Approve fifth amendment to Agreement No. 23-200 with Psynergy Program, Inc. to add funding in the amount of $394,833 for 2024-25; extend the term of the Agreement through June 30, 2026; and add funding in the amount of $895,000 for a new contract maximum of $2,539,030 for the period of July 1, 2023 through June 30, 2026; and add an optional year extension for 2026-27 for the provision of acute and/or sub-acute psychiatric inpatient services or specialty mental health services. (No general fund impact) (Planell)

Approve fifth amendment to Agreement No. 23-200 with Psynergy Program, Inc. to add funding in the amount of $394,833 for 2024-25; extend the term of the Agreement through June 30, 2026; and add funding in the amount of $895,000 for a new contract maximum of $2,539,030 for the period of July 1, 2023 through June 30, 2026; and add an optional year extension for 2026-27 for the provision of acute and/or sub-acute psychiatric inpatient services or specialty mental health services.

Psynergy Program, Inc. (Psynergy) provides reliable adult residential home care in combination with intensive outpatient mental health services which assist individuals with mental illness to avoid the unnecessary expense and emotional trauma often associated with incarceration and hospitalization. Services provided by Psynergy help improve each individual’s quality of life, help individuals gain the skills and ability necessary to stay out of locked hospital settings and move into less restrictive living arrangements in the community.

On or about July 25, 2023, the County and Psynergy entered into Agreement No. 23-200, with an initial term of July 1, 2023, through June 30, 2024, for the provision of acute and/or sub-acute psychiatric inpatient services or specialty mental health services. On or about February 13, 2024, the Parties amended the agreement via the first amendment (Agreement No. 24-65) to add funding in the amount of $132,967 for 2023-24. The additional funding was needed due to the number of clients that had been served and were projected to be served in 2023-24. On or about March 12, 2024, the Parties further amended the agreement via the second amendment (Agreement No. 24-87) to add funding for 2023-24 and extend the term of the Agreement through June 30, 2025; and added funding for 2024-25. This additional funding was needed due to the number of clients that had been served in 2023-24 and projected to be served in 2023-24 and 2024-25.  On or about June 25, 2024, the Parties further amended the agreement via the third amendment (Agreement No. 24-176) to add funding for 2023-24. The additional funding was needed to cover 2023-24 invoices. On or about December 17, 2024, the Parties further amended the agreement via the fourth amendment to update the scope of work, rates and language throughout the Agreement. The was a no cost change amendment executed under the authority this Board delegated to the Yolo County Procurement Manager.

HHSA now requests approval of this fifth amendment which extends the term of the Agreement through June 30, 2026; and adds funding for fiscal years 2024-25 and 2025-26. This amendment also adds an optional extension for 2026-27. The additional 2024-25 funding is needed due to the number of clients that have been served this fiscal year.

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

On or about May 16, 2022, the then acting Yolo County Procurement Manager or designee approved a single source letter in conformance with the then current Yolo County Procurement Policy. HHSA’s request was reviewed and it was determined that it was in the best interest of the County to enter into an agreement for these services based on satisfactory service/reasonable prices and to avoid the interruption of County business. Factors considered, included but were not limited to:

1) County’s ongoing challenges to find appropriate placements for seriously mental ill adults; 2) Psynergy’s ability to divert higher needs clientele from state hospitals by providing a high level of structured support at their varied campuses; 3) competitive pricing/cost, Psynergy works with the County to determine the daily patch rate based on consumer needs and circumstances.
 
Without single source approval, the County would lose the ability to place consumers in adult residential board and care homes (ARF) provided by Psynergy within proximity. The County would be limited in its ability to identify and place consumers quickly into facilities offering this appropriate level of care, and in some cases would be unable to meet federally mandated standards regarding the provision of care for consumers.

On or about March 27, 2025, a new single source was approved by the County’s Deputy Director of General Services Department/Procurement Manager to extend the term of this Agreement through June 30, 2027. Again, it was determined that it was in the best interest of the County to enter into an agreement for these services based on satisfactory service/reasonable prices and to avoid the interruption of County business.

Performance Measures:
The Performance Measures were included in the underlying Agreement and are not being revised at this time (See Att. B. Performance Measures).

HHSA confirms Psynergy is performing satisfactorily under this Agreement. In the first half of FY 2024-25, the facility provided 10,422 days of residential treatment services to eleven (11) Yolo County beneficiaries. One hundred percent (100%) of the clients served are meeting their individual treatment goals during their stay at an Adult Residential Facility (ARF). Ninety-three percent (93%) of clients have successfully maintained placement, and ninety-three percent (93%) of clients served did not require a higher level of care.