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HomeMy WebLinkAboutContract 61226-A3R1Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 CSC No. 61226-A3R1 THIRD AMENDMENT AND FIRST RENEWAL TO CITY OF FORT WORTH CONTRACT 61226 BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES OF TARRANT COUNTY FOR A HIGH IMPACT PILOT PROGRAM This third amendment and first renewal (the "Amendment and Renewal") is made and entered into by and between the City of Fort Worth, a home -rule municipality of the State of Texas (hereinafter referred to as the "City"), acting by and through Mark McDaniel, its duly authorized Deputy City Manager, and My Health, My Resources of Tarrant County, a unit of local government in Texas ("Agency"). Each party shall be individually referred to herein as Party and collectively as Parties. RECITALS WHEREAS, the City entered into an Agreement with Agency to provide services more specifically described in the agreement, City Secretary Contract No. 61226, (the "Agreement"); WHEREAS, the Parties executed the first amendment to the Agreement through which the Parties agreed to correct the contractual amount and period, amend the scope of services and amend the budget; WHEREAS, the Parties executed the second amendment to the Agreement through which the Parties extended the term of the agreement; WHEREAS, the Parties desire to amend the scope of services, amend the budget and renew the agreement for an additional one-year term; NOW THEREFORE City and Agency do hereby agree to the following: I. AMENDMENT TO AGREEMENT NOW THEREFORE, for valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows: A. The EXHIBIT "A" Scope of Services is hereby deleted and replaced in its entirety with attached EXHIBIT "A" Scope of Services; B. The EXHIBIT "B" Budget Part II — First Renewal Term is added after the EXHIBIT `B" Budget to set forth the budget for FY 25. II. RENEWAL OF AGREEMENT The Agreement, as amended, is hereby renewed and extended for a renewal term commencing on October 1, 2024, and ending on September 30, 2025, unless terminated earlier in accordance with the Agreement. Third Amendment and First Renewal to CSC 61226 OFFICIAL RECORD CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY CITY SECRETARY FT. WORTH, TX Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 III. This Amendment and Renewal is effective upon execution. IV. All terms and conditions of the Agreement not amended herein remain unaffected and in full force and effect, are binding on the Parties and are hereby ratified by the Parties. Capitalized terms not defined herein shall have the meanings assigned to them in the Agreement. [SIGNATURE PAGE FOLLOWS] Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 FOR CITY OF FORT WORTH: Mark McDaniel Deputy City Manager 01/21/2025 Date: APPROVAL RECOMMENDED Bethany Warner (Jan 16, 2025 15:22 CST) FOR AGENCY: My Health, My Resources of Tarrant County Signed by: L SMA, a0VLLff Susan Garnett Chief Executive Officer Date: 1/14/2025 Bethany Warner, Intergovernmental Relations Manager 01 /16/2025 Date: 44on��n�� XA0 ��R�°��oa� APPROVED AS TO FORM AND ATTEST: ato os►A dvo *oZ GALITY op o nezp5apa Gavin Midgley, Assistant City Attorney Date: 01/21/2025 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Tara Perez Manager, Directions Home Jannette S. Goodall, City Secretary 01/21/2025 Date: M&C No.: 2_ 1 032 Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 THIRD AMENDMENT TO CITY OF FORT WORTH CONTRACT 61226 BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES OF TARRANT COUNTY FOR A HIGH IMPACT PILOT PROGRAM ATTACHMENT 1 TO THIRD AMENDMENT Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 EXHIBIT "A" SCOPE OF SERVICES HIGH IMPACT PILOT PROGRAM MY HEALTH, MY RESOURCES OF TARRANT COUNTY will do the following: Agency shall provide staffing for a Housing First Assertive Community Treatment Team ("Housing First ACT Team") and provide housing assistance for households referred to the High Impact Pilot Program. A. In General • Housing First ACT Team - Eligible households are either on the High Impact Cohort in Tarrant County Homeless Coalition's Homeless Management Information System or are referred by a permanent supportive housing case manager. • High Impact Pilot Program housing assistance — Eligible households are individuals in the City of Fort Worth who meet the United States Department of Housing and Urban Development (HUD) definition of literally homeless; B. Definitions A general Assertive Community Treatment Team ("ACT Team") is a well -documented community mental health program for treating those with severe mental disorders. A multidisciplinary team which delivers a full range of medical, psychosocial and rehabilitative services to clients in a community setting (as opposed to treatment in an institution). The team provides support in community that is modeled after the staffing patterns on inpatient psychiatric units. The "hospital without walls" consists of people from multiple disciplines who work together, meet daily and coordinate care for clients. Background information from "Housing First: The Pathways Model to End Homelessness for People with Mental Health and Substance Use Disorders" by Sam Tsemberis. Key features of an ACT Team: • Interdisciplinary staffing that includes expertise in psychiatry, nursing, social work, vocational functioning and substance use treatment • Team approach (shared caseloads and daily team meetings) • Low staff -client ratios (1:10) • Locus of contact in the community • Intensive and frequent contacts with clients • Assertive