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Consent-Health & Human Services # 21.

Child, Youth & Family

Meeting Date:	09/28/2021
Brief Title: Third Amendment with CommuniCare Health Centers, Inc. for EPSDT Primary Mental Health services
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Karleen Jakowski, Child, Youth & Family Branch Director, Health and Human Services Agency, x2978

Subject

Approve third amendment to Agreement No. 18-233 with CommuniCare Health Centers, Inc. to reflect the current term and increase funding in the amount of $70,000 for 2020-21, for a new contract maximum of $5,690,159 for the period of September 1, 2018, through June 30, 2022, to provide primary mental health services. (No general fund impact) (Larsen)

Recommended Action

Approve third amendment to Agreement No. 18-233 with CommuniCare Health Centers, Inc. to reflect the current term and increase funding in the amount of $70,000 for fiscal year 2020-21, for a new contract maximum of $5,690,159 for the period of September 1, 2018, through June 30, 2022, to provide primary mental health services (EPSDT).

Strategic Plan Goal(s)

	Thriving Residents
	Safe Communities

Reason for Recommended Action/Background

The Yolo County Health and Human Services Agency (HHSA) is required to ensure the provision of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) community-based services to Medi-Cal eligible children and adolescents in our community. These services are mandated by federal statute and court agreements signed by the state and also align with the county’s commitment to keeping children safe, healthy, at home, in school, and in their communities. Most costly public services are often when children are removed from their homes and placed in residential care and/or hospitalized.

Approval of this Third Amendment is necessary to cover the remaining claims for fiscal year 2020-21 so that the County can continue to provide EPSDT services to Medi-Cal eligible children and adolescents in our community.

Performance Measures included in this Agreement are as follows:
Performance Measures were included with the original agreement and are not being revised in this amendment.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

On April 2, 2018, Yolo County Health and Human Services Agency (HHSA) issued a Request for Proposals (RFP) from qualified community-based organizations to provide Outpatient Mental Health Treatment Services. The RFP was open for 46 days (just over 6 weeks), and staff offered potential bidders an opportunity to ask questions during a Mandatory Bidders’ Conference on April 12, 2018. Bidders were offered the opportunity to submit proposals via the electronic BidSync system or by dropping off a paper proposal directly at HHSA.

HHSA received six proposal(s) from this solicitation. A Proposal Review Committee was formed that included 3 HHSA employees from 2 different HHSA branches. The proposal submitted by CommuniCare Health Centers, Inc. was selected as one of the top choices by all members of the Review Committee and was evaluated and determined to meet all the required qualifications necessary to successfully provide these services.

Separate agreements for the other bids were submitted to the Board of Supervisors for approval. Heritage Oaks and North America Mental Health Services (NAMHS) were the only bids received that were not awarded a contract.

Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.

Request for Proposals (RFP) Service Requested
Outpatient Mental Health Treatment Services

Evaluation Criteria Included in RFP

Qualifications (30 points)
Experience (30 points)
Description of Vendor Operations (25 points)
Vendor’s Approach to Project (60 points)
Demonstrated Competence/Past Performance (20 points)
Responsiveness/Responsibility (15 points)
Quality and Completeness of Submitted Proposal (30 points)
Financial Stability (15 points)

Bids Received

Bidder	Bid
CommuniCare Health Centers	$1,737,661
Heritage Oaks	$231,199
North America Mental Health Services (NAMHS)	$2,662,400
Stanford Youth Solutions	$3,846,333
Turning Point Community Programs	$1,908,102
Victor Community Support Services	$1,775,269

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 70,000
Amount budgeted for expenditure:		$ 0
Additional expenditure authority needed:		$ 0
On-going commitment (annual cost):	$ 1,456,652

Source of Funds for this Expenditure

$70,000

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

The action increases the contract maximum by $70,000 for fiscal year 2020-21 for a new contract maximum of $5,690,159 for the period of September 1, 2018, through June 30, 2022. No general funds are required by this action. These services will be funded by Medi-Cal. The budget adjustment of $70,000 will be included as part of the year-end cleanup item taken to the Board of Supervisors by the Department of Financial Services in November.

The following is the breakdown of funding for this agreement.

Fiscal Year 2018-19 September 1, 2018 through June 30, 2019	Fiscal Year 2019-20 July 1, 2019 through June 30, 2020	Fiscal Year 2020-21 July 1, 2020 through June 30, 2021	Fiscal Year 2021-22 July 1, 2021 Through June 30, 2022	Total
$1,250,203	$1,456,652	$1,526,652	$1,456,652	$5,690,159

The agreement also includes one one-year extension option for Fiscal year 2022-23 in an amount less than or equal to $1,456,652.

Option Year/ Fiscal Year (OY/FY)	Revised Agreement Expiration Date Per OY/FY	Maximum Increased Funding Amount Per OY/FY	Revised Agreement Lifetime Maximum Per OY/FY
OY/FY 2022-23	On or before June 30, 2023	Less than or equal to $1,456,652	Less than or equal to $7,146,811

In no event shall the term of the Agreement extend beyond June 30, 2023, nor shall the total contract maximum exceed the amount of SEVEN MILLION ONE HUNDRED FORTY-SIX THOUSAND EIGHT HUNDRED ELEVEN DOLLARS ($7,146,811), 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. Third Amendment

Form Review

Inbox	Reviewed By	Date
Karen Larsen	Karen Larsen	09/13/2021 09:46 AM
Financial Services	Shelby Milliren	09/20/2021 09:42 AM
County Counsel	Hope Welton	09/20/2021 10:01 AM
Eric Will	Eric Will	09/20/2021 10:13 AM
Form Started By: Emily Covey		Started On: 08/04/2021 04:46 PM
Final Approval Date: 09/20/2021