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  Consent-Health & Human Services   # 26.       
Adult & Aging  
Meeting Date: 01/11/2022  
Brief Title:    Second Amendment with CommuniCare Health Centers for MAT Peer Navigator Services
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297

Subject
Approve second amendment with CommuniCare Health Centers, Inc. to add funding in the amount of $69,359.50, for a new contract maximum of $179,943.50, for the period of August 1, 2020 through June 30, 2022; and to add two option years; and to update and clarify language in the agreement, for the provision of Medication Assisted Treatment Peer Navigator services. (No general fund impact) (Larsen)
Recommended Action
  1. Approve second amendment with CommuniCare Health Centers, Inc. to add funding in the amount of $69,359.50, for a new contract maximum of $179,943.50, for the period of August 1, 2020 through June 30, 2022; and to add two option years; and to update and clarify language in the aAgreement, for the provision of Medication Assisted Treatment Peer Navigator services; and
     
  2. Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to: 1) exercise optional year extensions up to $118,902 per fiscal year for fiscal years 2022-23 and 2023-24 and 2) issue related option year notices. (Please see Section III. of Att. A. Second Amendment.)
Strategic Plan Goal(s)
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
Health and Human Services Agency (HHSA), received funding from Health Management Associates under the State Targeted Response to the Opioid Crisis Grant (“STR Opioid Grant”) for the STR Opioid Grant for the Medication Assisted Treatment Expansion Project 2.0 (“STR Opioid Grant MAT Expansion Project”).  The main focus of the STR Opioid Grant MAT Expansion Project is to expand the availability of MAT treatment for in-custody clients that are in need of referrals, counseling, education tools, and discharge planning. It is crucial that individuals receive education regarding proper medication, assistance while in-custody, and linkage to behavioral health treatment when discharged.
 
The County allocated $45,121.00 of the grant funds received to CommuniCare Health Centers (CCHC) for the period of August 1, 2020 through March 31, 2021 to fund a 1.0 FTE MAT Peer Navigator position (“Peer Navigator”). The Peer Navigator shall have personal experience and identify as a mental health services consumer or the family member of a mental health services consumer or have previous involvement in substance use and/or involvement in the criminal justice system.  The Peer Navigator will collaborate with the CCHC MAT and Transitions of Care Team to receive referrals and provide coordination via referrals from WellPath (or the current contracted behavioral health service and physical health care providers for Yolo county inmates) and other staff to provide assistance in successfully navigating clients leaving incarceration to ongoing substance use treatment, prioritizing individuals who need ongoing MAT treatment as part of their exit plan. Among other tasks, the Peer Navigator will use their personal and professional life experience to provide peer support/case management to MAT clients and assist them with navigating physical heath, behavioral health, and social service systems to obtain the services that are necessary for stability and wellness.
 
The County allocated $31,150.00 of the grant funds received to WellPath for the period of August 1, 2020 through March 31, 2021 to support and expand MAT services provided by WellPath as the current contracted behavioral health service and physical health care providers for Yolo County inmates in the County jail to individuals in need.  This will allow for all patients to be screened during their routine 7-day Health Appraisal. All appropriate patients will be referred to the MAT Coordinator for additional follow up and assessment for OUD/SUD. WellPath will also provide education and appropriate counseling services to patients in the facility regarding MAT treatment including motivational interviewing, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), etc.) MAT eligible patients.
 
Approval of this Amendment will allow CommuniCare to employ a Clinician to collaborate with the MAT and Transitions of Care Team to receive referrals and provide coordination via referrals from WellPath and other staff to provide assistance in successfully navigating clients leaving incarceration to ongoing substance abuse treatment.
 
Performance measures are being revised and are attached hereto as Att. B. Performance Measures.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved as to form.
Competitive Bid Process
This agreement was sought through a Sole Source and approved by the Procurement Manager

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   69,360
Amount budgeted for expenditure:    $   69,360
Additional expenditure authority needed:    $  
On-going commitment (annual cost):    $   118,902
Source of Funds for this Expenditure
$69,360
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action.  These services will be funded by AB109.  The action increases the contract maximum by $69,359.50 for a total of $179,943.50 for the period of August 1, 2020 through June 30, 2022. The amount of $118,902.00 is included in the HHSA adopted budget for FY 2021-22. The related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for these agreements.
  HMA AB109 Total
August 1, 2020
through
March 31, 2021
$42,792 $0 $42,792.00
April 1, 2021
through
November 30, 2021
$42,792 $0 $42,792.00
December 1, 2021
through
March 31, 2022
$25,000 $0 $25,000.00
December 1, 2021
through
June 30, 2022
$0 $69,359.50 $69,359.50
Total $110,584 $69,359.50 $179,943.50
 
The agreement also includes two one-year extension options for Fiscal Year 2022-23 and 2023-24 in an amount less than or equal to $118,902.00 per fiscal year.
Option Year/
Fiscal Year
(OY/FY)
Revised MOU Expiration Date
Per OY/FY
Maximum Increased
Funding Amount
Per OY/FY
Revised MOU 
Lifetime Maximum
Per OY/FY
 
OY/FY 2022-23 On or before
June 30, 2023
Less than or equal to $118,902.00 Less than or equal to
$298,845.50
OY/FY 2023-24 On or before
June 30, 2024
Less than or equal to $118,902.00 Less than or equal to
$417,747.50









In no event shall the term of the MOU extend beyond June 30, 2024 nor shall the total MOU maximum exceed the amount of FOUR HUNDRED SEVENTEEN THOUSAND SEVEN HUNDRED FORTY-SEVEN DOLLARS AND FIFTY CENTS ($417,747.50), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.


 
Attachments
Att. A. Second Amendment
Att. B. Performance Measures

<
Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 12/01/2021 03:05 PM
Financial Services Shelby Milliren 12/02/2021 07:53 AM
County Counsel Hope Welton 12/08/2021 09:21 AM
Madison York Madison York 12/13/2021 08:12 AM
Elisa Sabatini Elisa Sabatini 12/13/2021 10:42 AM
Form Started By: Kimberly Mayfield Started On: 11/08/2021 11:35 AM
Final Approval Date: 12/13/2021

    

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