Consent-Health & Human Services # 21.
Board of Supervisors
- Meeting Date:
- 04/29/2025
- Brief Title
- Third Amendment to Agreement #23-317 with C.O.R.E. Medical Clinic
From:
Joan Planell, Interim Assistant Director, Health and Human Services Ageny
Staff Contact:
Samantha Fusselman, Adult and Aging Branch Director, Health and Human Services Agency, x2492
Supervisorial District Impact:
Countywide
Subject
Approve third amendment to Agreement No. 23-317 with C.O.R.E. Medical Clinic to extend term of the Agreement through June 30, 2026 and add funding in the amount of $2,400,000, by increasing 2024-25 by $600,000 and adding $1,800,000 for 2025-26 for a new contract maximum of $4,347,030.16, for the period of July 1, 2024 through June 30, 2026 and to update scope of work to include narcotic treatment services for youth under the age of 18, for the provision of Substance Use Disorder Continuum of Care services. (No general fund impact) (Planell)
Recommended Action
Approve third amendment to Agreement No. 23-317 with C.O.R.E. Medical Clinic to extend term of the Agreement through June 30, 2026 and add funding in the amount of $2,400,000, by increasing 2024-25 by $600,000 and adding $1,800,000 for 2025-26 for a new contract maximum of $4,347,030.16, for the period of July 1, 2024 through June 30, 2026 and to update scope of work to include narcotic treatment services for youth under the age of 18, for the provision of Substance Use Disorder Continuum of Care services.
Strategic Plan Goal(s)
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Thriving Residents |
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County Mandated Service |
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 members 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, Opioid Settlement Funds, and Intergovernmental Transfer (IGT) Funds.
The DMC-ODS/SUD Continuum of Cares services includes the following:
· Residential treatment services
· Outpatient and intensive outpatient treatment services
· Residential withdrawal management (detoxification) services
· Care Coordination services
· Recovery services
· Clinician Consultation
· Recovery Residence
· Narcotic treatment program services/opioid treatment program
· Outpatient and intensive outpatient treatment services
· Residential withdrawal management (detoxification) services
· Care Coordination services
· Recovery services
· Clinician Consultation
· Recovery Residence
· Narcotic treatment program services/opioid treatment program
These services have been provided to eligible Yolo County resident referred through an access point established by Yolo County or referred by provider and have included, but not be limited to, the following populations/programs:
· CalWORKS Participants
· Individuals with an open Child Welfare Services (CWS) Case Plan
· Individuals who are Pregnant or Postpartum (Perinatal Services)
· Individuals who are involved with the Criminal Justice and those partially funded by system (AB109)
· Medically Indigent Adults
· Individuals with Co-Occurring substance use and mental health disorders and SUD disorders.
· Individuals with an open Child Welfare Services (CWS) Case Plan
· Individuals who are Pregnant or Postpartum (Perinatal Services)
· Individuals who are involved with the Criminal Justice and those partially funded by system (AB109)
· Medically Indigent Adults
· Individuals with Co-Occurring substance use and mental health disorders and SUD disorders.
After a competitive solicitation process (details below), the County entered into Agreement No. 23-317 with C.O.R.E. Medical Clinic, Inc (C.O.R.E.) to provide Opioid/Narcotic Treatment Program (OTP/NTP) services in Narcotic Treatment Program licensed facilities, Care Coordination, and Clinician Consultation Services. The services that C.O.R.E. provides are crucial to helping Yolo County meet the needs of our residents who struggle with substance use and need OTP/NTP services as part of their continuum of care.
Approval of this third amendment will allow for additional funding for 2024-25, extend services through June 30, 2026, add funding for 2025-26 and update the scope of work to include referred client through the Probation Department and allow for services to youth under the age of 18. Based on current utilization, it is anticipated that contract funds for the current fiscal will be fully expended by March 2025. The additional funding will carry the contract through the remainder of the fiscal year.
Approval of this third amendment will allow for additional funding for 2024-25, extend services through June 30, 2026, add funding for 2025-26 and update the scope of work to include referred client through the Probation Department and allow for services to youth under the age of 18. Based on current utilization, it is anticipated that contract funds for the current fiscal will be fully expended by March 2025. The additional funding will carry the contract through the remainder of the fiscal year.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this amendment as to form.
