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Consent-Health & Human Services   # 27.
Board of Supervisors
Meeting Date:
09/10/2024
Brief Title
Agreement with Yolo Community Care Continuum Farmhouse
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Samantha Fusselman, Adult and Aging Branch Director, Health and Human Services Agency, x2492
Supervisorial District Impact:
Countywide

Subject

Approve agreement with Yolo Community Care Continuum in an amount of $2,250,000 for the period of July 1, 2024 through June 30, 2027 for the provision of Adult Residential Services through the Farmhouse Program in compliance with the new California Advancing and Innovating Medi-Cal (CalAIM) program. (No general fund impact) (Sullivan)

Recommended Action

  1. Approve agreement with Yolo Community Care Continuum in an amount of $2,250,000 for the period of July 1, 2024 through June 30, 2027 for the provisions of Adult Residential Services through the Farmhouse Program in compliance with the new California Advancing and Innovating Medi-Cal (CalAIM) program; 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 extensions up to $750,000 per fiscal year for fiscal years 2027-28 and 2028-29 and 2) issue related option year notices. Please see Section III of Att. A. Agreement

Strategic Plan Goal(s)

Thriving Residents

Reason for Recommended Action/Background

The Farmhouse Residential Treatment Program is a therapeutic residential setting that provides services 24 hours a day, 7 days a week with a full range of social rehabilitation services for individuals diagnosed with a severe mental illness (SMI) who require intensive support in order to avoid hospitalization or institutionalization.

Farmhouse is a DHCS licensed Adult Residential Facility and the only long-term residential treatment program available for (SMI adults in Yolo County that provides a full range of social rehabilitation services including:
  • Individual group counseling
  • Crisis intervention
  • Planned activities
  • Counseling with family, as applicable
  • Development of Community support systems for clients
  • Transportation to necessary medical/community appointments
  • Client advocacy
  • Socialization activities in the community
  • Pre-vocational and vocation services
  • Program length and date of discharge based on client’s needs.
HHSA request approval of this agreement with Yolo Community Care Continuum, for the provision of adult residential services. Approval of this agreement will continue enabling County to meet the needs of its SMI clients that require intensive support in order to avoid long term hospitalization or institutionalization.

Performance Measures
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 the Agreement as to form
General Services Department, Procurement Division

Competitive Bid Process/Vendor Performance

On or about March 13, 2024, the Yolo County Deputy Director/Manager of Procurement approved a sole source letter in conformance with the updated Yolo County Procurement Policy.

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    750,000
Amount budgeted for expenditure:
$    750,000
Additional expenditure authority needed:
$   
On-going commitment (annual cost):
$    750,000

Source of Funds for this Expenditure

FFP MHSA CSS
$208,800
SGF MHSA CSS
$7,200
MHSA CSS Martch
$234,000
FFP CMH
$139,200
SGF
$4,800
1991 Realignment
$156,000

Further explanation as needed:

No general funds are required by this action. These services will be funded by a combination of funding. The total amount of this action is $2,250,000 for the period of July 1, 2024 through June 30, 2027. The amount of $750,000 is included in the HHSA recommended budget for FY 2024-25. The related funding will be included in the requested budget process for future fiscal years.
Fiscal Year 2024-25
July 1, 2024
through
June 30, 2025
Fiscal Year 2025-26
July 1, 2025
through
June 30, 2026
Fiscal Year 2026-27
July 1, 2026
through
June 30, 2027
Total
$750,000 $750,000 $750,000 $2,250,000

This Agreement also includes two (2) one-year optional extensions for 2027-28 and 2028-29 in an amount less than or equal to $750,000 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 2027-8 On or before
June 30, 2028
Less than or equal to
$750,000
Less than or equal to
$3,000,000
OY/FY 2028-9 On or before
June 30, 2029
Less than or equal to
$750,000
Less than or equal to
$3,750,000

In no event shall the term of the Agreement extend beyond June 30, 2029, nor shall the total contract maximum exceed the amount of THREE MILLION SEVEN HUNDRED FIFTY THOUSAND DOLLARS ($3,750,000), 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
Financial Services mrobertson 08/26/2024 03:14 PM
County Counsel Hope Welton 08/26/2024 03:55 PM
Yen Nguyen Yen Nguyen 08/27/2024 03:33 PM
Form Started By:
Kimberly Mayfield
Started On:
04/24/2024 09:05 AM
Final Approval Date:
08/27/2024