Title
[Contract] Mobile Integrated Health (MIH) Program Advanced Providers
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FileID
File ID: 2026-01008
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Location
Location: Citywide
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Recommendation
Recommendation: Pass a Motion: 1) increasing the not-to-exceed amount to $269,000 for the Fire Department’s collective advanced provider services under Request for Proposal (RFP) No. P26121441001 for the Sacramento Fire Department Mobile Integrated Health (MIH) Program; and 2) authorizing the City Manager or designee to execute the Professional Services Agreement with Michelle Wong for advanced provider services in an amount not-to-exceed $67,200 for the MIH Program.
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Contact
Contact: Ryan Tweltridge, Assistant Chief, (916) 767-2350, rtweltridge@sfd.cityofsacramento.org, Fire Department
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Presenter
Presenter: None
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Attachments
Attachments:
1-Description/Analysis
2-PRC004134 Platinum Empire Group, Inc., dba Platinum Healthcare Staffing
3-PRC004226 Naborly Nursing, Inc
4-PRC004301 Michelle Wong
5-RFP No. P26121441001 - Fire Department Mobile Integrated Health Program
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Description/Analysis
IssueDetail
Issue Detail: In December 2025, Fire Department staff posted the Request for Proposal (RFP) for the procurement of Advanced Practitioner services under RFP No. P26121441001 for the MIH Program in an amount not to exceed $208,000. The RFP was posted for 30 days on the City’s PlanetBids solicitation website, and the Fire Department received multiple proposals in response. Proposals were evaluated based on interview and written submission, experience and qualifications, methodology and approach to work, and project work plan and schedule. Due to the operational need for consistent staffing and the program's anticipated requirement for up to eight advanced providers, the bid was awarded to three bidders: Naborly Nursing, Inc., Platinum Services, and Michelle Wong.
The MIH Program has an ongoing need for consistent staffing of advanced practitioners to maintain the program’s operations. The MIH Program relies on part-time Nurse Practitioners and Physician Assistants to support a community-based healthcare model focused on improving patient outcomes, reducing emergency department utilization, and expanding access to care for vulnerable populations through in-field clinical evaluations, Medication-Assisted Treatment (MAT), and coordinated follow-up care.
The Fire Department currently has fully executed contractual agreements with Naborly Nursing, Inc (PRC004226) and Platinum Empire Group, Inc., dba Platinum Healthcare Staffing (PRC004134), with not-to-exceed amounts of $84,000 and $115,000, respectively for a cumulative amount of $199,000 in executed agreements for advanced provider services under RFP No. P26121441001 for the MIH Program. The pending contract with Michelle Wong is projected at approximately $70,000. Execution of the agreement with Michelle Wong would bring the cumulative amount in executed agreements for advanced provider services under RFP No. P26121441001 for the MIH Program to $269,000. Execution of the agreement with Michelle Wong would cause the cumulative value of the agreements under RFP No. P26121441001 for the MIH Program to exceed the City’s $249,000 administrative threshold, requiring City Council authorization for staff to proceed. Staff recommends that the City Council increase the not-to-exceed amount under RFP No. P26121441001 for the MIH Program from $208,000 to $269,000 and authorize the City Manager or designee to execute the agreement with Michelle Wong, to maintain sufficient funding for the Department to staff advanced practitioners as necessary for continuation of the MIH Program.
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PolicyConsiderations
Policy Considerations: The first two agreements were executed under City of Sacramento Charter 3.56.080 (Authority of City Manager). Subject to the availability of funds and the procedures set forth in this chapter, the City Manager or designee is authorized to bind the City, by written contract or purchase order, involving an expenditure under $250,000 in any one transaction, without first advertising or obtaining specific authorization by the City Council, for the purchase of supplies or nonprofessional services for the City.
Staff is requesting an increased not-to-exceed amount requiring City Council approval per City of Sacramento Charter 3.56.090. All contracts for supplies or nonprofessional services involving an expenditure of $250,000 or more shall be awarded by the City Council. Such contracts shall be formal written agreements executed by the City Manager or designee on behalf of the City. The signature by the City Manager or designee constitutes their certification that there remain unexpended and unapplied balances of the appropriations or funds applicable to the contract sufficient to pay the estimated expense of executing the contract.
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EconomicImpacts
Economic Impacts: None.
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EnvironmentalConsiderations
Environmental Considerations: Ongoing administrative maintenance activities, such as purchases of supplies, equipment, or materials which are not made for purposes of a public construction project, do not constitute a “project” and are exempt from the California Environmental Quality Act (CEQA) CEQA Guidelines, Section 15061(b) (3), 15378(b) (2).
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Sustainability
Sustainability: None.
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Commission/Committee Action
Commission/Committee Action: Not applicable.
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RationaleforRecommendation
Rationale for Recommendation: The Department of Health Care Services (DHCS) has confirmed that opioid settlement funds may be used by local jurisdictions to procure advanced practitioners as part of approved opioid remediation activities. Through the California State-Subdivision Agreements and subsequent DHCS guidance, cities and counties are authorized to utilize settlement revenues for initiatives that address opioid use disorders, expand access to care, and implement evidence-based community interventions. The MIH Program, particularly its deployment of Nurse Practitioners and Physician Assistants to deliver in-field clinical services, MAT, and care coordination, meets the allowable expenditure criteria outlined in DHCS technical assistance materials and guidance letters.
The City is projected to receive substantial opioid settlement revenues over the next decade from multiple statewide agreements, including settlements with Allergan, CVS, Janssen, Teva, Distributors, Walmart, Walgreens, and Kroger. These funds are distributed annually through various accounts, such as the CA Subdivision Fund and CA Abatement Accounts Fund-each with defined reporting and oversight requirements enforced by DHCS. Leveraging these long-term settlement revenues to support MIH advanced-provider staffing ensures program stability, aligns with settlement mandates, and strengthens the City’s capacity to respond to the opioid crisis through sustainable, community-based healthcare delivery.
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FinancialConsiderations
Financial Considerations: Sufficient funding is available for these contracts through the Department’s California Opioid Settlement funds.
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LocalBusinessEnterprise
Local Business Enterprise (LBE): Local Business Enterprise evaluation preference was offered in RFP26121441001; however, all bidders responded with “not applicable.”
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Background
Background: In December 2025, Fire Department staff posted the Request for Proposal (RFP) for the procurement of Advanced Practitioner services under RFP No. P26121441001. The RFP was posted for 30 days on the City’s PlanetBids solicitation website, and the Fire Department received multiple proposals in response. Proposals were evaluated based on interview and written submission, experience and qualifications, methodology and approach to work, and project work plan and schedule. Due to the operational need for consistent staffing and the program's anticipated requirement for up to eight advanced providers, the bid was awarded to multiple bidders: Naborly Nursing, Inc., Platinum Services, and Michelle Wong.
The Fire Department currently has fully executed contracts with Naborly Nursing, Inc (PRC004226) and Platinum Empire Group, Inc., dba Platinum Healthcare Staffing (PRC004134), with not-to-exceed amounts of $84,000 and $115,000, respectively. The pending contract with Michelle Wong is projected at approximately $70,000. Staff recommend amending the current total not-to-exceed amount from $208,000 to $269,000 to maintain sufficient funding for the Fire Department to staff advanced practitioners as necessary for continuation of the MIH Program.
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