Approve first amendment to Agreement No. 23-158 with Turning Point Community Programs to add funding in the amount of $156,300 for 2023-24 for a new contract maximum of $1,169,273, for the period of July 1, 2023 through June 30, 2024 for the provision of Community Based EPSDT Services in compliance with the new California Advancing and Innovating Medi-Cal (CalAIM) initiative. (No general fund impact) (Sullivan)

Approve first amendment to Agreement No. 23-158 with Turning Point Community Programs to add funding in the amount of $156,300 for 2023-24 for a new contract maximum of $1,169,273, for the period of July 1, 2023 through June 30, 2024 for the provision of Community Based EPSDT Services in compliance with the new California Advancing and Innovating Medi-Cal (CalAIM) initiative. 

On April 2, 2018, the County issued a competitive solicitation via request for proposals (RFP) from qualified community-based organizations to provide Children’s Outpatient Mental Health Treatment Services, including Community Based EPSDT services (formerly known as “Primary Services”) and Intensive Services.  Community Based EPSDT services are designed to serve the largest group of eligible children and youth, targeting Medi-Cal beneficiaries. These services are provided in the community and sometimes in the office.  Referrals to Community Based EPSDT services are the most common initial referral made for a child or youth.  Intensive Services include Therapeutic Behavioral Services (TBS); Children’s MHSA-FSP Services; and the Wraparound Program. Intensive Services target children and youth under the age of 21 with high levels of need with the provision of intensive home and community-based programs. Intensive Services may include all the services provided under Community Based EPSDT Services.

The resulting agreement was awarded to Turning Point Community Programs and on October 9, 2018, the County and Turning Point Community Programs entered into Agreement No. 18-222, which provided an initial term of September 1, 2018 through June 30, 2019, with four optional extensions for FY’s 2019-20 ($1,169,273), 2020-21 ($1,169,273), 2021-22 ($1,169,273) and 2022-23 ($1,169,273). The County has exercised all the available optional extensions under Agreement No. 18-222.

California Advancing and Innovating Medi-Cal (CalAIM) Initiative
In January 2022, California Department of Health Care Services (DHCS) rolled out the CalAIM initiative that aims to provide broad delivery system program and payment reform across the Medi-Cal system. The goal is transformation of the Medi-Cal delivery system, moving it towards a population health approach that prioritizes prevention and whole person care. Focus shifts from compliance to quality and performance metrics. Specialty Mental Health Services (SMHS) requirements and policies pursuant to the CalAIM initiative were updated, and as a result of these updates, the County is required to revise the terms and conditions in the provider agreements for these services.  In preparation for this system wide change, the County has been working closely with CalMHSA who has been providing the County and other SMHS Medi-Cal counties with technical assistance around the CalAIM initiative.

On or about June 27, 2023, the County and Turning Point Community Programs entered into a one-year renewal agreement for the provision of Community Based EPSDT services in an amount not-to-exceed $1,012,973 for the period of July 1, 2023 through June 30, 2024.

HHSA requests approval of this first amendment which adds additional funding in the amount of $156,300 for FY 2023-24, These funds were budgeted, however, it was inadvertently omitted from Agreement No. 23-158.

Performance Measures
The Performance Measures were included in the underlying Agreement and are not being revised at this time.

This Agreement started on July 1, 2023, so there is no performance measure data to confirm that Turning Point Community Programs has performed satisfactorily under this Agreement. Turning Point Community Programs did however perform satisfactory over the prior contracted period term (2018-2023).

County Counsel-review and approval of the Yolo County SMHS boilerplate
County Counsel-review and approval of the resulting renewal agreements as to form
Department of General Services, Procurement Division
CalMHSA-technical assistance with CalAIM Initiative

On April 2, 2018, the County issued a competitive solicitation via request for proposals (RFP) from qualified community-based organizations to provide Children’s Outpatient Mental Health Treatment Services, including Community Based EPSDT services (formerly known as “Primary Services”) and Intensive Services.  Community Based EPSDT services are designed to serve the largest group of eligible children and youth, targeting Medi-Cal beneficiaries. These services are provided in the community and sometimes in the office.  Referrals to Community Based EPSDT services are the most common initial referral made for a child or youth.  Intensive Services include Therapeutic Behavioral Services (TBS); Children’s MHSA-FSP Services; and the Wraparound Program. Intensive Services target children and youth under the age of 21 with high levels of need with the provision of intensive home and community-based programs. Intensive Services may include all the services provided under Community Based EPSDT Services.

The RFP was open for 46 days (just over 6 weeks).  On April 12, 2018, potential bidders were offered an opportunity to ask questions during a Mandatory Bidders’ Conference on April 19, 2018, additional questions concerning the RFP could be asked via the Bidsync website. HHSA received six proposal(s) from this solicitation.

A six-person Proposal Review Committee was formed that included 3 HHSA employees, from 2 different HHSA branches, as well as 3 other reviewers. The Review Committee evaluated the proposals and determined that the proposal submitted by Turning Point Community Programs met all the required qualifications necessary to successfully provide these services. 

The proposals from Heritage Oaks and NAMHS were not awarded a contract.

A formal solicitation for these services is planned to be released in FY 2023-24 and a resulting agreement will be issued for FY2024-25.