DATE: July 10, 2018
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Retroactive Agreement for Full Service Partnership Services for Children Ages 0-10 Years
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive Agreement with Uplift Family Services, Inc., Exceptional Parents Unlimited, Inc., and Comprehensive Youth Services of Fresno, Inc. for Full Service Partnership Services for children Ages 0-10 years, effective July 1, 2018 through June 30, 2023, which includes a three-year base contract and two optional one-year extensions, total not to exceed $29,026,009.
REPORT
Approval of the recommended action would allow Uplift Family Services, Exceptional Parents Unlimited, Inc., and Comprehensive Youth Services of Fresno, Inc. to provide Full-Service Partnership (FSP) mental health services to children ages 0-10 years with Serious Emotional Disturbance in unserved or underserved communities. The proposed agreement would be funded by Mental Health Services Act-Community Services and Supports (MHSA-CSS) funds and Short/Doyle Medi-Cal Federal and State funds with no Net County Cost, and authorizes County’s DBH Director or designee to approve modifications to the budget that do not exceed ten percent of the maximum compensation payable to the contracted providers.
ALTERNATIVE ACTION(S):
Not approving the recommended action would result in the elimination of services, which would directly impact over 250 children and families.
RETROACTIVE AGREEMENT:
The recommended agreement is retroactive to July 1, 2018 to provide a mechanism for the Department to reimburse the contracted providers for services they may have delivered after June 30, 2018. The Department did not present the recommended agreement to your Board prior to June 30, 2018 due to a protracted review of the service needs. The Department sought to ensure the service needs described in the Request for Proposals and the services proposed under the recommended agreement sufficiently meet the needs of the children and families.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended action. The recommended agreement will be financed with MHSA-CSS and Short/Doyle Medi-Cal Federal and State funds in the amounts indicated in the table below.
Fund Type FY 18-19 FY 19-20 FY 20-21 FY 21-22 FY 22-23 5-Year Total
Medi-Cal $ 3,421,066 $ 3,555,767 $ 3,732,795 $ 3,853,869 $ 3,975,747 $ 18,539,244
MHSA-CSS $ 2,097,353 $ 2,097,353 $ 2,097,353 $ 2,097,353 $ 2,097,353 $ 10,486,765
Total $ 5,518,419 $ 5,653,120 $ 5,830,148 $ 5,951,222 $ 6,073,100 $ 29,026,009
Sufficient appropriations and estimated revenues will be included in the Department’s Org 5630 FY 2018-19 Recommended Budget and will be included in subsequent budget requests for the duration of the recommended agreement. Actual costs will be based on actual services provided.
DISCUSSION:
On September 18, 2007, your Board approved agreement No. 07-406 with Uplift Family Services (UFS); Exceptional Parents Unlimited, Inc. (EPU); and Comprehensive Youth Services of Fresno, Inc. (CYS) to provide FSP program services to children ages 0-5 years, under the name Bright Beginnings for Families (BBFF). Your Board approved Amendment I on June 22, 2010 to update contract language and improve performance measurements. On June 4, 2013, your Board approved Agreement No. 13-315 to UFS, EPU, and CYS to provide FSP services to children ages 0-10 years, and later approved Amendment I on July 11, 2017 to increase funding due to significant growth of referrals to the BBFF program. Agreement No. 13-315-1 expired on June 30, 2018.
On March 19, 2018, Request for Proposals (RFP) No. 18-037 for the Children’s Full Service Partnership Program was released by the County of Fresno Internal Services Department - Purchasing Division. The RFP closed at 2:00PM on April 20, 2018. The RFP sought bid proposals from qualified agencies to provide comprehensive and intensive mental health services and supports within a Full Service Partnership (FSP) treatment model in accordance with Mental Health Services Act (MHSA) guidelines and regulations. The target population includes children between the ages of 0 and 10 years living in unserved or underserved communities in Fresno County with serious emotional disturbance (SED), as well as their families, as appropriate.
One bid was received: a collaborative proposal from UFS (formerly called EMQ Families First), EPU, and CYS. The bid was deemed responsive by Purchasing, and reviewed and ranked by a committee initially consisting of five persons: one Behavioral Health Board member, one Department of Social Services Staff Analyst, and three Department of Behavioral Health staff persons (one Children’s Services Division Manager, one Children’s Services Clinical Supervisor, and one Fiscal Analyst). One member was disqualified from the review committee before the committee convened to provide their final ranking and recommendation due to being absent at the committee’s bid review meeting. The remaining four review committee members unanimously recommended the bidder for award and the Department concurred with their recommendation.
UFS, EPU, and CYS are the incumbent contracted providers of FSP services to children age 0-10 and have collaborated to provide such services since 2007, upon the inception of the BBFF program with no other agencies ever displaying interest in delivering said services. UFS, EPU, and CYS seek to hire multi-lingual staff in the threshold languages of Spanish and Hmong to best serve clients and their families in the language and communities most comfortable to the service recipients. The providers also strive to provide seamless intake, assessment, service provision and linkages to all clients and families referred to them for FSP services.
Under the recommended agreement, the contracted providers will continue to provide services during standard business hours (8:00AM - 5:00PM, Monday through Friday) as well as weekend and non-standard hours to provide services to clients and families that are unavailable during standard hours, and to address any clients concerns that may arise. The providers propose to provide services to 400 unduplicated children within each 12-month period of the recommended agreement. Treatment services would align with eight evidence-based practices carefully selected to effectively serve the target population.
The recommended agreement allows contracted providers 20 calendar days to submit invoices for the previous service month. The recommended agreement also authorizes County’s DBH Director or designee to approve modifications to the budget that do not exceed ten percent of the maximum compensation payable to the contracted providers.
REFERENCE MATERIAL:
BAI #37, July 11, 2017
BAI #48, June 4, 2013
BAI #49, June 22, 2010
BAI #33, September 18, 2007
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement
CAO ANALYST:
Ronald Alexander