Approve second amendment to Agreement No. 24-202 with OLE Health dba CommuniCare OLE to reduce funding in the amount of $441,878 for 2025-26 for a new contract maximum of $3,718,478.67 for the period of August 1, 2024 through June 30, 2027; and update rates effective 2025-26 for the provision of Community Based Early and Periodic Screening, Diagnosis and Treatment (EPSDT) outpatient mental health service for Seriously Emotionally Disturbed (SED) children and youth. (No general fund impact) (Morales)

Approve second amendment to Agreement No. 24-202 with OLE Health dba CommuniCare OLE to reduce funding in the amount of $441,878 for 2025-26 for a new contract maximum of $3,718,478.67 for the period of August 1, 2024 through June 30, 2027; and update rates effective 2025-26 for the provision of Community Based Early and Periodic Screening, Diagnosis and Treatment (EPSDT) outpatient mental health service for Seriously Emotionally Disturbed (SED) children and youth.

Primary Services provide behavioral health services tailored to the specific needs of the child and family who are Medi-Cal beneficiaries aged 0-20. These services are provided in the community and sometimes in the office. Primary Services are the most common initial referrals made for a child or youth.These services can include therapy, targeted case management, rehabilitation, plan development and medication support. Services can also include Intensive Case Coordination and Intensive Home-Based Services, if medically necessary. Children and youth receiving Primary Services are typically seen approximately once a week, with less frequent appointments as their needs are addressed and progress is achieved. These services are mandated by federal statute and court agreements signed by the state and align with the County’s commitment to keep children safe and healthy, at home, in school and in their communities. The most costly public services are when children are removed from their home and placed in residential care facilities and/or hospitalized.

On or about July 9, 2024, the Parties entered into an Agreement with an initial term of August 1, 2024 through June 30, 2027 for a total contract amount of $4,160,356.67. The Agreement also included 2 optional extensions for Fiscal Years 2027-28 and 2028-29. On or about January 26, 2025, the Parties amended the Agreement via the first amendment to update County email addresses.

HHSA is now requesting approval of this second amendment to reduce funding in the amount of $441,878 for 2025-26 to reflect the adopted budgeted amount.  The funding reductions will result in an overall net reduction in the availability of service providers for children and youth in Yolo County, which will be closely monitored as this is an entitlement benefit for Medi-Cal beneficiaries who meet criteria for specialty mental health services.  There are no current concerns that children or families that are presently accessing services will be impacted.  The amendment also includes updates to the service rates effective July 1, 2025. When DHCS increases their rates, HHSA elects to pass-through these rates to our contracted network providers. Per Minute Order 25-35, dated May 20, 2025, the Board approved to allow the HHSA Director to sign amendment(s) for rate increases as long as the increase did not exceed four percent (4%). This rate increase is a three percent (3.00%) increase from their 2024-25 rates (please see Att. A. Second Amendment to review the rate tables).

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

Evaluation Criteria Included in RFP

HHSA confirms CommuniCare OLE is performing satisfactorily under this Agreement. Performance Measures were originally included in this Agreement and are not being revised at this time (See Att. D. Performance Measures). CommuniCare OLE has been and continues to be a satisfactory provider of community-based Primary Services for children and youth in Yolo County. Over eighty percent (80%) of clients referred for primary services receive an intake assessment within ten (10) days of referral. Approximately eighty percent (80%) of Primary clients discharging from CommuniCare OLE had a reduction in needs as measured by the Child and Adolescent and Strengths (CANS) tool. CommuniCare OLE participates in regular contract monitoring meetings with HHSA, peer chart reviews, case collaboration meetings and various other quality improvement meetings which support agency collaboration and are best practice for service provision.