Approve third amendment to Agreement No. 23-321 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $85,000 for 2025-26 for a new contract maximum of $4,115,000 for the period of January 1, 2024 through June 30, 2026; and add a location for services; and update rates effective 2025-26 for the provision of substance use disorder (SUD) Adult Continuum of Care services. (No general fund impact) (Morales)

Approve third amendment to Agreement No. 23-321 with Yolo Wayfarer Center dba Fourth and Hope to add funding in the amount of $85,000 for 2025-26 for a new contract maximum of $4,115,000 for the period of January 1, 2024 through June 30, 2026; update services locations; add a new scope of service for withdrawal management; extend services and update rates effective 2025-26 for the provision of substance use disorder (SUD) 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 provides SUD treatment services to Medi-Cal eligible individuals with substance use disorders residing in a county that has elected to participate in DMC-ODS. The program provides members with access to care and system interaction needed to achieve sustainable recovery. 

SUD Continuum of Care services include the following:

These services are provided to any eligible Yolo County resident referred through an access point established by Yolo County or directly requesting services through the provider and include, but are not limited to, the following populations/programs:

On or about December 14, 2023, the County entered into an Agreement with Yolo Wayfarer Center with a term of January 1, 2024, through June 30, 2024, which included five (5) optional extensions through FY2028-29.  The Agreement has been amended, and optional extensions executed to allow services to be continued through June 30, 2026.

HHSA is requesting approval of the third amendment to add funding in the amount of $85,000 for 2025-26 which will allow HHSA to extend services to include women’s recovery residence services at a new service location: 913 Court Street in Woodland, CA.

The amendment also includes updates to the rates effective July 1, 2025. When DHCS increases their rates, HHSA elects to pass through these rate increases to our contracted network providers. Per Minute Order 25-35, dated May 20, 2025, the Board approved the HHSA Director to sign amendment(s) for rate increases as long as the increase did not exceed four percent (4%). This rate increase per this Amendment is under the 4% threshold; increasing 2024-2025 rates by 3.09%. Please see (Att. A. Third Amendment) to review the rate tables.

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

On March 3, 2023, the County via the Department of General Services, Procurement Division (DGS-Procurement) issued a Request for Proposal (RFP) 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.  DGS reviewed the proposals for minimum requirements and all three (3) proposals were moved forward to the Review Committee, 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 Yolo Wayfarer Center dba Fourth and Hope 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

Bids Received

*Not awarded under this RFP

Performance Measures included in this Agreement are as follows:
HHSA confirms that the Yolo Wayfarer Center is performing satisfactorily under this Agreement. Performance Measures were originally included in the Original Agreement and are not being revised at this time (see Attachment B-Performance Measures).

In FY 2023–24, 234 clients were served, with a completion rate of 40%. In FY 2024–25, a total of 265 clients received services. During this period, 95% of clients successfully completed their treatment plans.