Approve second amendment to Agreement No. 23-315 with Ole Health dba CommuniCare OLE to add funding in the amount of $605,000 for 2024-25; extend term of the Agreement through Jun 30, 2026 and add funding in the amount of $2,092,731 for 2025-26 for a new contract maximum of $5,102,806.84 for the period of January 1, 2024 through June 30, 2026; and update budgets for the provision of Substance Use Disorder Adult Continuum of Care services. (No general fund impact) (Morales)

Approve second amendment to Agreement No. 23-315 with Ole Health dba CommuniCare OLE to add funding in the amount of $605,000 for 2024-25; extend term of the Agreement through Jun 30, 2026 and add funding in the amount of $2,092,731 for 2025-26 for a new contract maximum of $5,102,806.84 for the period of January 1, 2024 through June 30, 2026; and update budgets for the provision of Substance Use Disorder Adult Continuum of Care services. 

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 August 7,2024, the County exercised its option to extend the Agreement per its terms for 2024-25. On or about October 22, 2024, the Agreement was amended to add funding to 2023-24 to cover the remaining 2023-24 invoices. Due to an increased utilization in services, the costs for services in 2023-24 were greater than projected. The funding for the increase was found in cost savings from other SUD treatment service agreements.

Now HHSA staff requests approval of this second amendment to add additional funding for 2024-25; and to extend the term and add funding for 2025-26. The additional funding is needed to meet the need of increased cost of services and a significant increase in number of referrals to outpatient treatment. There has been an increase in people accessing services in response to quality assessment and review of forensic related populations.

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

• 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
	In-custody SUD services,
CommuniCare OLE Health Centers (In-Custody SUD)
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 included in this Agreement are as follows:
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).

HHSA confirms CommuniCare OLE is performing satisfactory under the Agreement. The provision of outpatient services has resulted in a 25% reduction in incarceration rates, a 98% reduction rate in number of incarceration days, and a 34% reduction in substance use.