outreach • 24 hour availability • Time unlimited services Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 A Housing First Assertive Community Treatment Team ("Housing First ACT Team") embodies the practices of an ACT Team however it is specifically to serve those experiencing homelessness or those who are formerly homeless and has access to housing options. High Impact Cohort — The list of individuals who have been referred to the High Impact Pilot Program. High Impact Pilot Program — City's 17 month pilot with My Health, My Resources of Tarrant County to focus additional housing and mental health resources on individuals experiencing homelessness in seven target areas: • Camp Bowie West/Las Vegas Trail (CD 3) • Seminary/La Gran Plaza/Hemphill (CD 11) • Downtown (CD 9) • Near Southside (CD 9) • Historic Southside/Near Eastside (CD 8) • Northside/Stockyards (CD 2) • Beach Street intersections — from E. Lancaster to N. Tarrant Parkway (CD 4) The program will also include City-wide HOPE referrals. Referrals will be made based on being located in these target areas and either having been in the location over two years or are suspected of having severe mental illness. Referrals for the High Impact Cohort will be made by neighborhood patrol officers, the Homeless Outreach Program and Enforcement (HOPE) Team of the City's Police Department and street outreach teams. C. Agency Responsibilities Agency will: • Hire or subcontract for the following positions for the Housing First ACT Team (which can be modified as agreed to by the Parties in writing): o Physician Assistant — Psychiatric o Physician Assistant — Medical o Registered Nurse o Program Manager o Two case workers o Two certified peer specialists o Patient Benefits Coordinator o Landlord engagement coordinator Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 The Housing First ACT Team will work with 80 severely mentally ill clients who are homeless or formerly homeless. Literally homeless clients will be referred through the High Impact Cohort. Formerly homeless clients will be referred through permanent supportive housing case managers. The Housing First ACT Team will build rapport by continuing to engage and offer services to individuals on the High Impact Cohort with a goal of assisting the individual to exit homelessness into permanent housing. This includes but is not limited to — working to establish a client's chronicity if at all possible, obtaining a client's verification of disability if at all possible, understanding where the client prefers to live, trying to meet any immediate needs the client has in order build the relationship, attempt to engage client at least once a week, offer to show clients apartments that are pre -leased, assist clients in choosing furniture packages, guide clients through the apartment application process, transport clients to potential apartment units, meet with potential landlords, assist clients in resolving any rental arrears or other obstacles to housing and anything else that assists the client's transition from homelessness to housing. The Housing First ACT Team will also build rapport by engaging and offering services to referred individuals in permanent supportive housing with severe mental illness and the need of additional supports to retain housing. The Housing First ACT Team will work to: • Assist clients in obtaining documentation of disability and homelessness as well as securing identification documents • Assist clients in stabilizing to retain housing • Secure mainstream benefits or other income for clients • Support client's goals related to health and recovery • Support client in building a good relationship with landlord • Assist clients to integrate into the community • Assist clients in developing housekeeping habits, provide advice on nutrition and meal preparation, as well as money management and paying rent on time The Housing First ACT Team will keep a weekly schedule board, monthly schedule board, and goal board which includes all clients' names and current goals and an on -call log. The Housing First ACT Team will have a weekly case conference to focus on clinical needs of all clients. All new clients should be seen, at minimum, daily for the first 30 days regardless of level of complexity. The Housing First ACT Team will have daily team meetings to ensure all members of the team are informed and on task. The goals of the morning Housing First ACT Team meeting: • Review every client • Note significant interactions • Discuss follow-ups • Create schedule for day • Update weekly plan Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 • Update monthly plan • Share information and maintain transparency The Housing First ACT Team will provide services where the client is — there will be no requirement for client to visit an office except in rare circumstances. The Housing First ACT Team will be available 24 hours a day, 7 days a week to clients who need assistance. MHMR will contract with Partnership Home to establish some master lease agreements in order to quickly be able to house clients who choose that location. MHMR will work to incorporate ongoing recommendations by WalRhon, a technical assistance provider. MHMR will also administer rental assistance payments as needed for clients Evaluation: Evaluation meetings will be held with Directions Home staff to continually evaluate program and Agency shall comply as necessary and in good faith. Financial reporting: Reimbursement Requests and any necessary supporting documentation and reports will be submitted by the 15th of every