General Services Department, Procurement Division
General Services Department, Procurement Division
Competitive Bid Process/Vendor Performance
On March 3, 2023, the County via the Department of General Services, Procurement Division (DGS-Procurement) issued a Request for Proposal (RFP) 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. DGS reviewed the proposal for minimum requirements and all three (3) proposals were moved forward to the Review Committee, 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 C.O.R.E. Medical Clinic, Inc., 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
- Company overview (20 points)
- Experience and past performance (100 points)
- Responsiveness/Responsibility (20 points)
- Approach to Project (100 points)
- Pricing Requirements (40 points)
- Quality Assurance and Oversight (20 points)
- Outputs and Outcome Measures (50 points)
- Overall presentation of Recovery Services, Recovery Residences/Transitional living, In-person Access, Screenings and Referral (350 points)
- Overall presentation of Outpatient, Intensive Outpatient, Withdrawal Management, and OTP/NTP services (370 points)
- Overall presentation of Residential 3.1, and 3.5 Services (376 points)
- Quality and Completeness of Submitted Proposal (pass/fail)
- Financial Information (pass/fail)
Bids Received
| Bidder | Scope | Bid |
| CommuniCare OLE Health Centers (Adult SUD) | Outpatient, intensive outpatient, recovery, care coordination, clinician consultation, Early intervention, contingency management/recovery incentives, and In-person access, screening, and referral services | $4,108,716 |
| CommuniCare OLE Health Centers (In-Custody SUD) | In-custody SUD services | |
| Yolo Wayfarer Center dba Fourth and Hope | low intensity, high intensity, recovery services, recovery residence, care coordination, and clinician consultation services | $4,027,547 |
| C.O.R.E. Medical Clinic, Inc. | Opioid/Narcotic Treatment Program (OTP/NTP), Care Coordination, and Clinician Consultation Services. | $2,900,622 |
| Granite Wellness Centers* | 3.1 residential, 3.5 residential and perinatal services. | $2,147,659 |
*not awarded under this RFP
Performance Measures
HHSA confirms C.O.R.E. Medical Clinic is performing satisfactorily under this Agreement. Performance Measures were originally included in this Agreement. Performance Measures are not being revised at this time (See Att. B. Performance Measures). One hundred percent (100%) of clients referred received a service within 14 days of diagnosis and two (2) or more services at 30 days and 73% of referrals reported a decrease in substance use at completion of treatment.
Performance Measures
HHSA confirms C.O.R.E. Medical Clinic is performing satisfactorily under this Agreement. Performance Measures were originally included in this Agreement. Performance Measures are not being revised at this time (See Att. B. Performance Measures). One hundred percent (100%) of clients referred received a service within 14 days of diagnosis and two (2) or more services at 30 days and 73% of referrals reported a decrease in substance use at completion of treatment.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 600,000
- Amount budgeted for expenditure:
- $ 600,000
- Additional expenditure authority needed:
- $
- On-going commitment (annual cost):
- $ 1,080,000
Source of Funds for this Expenditure
- SUD Realignment
- $577,000
- Opioid Settlement
- $23,000
Further explanation as needed:
No general funds are required by this action. These services will be funded by SUD Realignment and Opioid Settlement. The action increases the contract maximum by $2,400,000 by adding $600,000 for 2024-25 and $1,800,000 for 2025-26 for a total of $4,347,030.16 for the period of July 1, 2024 through June 30, 2026. The amount of $600,000 is included in the HHSA adopted budget fiscal year 2024-25. The amount of $1,800,000 will be included in the 2025-26 budget process. The related funding will be included in the requested budget process for future fiscal years.
The following is the breakdown of funding for this agreement.
The following is the breakdown of funding for this agreement.
| Fiscal Year 2023-24 January 1, 2024 through June 30, 2024 |
Fiscal Year 2024-25 July 1, 2024 through June 30, 2025 |
Fiscal Year 2025-26 July 1, 2025 through June 30, 2026 |
Total |
| $747,030.16 | $1,800,000.00 | $1,800,000 | $4,347,030.16 |
This agreement already includes two (2) one-year optional extensions and one (1) 6-month optional extension for Fiscal Years 2026-27 and 2027-28, plus July 1, 2028 through December 31, 2028 in an amount less than or equal to $1,080,000 per fiscal year. The amounts for these future years are not being increased by this third amendment.
| 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 2026-27 | On or before June 30, 2027 | Less than or equal to $1,080,000 |
Less than or equal to $5,427,030.16 |
| OY/FY 2027-28 | On or before June 30, 2028 | Less than or equal to $1,080,000 |
Less than or equal to $6,507,030.16 |
| OY/FY 2028-29 6 months |
On or before December 31, 2028 | Less than or equal to $540,000 |
Less than or equal to $7,047,030.16 |
In no event shall the term of the Agreement extend beyond December 31, 2028, nor shall the total contract maximum exceed the amount of SEVEN MILLION FORTY-SEVEN THOUSAND THIRTY DOLLARS AND SIXTEEN CENTS ($7,047,060.16), 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 | 04/21/2025 10:14 AM |
| Financial Services | mrobertson | 04/21/2025 12:53 PM |
| County Counsel | Hope Welton | 04/21/2025 12:57 PM |
| Yen Nguyen | Yen Nguyen | 04/21/2025 03:21 PM |
- Form Started By:
- Kimberly Mayfield
- Started On:
- 03/20/2025 09:05 AM
- Final Approval Date:
- 04/21/2025