File #: 07-1835    Version: 1
Type: Agreement Status: Approved
File created: 11/13/2007 In control: Board of Supervisors
On agenda: 12/11/2007 Final action: 12/11/2007
Title: Public Health Department recommending the Chairman be authorized to sign the following amendments to Alcohol/Drug Treatment Services Provider agreements, extending the term of each agreement six (6) months, increasing compensation of each accordingly, instituting a standardized rate schedule, and allowing the Director to modify compensation amounts within a not to exceed contract limit when needed: (1) Agreement 589-PHD0407 with EDCA Lifeskills in the amended amount of $160,000; (2) Agreement 591-PHD0407 with New Morning Youth & Family Services in the amended amount of $90,000; (3) Agreement 592-PHD0407 with Progress House in the amended amount of $850,000; and (4) Agreement 593-PHD0407 with Sierra Recovery Center in the amended amount of $150,000; and (5) Agreement 594-PHD0407 with Tahoe Youth and Family Services in the amended amount of $100,000. RECOMMENDED ACTION: Approve. FUNDING: Multi-year State Alcohol/Drug treatment services agreement.
Attachments: 1. Blue Sheet, 589-PHD0407, 2. 589 EDCA AOD 07, Amendment II (w Exhibit B), 3. 589-PHD0407, Amendment I, 4. 589-PHD0407, 5. Blue Sheet, 591-PHD0407, 6. 591 New Morning, Amendment I (w Exhibit B), 7. 591-PHD0407, 8. Blue Sheet, 592-PHD0407, 9. 592 Progress House, Amendment II (w Exhibit B), 10. 592-PHD0407, Amendment I, 11. 592-PHD0407 (part 1), 12. 592-PHD0407 (part 2), 13. Blue Sheet, 593-PHD0407, 14. 593 Sierra Recovery Center, Amendment I (w Exhibit B), 15. 593-PHD0407, 16. Blue Sheet, 594-PHD0407, 17. 594 Tahoe Youth and Family, Amendment II (w Exhibit B), 18. 594 -PHD0407, Amendment I, 19. 594-PHD0407

Title

Public Health Department recommending the Chairman be authorized to sign the following amendments to Alcohol/Drug Treatment Services Provider agreements, extending the term of each agreement six (6) months, increasing compensation of each accordingly, instituting a standardized rate schedule, and allowing the Director to modify compensation amounts within a not to exceed contract limit when needed:

(1)   Agreement 589-PHD0407 with EDCA Lifeskills in the amended amount of $160,000;

(2)   Agreement 591-PHD0407 with New Morning Youth & Family Services in the amended amount of $90,000;

(3)   Agreement 592-PHD0407 with Progress House in the amended amount of $850,000; and

(4)   Agreement 593-PHD0407 with Sierra Recovery Center in the amended amount of $150,000; and

(5)   Agreement 594-PHD0407 with Tahoe Youth and Family Services in the amended amount of $100,000.

RECOMMENDED ACTION:  Approve.

 

FUNDING:  Multi-year State Alcohol/Drug treatment services agreement.

 

Body

BUDGET SUMMARY:

 

 

Total Estimated Cost

 

$1,350,000

 

 

 

     Funding

 

 

          Budgeted

$1,350,000

 

          New Funding

$

 

          Savings

$

 

          Other

$

 

     Total Funding Available

$1,350,000

 

Change To Net County Cost

 

$0

                     

Fiscal Impact/Change to Net County Cost: Funding is included in the FY 2007-08 Proposed Budget for the Alcohol and Drug Treatment Program.  There is no net County cost.

 

Background: The Public Health Department receives funding through a multi-year agreement with the State to provide alcohol and drug treatment and prevention services.  Funding is then contracted out to local agencies to provide treatment to El Dorado County residents who seek these services. 

 

The attached amendments to Treatment Provider agreements with EDCA Lifeskills ($160,000), New Morning Youth & Family Services ($90,000), Progress House ($850,000), Sierra Recovery Center ($150,000), and Tahoe Youth and Family Services ($100,000) reflect funding for FY 2007-08.

 

Originally, these contracts were for a limited, six-month term so that Public Health and Human Services could develop a uniform fee schedule, which would replace the proprietary fee schedules found in these agreements.  The Board approved that rate schedule at the meeting of October 2, 2007. 

 

These services are entitlements, or are guaranteed to clients upon request or by Court order.  As a result, the amount of service performed by each provider is often difficult to estimate when individual contract terms begin.  Therefore, contracts such as these are usually amended at a later date to ensure providers are fully compensated for the services.  The process of amending these contracts is time consuming and costly.

 

In an effort to make the process more efficient, staff, working with Counsel, have developed contract language which would effectively allow the Contract Administrator (for Public Health contracts, the Director) to modify compensation amounts to ensure vendors receive payment appropriately.  Total amended contract amounts, presented herein above, would not be exceeded; however, provisional amounts (the estimated amounts for service, which are lower than the total contract amounts, as denoted in each amendment) could be increased or decreased depending upon any unanticipated changes to the amount of service provided by each vendor.  The Department would return to the Board or Purchasing Agent (whichever is appropriate) to exercise any amendment to increase a total contract amount, if needed.

 

In accordance with Board of Supervisors Policy C-17, Section 7.4.2, the Purchasing Agent concurs with the department's request to amend these agreements.  These amendments replace existing proprietary fee schedules with the Board-approved rate schedule, extend the term of those agreements by six (6) months, increase the compensation to coincide with that extension, and provide the provision that gives the Director the ability to modify provisional compensation amounts when needed.

 

The County Purchasing Agent has reviewed the department's request to continue contracting with the above named firms and concurs that the continued use of these service providers is appropriate in order to avoid an interruption of needed services provided to residents of El Dorado County.

 

The Purchasing Agent has determined that it is appropriate to dispense with any competitive selection process for services performed as the department contracts with multiple local area service providers to render similar services on an "as needed" basis.  Multiple contracts with treatment facilities such as these are in place to offer specialized services based on an individual client's needs.  The Purchasing Agent concurs that the department's request is in compliance with Board of Supervisors Policy C-17, Sections 7.4.2, 7.5, and 7.10.

 

Reason for Recommendation: Services provided through these agreements are vital in combating drug and alcohol abuse and to maintaining and promoting healthy communities in El Dorado County. 

 

Action to be taken following Board approval: Chairman to sign three (3) copies of each amendment; Board Clerk's Office to return two copies of each to Department; Public Health to distribute as appropriate.

 

Contact: Dan Buffalo