Consent-Health & Human Services # 25.
Board of Supervisors
- Meeting Date:
- 06/07/2022
- Brief Title
- Fourth Amendment to Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope
From:
Nolan Sullivan, Interim Director, Health and Human Services Agency
Staff Contact:
Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:
Subject
Approve fourth amendment Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $90,481.88 for 2021-22; and add funding of $108,578.28 for 2022-23 for a new contract maximum of $4,519,838.16 for the term of July 1, 2018 through June 30, 2023 for the provisions of substance use disorder. (No general fund impact) (Sullivan)
Recommended Action
Approve Fourth Amendment Agreement No. 18-132 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $90,481.88 Fiscal Year (FY) 2021-22; and add funding of $108,578.28 for FY 2022-23 for a new contract maximum of $4,519,838.16 for the term of July 1, 2018 through June 30, 2023 for the provisions of substance use disorder.
Strategic Plan Goal(s)
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Thriving Residents |
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Safe Communities |
Reason for Recommended Action/Background
On May 8, 2018, the Board of Supervisors approved an agreement with Department of Health Care Services (DHCS) to receive funding in the amount of $13,943,284 for the Drug Medi-Cal Organized Delivery System. A formal competitive selection process was completed (see Competitive Selection details below) and Yolo Wayfarer Center was selected to provide substance use disorder treatment and prevention services.
On June 29, 2021 the Agreement added an additional scope of work for Adverse Childhood Experience Screenings (ACEs) which will allow for screenings and assessments to obtain scores and cognitive assessment results from behavioral health clients who are simultaneously involved in the criminal justice system within Yolo County for the Data Driven Recovery Project (DDRP). The results from the screenings and assessments will be converted into anonymized data and incorporated into a DDRP study funded by the Mental Health Services Oversight and Accountability Commission.
Approval of this fourth amendment allows for additional funding in the amount of $90,481.88 for Fiscal Year 2021-22 and $108,578.28 for FY 2022-23 in Substance Abuse Block Grant (SABG) Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA) funding to expand the amount of Recovery Housing support provided by Yolo Wayfarer Center. This funding was a recognition by the Federal government in the ARP Act for the need for expanded substance use services in various areas. The CRRSAA funding has an expenditure date of December 31, 2022.
Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 18-132 and are not being changed by this Amendment.
On June 29, 2021 the Agreement added an additional scope of work for Adverse Childhood Experience Screenings (ACEs) which will allow for screenings and assessments to obtain scores and cognitive assessment results from behavioral health clients who are simultaneously involved in the criminal justice system within Yolo County for the Data Driven Recovery Project (DDRP). The results from the screenings and assessments will be converted into anonymized data and incorporated into a DDRP study funded by the Mental Health Services Oversight and Accountability Commission.
Approval of this fourth amendment allows for additional funding in the amount of $90,481.88 for Fiscal Year 2021-22 and $108,578.28 for FY 2022-23 in Substance Abuse Block Grant (SABG) Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA) funding to expand the amount of Recovery Housing support provided by Yolo Wayfarer Center. This funding was a recognition by the Federal government in the ARP Act for the need for expanded substance use services in various areas. The CRRSAA funding has an expenditure date of December 31, 2022.
Performance Measures included in this Agreement are as follows:
Performance measures were included in Agreement No. 18-132 and are not being changed by this Amendment.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process/Vendor Performance
On February 26, 2018, HHSA issued a Request for Proposal (RFP) seeking contractors to provide Substance Use Disorder (SUD) Adult Continuum of Care services to eligible Yolo County residents.
HHSA received eight proposals from this solicitation. All proposals were evaluated, and the following proposals were determined to meet all the required qualifications necessary to successfully provide these services:
HHSA received eight proposals from this solicitation. All proposals were evaluated, and the following proposals were determined to meet all the required qualifications necessary to successfully provide these services:
- CommuniCare
- Turning Point,
- Progress House
- Community Recovery Resources
- Yolo Wayfarer Center
- Bay Mark (Bi-Valley Medical Clinic, MedMark Treatment Center – Fairfield, MedMark Treatment Center – Sacramento)
- CORE
Because these proposals were considered to be of high quality, they were offered a contract to provide these identified services. Separate agreements for the other bids chosen were also submitted to the Board of Supervisors for approval.
Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.
Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.
Request for Proposals (RFP) Service Requested:
Substance Use Disorder Adult Continuum of Care
Evaluation Criteria Included in RFP
- General company information (20 points)
- Experience and past performance (100 points)
- For contractors bidding on residential treatment services (6 points)
- Preferred qualifications (20 points)
- Responsiveness/responsibility (20 points)
- Pricing requirements (40 points)
- Proposer’s approach to project (100 points)
- Quality assurance and oversight (20 points)
- Outputs and outcomes measures (50 points)
- Financial information (pass/fail)
- Quality and completeness of submitted proposal (pass/fail)
Bids Received
| Bidder | Bid |
| CommuniCare Health Center Turning Point Community Programs Progress House Community Recovery Resources Yolo Wayfarer Center dba Fourth and Hope Heritage Oaks BayMark Health Centers (MedMark, Fairfield; MedMark, Sacramento; Bi-Valley Medical Clinic) CORE Medical Clinic, Inc. |
$1,583,952 $278,388 $500,000 * $1,001,950 $785,929 $1,181,581** $2,000,000** |
* Community Recovery Resources declined to submit a bid amount. The entire program cost $3,823,974 was included in their proposal and expected to be funded by different sources.
** BayMark and CORE requested funding for two years. All other bids shown denote an annual budget.
The Department confirms Yolo Wayfarer Center has performed satisfactorily on the current agreement.
** BayMark and CORE requested funding for two years. All other bids shown denote an annual budget.
The Department confirms Yolo Wayfarer Center has performed satisfactorily on the current agreement.
Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $ 90,482
- Amount budgeted for expenditure:
- $ 90,482
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 1,056,588
Source of Funds for this Expenditure
- DMC-ODS
- $90,482
Further explanation as needed:
No general funds are required by this action. These services will be funded by DMC-ODS. The action increases the contract maximum by $90,481.88 for a total of $4,519,838.16 for the period of July 1, 2018 through June 30, 2023. The amount of $90,481.88 is included in the HHSA adopted budget for FY 2021-22. The related funding will be included in the requested budget process for FY 2022-23.
The following is the breakdown of funding for this agreement.
The following is the breakdown of funding for this agreement.
| Scope of Services | FY 2018-19 July 1, 2018 through June 30, 2019 |
FY 2019-20 July 1, 2019 through June 30, 2020 |
FY 2020-21 July 1, 2020 through June 30, 2021 |
FY 2021-22 July 1, 2021 through June 30, 2022 |
FY 2022-23 July 1, 2022 through June 30, 2023 |
Total |
| Scope A.1 Clinically Managed Low Intensity Residential Treatment (ASAM Level 3.1) |
$522,500
|
$607,500 |
$641,500 |
$701,500 |
$701,500 |
$3,174,500 |
| Scope A.2 Clinically Managed High-Intensity Residential Treatment (ASAM Level 3.5) |
$55,000 |
$15,000 |
$105,000 |
$45,000 |
$45,000 |
$265,000 |
| Scope A.3 Care Coordination Services |
$14,814 | $4,814 | $25,000 | $25,000 | $25,000 | $94,628 |
| Scope A.4 Physician Consultation | $6,510 | $6,510 | $6,510 | $6,510 | $6,510 | $32,550 |
| Scope A.5 Recovery Residences/ Transitional Living | $120,000 | $120,000 | $170,000 | $170,000 | $170,000 | $750,000 |
| Scope A.6 Adverse childhood Experiences screenings (ACEs) | N/A | N/A | $4,100** | $0 | $0 | $4,100** |
| SABG Coronavirus Response and Relief Supplemental Appropriation Act (CRRSAA) |
N/A | N/A | N/A | $90,481.88 | $108,878.28 | $199,060.16 |
| Total | $718,824 | $753,824 | $952,110 | $1,038,491.88 | $1,056,588.28 | $4,519,838.16 |
Attachments
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Financial Services | Tom Haynes | 05/27/2022 02:05 PM |
| County Counsel | Hope Welton | 05/27/2022 06:16 PM |
- Form Started By:
- Kimberly Mayfield
- Started On:
- 04/27/2022 08:28 AM
- Final Approval Date:
- 05/31/2022

