Approve first amendment to Agreement No. 23-315 with Ole Health dba CommuniCare OLE to add funding in the amount of $137,499.28 for 2023-24 for a new contract maximum of $2,405,075.84 for the period of January 1, 2024 through June 30, 2025; and add rates for 2024-25 for the provision of Substance Use Disorder Adult Continuum of Care services. (No general fund impact) (Sullivan)

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 for the provision of 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 Child Welfare Services (CWS) funding; 2011 Realignment; AB109 Revenue, FFP, and Opioid Settlement funds.

The SUD Continuum of Care services includes the following:

These services are provided to any eligible Yolo County resident referred through an access point established by Yolo County or referred by provider and include, but are not limited to, the following populations/programs:

Contracting History:
As a result of a competitive solicitation process (details below), OLE Health dba CommuniCare OLE (“CommuniCare OLE”) was selected to provide outpatient, intensive outpatient, recovery, care coordination, clinician consultation, early intervention, contingency management/recovery incentives, and in-person access, screening, and referral services. On or about December 14, 2023, the County and CommuniCare OLE entered into Agreement 23-315 (“the Agreement”) for these services.  On or about July 31, 2024, the County exercised its option to extend the Agreement per its terms for fiscal year 2024-25.

Now, HHSA requests approval of this amendment to the Agreement to add funding to fiscal year 2023-24 to cover the remaining fiscal year 2023-24 invoices. Due to an increased utilization in services, the costs for services in fiscal year 2023-24 were greater than projected. The funding for this increase was found in cost savings from other SUD treatment service agreements.

Performance Measures included in this Agreement are as follows:
The Performance Measures associated with the Agreement were included in the underlying Agreement and are not being revised at this time (see Att.B. Performance Measures). CommuniCare OLE has performed satisfactory under the Agreement. The provision of outpatient services has resulted in a 25% reduction in incarceration rates, a 98% reduction in the number of incarceration days, and a 34% reduction in substance use.  

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

On March 3, 2023 the County via the Department of General Services, Procurement Division (Procurement) issued a Request for Proposal 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.  Procurement reviewed the proposals for minimum requirements and all three (3) proposals were moved forward to the Review Committee for scoring. The Review Committee was comprised 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 CommuniCare OLE 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: