Title:
Title
Contract Supplement: Approvals for Implementation of Pathways to Health + Home Program
End
FileID
File ID: 2018-00051
Location
Location: Citywide
Recommendation:
Recommendation
Pass a Motion authorizing the City Manager or City Manager’s designee to execute contract supplement No. 3 to Agreement 2017-1528 with Healthy Community Forum for the Greater Sacramento Region dba Sacramento Covered to extend Pathways IT services through March 31, 2019 and increase the total not-to-exceed amount by $100,000 for a new total not-to-exceed amount of $1,075,000
Contact: Anira Khlok, Homeless Services Program Analyst, (916) 808-7948, Office of the City Manager
Body
Presenter: None.
Attachments:
1-Description/Analysis
2-Sacramento Covered IT Contract Supplement No. 3
Description/Analysis
Issue Detail: In June 2017, the City of Sacramento was accepted into the State Department of Health Care Services’ (DHCS) Whole Person Care (WPC) program, with a budget of up to approximately $64 million over a four-year term, inclusive of local funding re-aligned to support WPC and federal matching dollars, to support development of the WPC program model and to fund new services. WPC is a statewide Medi-Cal waiver program that allows communities to create a system of supportive services aimed to improve health outcomes and reduce utilization of high-cost services for vulnerable populations. In Sacramento, the WPC program is called the Pathways to Health + Home (Pathways) program and will support broader City strategies to reduce and prevent homelessness, by creating a robust system of outreach, case management and supportive services for those frequent users of health care, homeless services, and emergency services.
Pathways is beginning Program Year 4 which runs from January 1, 2019 through December 31, 2019. As of December 14, 2018, Pathways has 536 individuals enrolled and has served a total of 912 individuals. A total of 35,859 services, including outreach, navigation, care coordination, and housing support, have been provided to the community. Pathways is collaborating with over 20 health care, housing, and social service providers to ensure continuity of care for program enrollees.
Staff recommends approval of contract supplement no. 3 to the nonprofessional services agreement #2017-1528 with Sacramento Covered for IT services to ensure that Pathways enrollee data, care coordination activities, and program outcomes continue to be monitored and tracked through March 31, 2019. The agreement was originally executed in 2017 and contract supplement no. 1 executed on September 6, 2018 to incorporate additional services including but not limited to, performing core enrollment, eligibility, and referral functions for the Pathways Program. Contract supplement no. 2 was executed on December 21, 2019 to extend services through January 31, 2019. Staff is seeking to extend the contract for an additional two months. Staff is evaluating the current IT program to determine if any permanent system enhancements need to be made and will return to Council in March to execute a new IT Agreement for the Pathways Program.
Policy Considerations: The Pathways program aligns with the federal directive and City commitment that funding for addressing homelessness follow a “housing first” approach, which offers permanent housing as quickly as possible for individuals and families experiencing homelessness. In housing first programs, supportive services are offered (but not required as a condition of tenancy) to help people keep their housing and avoid returning to homelessness. This evidence-based approach is consistent with the strategies and funding priorities of the other public agencies working to end homelessness in Sacramento. Partnering with other agencies to leverage resources and improve livability is consistent with the City Council’s past actions and current direction.
Economic Impacts: None.
Environmental Considerations: The actions specified in this report do not constitute a
“project” under the California Environmental Quality Act (CEQA) because they are continuing administrative activities and amount to general policy and procedure making [CEQA Guidelines section 15378(b)(2)].
Sustainability: Not Applicable.
Commission/Committee Action: None.
Rationale for Recommendation: The Pathways program is an opportunity for a community to transform healthcare and housing systems serving vulnerable populations by aligning services and data through performance-based contracts. The recommended contract partner has extensive experience working in Sacramento and providing services and support to vulnerable populations. The Pathways program offers an opportunity to leverage the experience and expertise of these organizations in a large, collaborative program that aims to change the way services are delivered in Sacramento. While Pathways is currently only funded for services through December 31, 2020, a key goal of Pathways is to achieve long-term sustainability and continue program services after the program sunsets.
Financial Considerations: Staff is recommending an increase of $100,000 to Agreement #2017-1528 with Sacramento Covered for continued IT services through March 31, 2019, with a new total not-to-exceed amount of $1,075,000.
There is sufficient funding in the Pathways Program I02000900 to cover this supplement to Agreement #2017-1528.
Local Business Enterprise (LBE): All the Pathways service partners are local businesses with established operations in Sacramento and have a history of serving Sacramento’s medically fragile and homeless populations.