETY-SEVEN THOUSAND ONE HUNDRED EIGHTY-THREE DOLLARS ($2,997,183), unless otherwise agreed to in writing by the Parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.

Attachments

Form Review

Inbox Reviewed By Date
Tony Kildare Tony Kildare 04/19/2024 12:48 PM
Financial Services mrobertson 04/19/2024 01:32 PM
County Counsel Hope Welton 04/21/2024 05:16 PM
Cindy Perez Cindy Perez 04/22/2024 11:29 AM
Form Started By:
Kimberly Mayfield
Started On:
03/25/2024 03:46 PM
Final Approval Date:
04/22/2024