month in format of Exhibit "C". Programmatic reporting: Monthly reports will be submitted by the 15th of every month in format of Exhibit "D". Quarterly reports will be submitted by the 15th of July, October, January and April in the format of Exhibit «D99, Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 THIRD AMENDMENT TO CITY OF FORT WORTH CONTRACT 61226 BETWEEN THE CITY OF FORT WORTH AND MY HEALTH, MY RESOURCES OF TARRANT COUNTY FOR A HIGH IMPACT PILOT PROGRAM ATTACHMENT 2 TO THIRD AMENDMENT Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 "EXHIBIT "B" BUDGET Part II — First Renewal Term Agencv will submit invoices for reimbursement by the 151' of the month following the month services were provided. This report shall itemize each monthly expense requested for reimbursement by the Agency and shall be included in Budget submitted. In order for this report to be complete the following must be submitted: For payroll expenses, timesheets signed and dated by both the employee and supervisor with the program fund code of time being billed to City/Directions Home. Electronic time sheets are acceptable but must show timestamp of employee submission and supervisor approval. Paystub must include pay period, date paid, amount and expenses (salary, FICA, benefits etc). If pay stubs are unavailable, payroll registries with applicable expenses highlighted and labeled will suffice. Agency may not submit payroll expenses dated 60 calendar days prior to the date of the Reimbursement Request with the exception of the first Reimbursement Request which may include items from the Effective Date of the Agreement to the end of the reporting month or with written permission from Directions Home staff so long as such changes are otherwise in accordance with the Agreement. For non -payroll expenses, invoices for each expense listed. Agency may not submit invoices dated 60 calendar days prior to the date of the Reimbursement Request with the exception of the first Reimbursement Request which may include items from the Effective Date of the Agreement to the end of the reporting month or with written permission from Directions Home staff so long as such changes are otherwise in accordance with the Agreement. Proof that each expense was paid by the Agency, which proof can be satisfied by cancelled checks. If a cancelled check is not possible, a bank statement with the expense highlighted and labeled will suffice. If allocations percentages are used, all documentation must be submitted with the first month's invoice and if changes are made, new allocation documentation submitted with invoice. For the audit, bank statements showing payments, Form 941 s and allocation documentation will be reviewed. Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 A. SALARIES (By title) Program Manager (1) Case Worker (2) Certified Peer Specialist (2) Mental Health Administration Specialist (1) Advanced Practice Registered Nurse or Physician's Assistant (2 Part time) Registered Nurse Network Director Integrated Outreach SALARIES TOTAL: B. FRINGE BENEFITS All positions listed above FRINGE BENEFITS TOTAL: C.TRAVEL Local mileage TRAVEL TOTAL: D. CELL PHONES/EQUIPMENT I I monthly phone bills (Service only) I I Lease Fees for laptop computers CELL PHONES/EQUIPMENT TOTAL: E. CLIENT EXPENSES Initial Lease Up Fees Rental Assistance Client transportation Client needs Client Medications CLIENT EXPENSES TOTAL: F. OTHER APPROVED Dues, Permits, and Fees Vehicle costs (Service Cost) Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY $ 498,052.00 $1841279.00 $ 10,000.00 $10,000.00 $10,625.00 $10.00 $127,000.00 $17,000.00 $366,810.00 $10,769.00 $521,589.00 $10.00 $7,214.00 Docusign Envelope ID: 7AOCEC4D-A5D5-4D7D-BE90-75B4F9CCCA31 Contract - Partnership Homes Master Leases (TCHC) Contract — Landlord Engagement (TCHC) Contract — APRN/PA Office Supplies Office Space Software services fees Shredding Training Professional Insurance OTHER APPROVED TOTAL: Not Included in MDC Modified Direct Cost IDC 15% TOTAL PROGRAM COST: Third Amendment and First Renewal to CSC 61226 CoFW and MY HEALTH, MY RESOURCES OF TARRANT COUNTY $451,000.00 $132,000.00 $114,387.00 $1,094.00 $38,000.00 $20,380.00 $100.00 $49,200.00 $2,200.00 $815,585.00 $1,118,976.00 $ 921,154.00 $13 8,173.00 $2,178,303 City of Fort Worth, Texas Mayor and Council Communication DATE: 12/10/24 M&C FILE NUMBER: M&C 24-1032 LOG NAME: 02HIGHIMPACTCONTRACTRENEWAL SUBJECT (CD 2, CD 3, CD 4, CD 8, CD 9 and CD 11) Authorize Amendment to and Renewal of a Contract with My Health, My Resources of Tarrant County in an Amount Up to $2,178,304.00 for the High ImpACT Pilot Program Aimed to Reduce Homelessness in Targeted Areas; Find that Amendments and Contracts Serve a Public Purpose and that Adequate Controls are in Place RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager or his designee to execute a contract renewal with My Health, My Resources of Tarrant County for up to $2,178,304.00 for the High ImpACT Pilot Program aimed to reduce homelessness in targeted areas; 2. Authorize the City Manager or his designee to amend the agreement if necessary to achieve program goals provided that the amendment is within the scope of the program and in compliance with City policies and applicable laws and regulations; and 3. Find that such contract renewal and any amendments thereto serve a public purpose of reducing homelessness and that adequate controls are in place. DISCUSSION: In April, the City Council passed Mayor and Council Communication 24-0200 (the "M&C") to fund the first five months of a 17-month High ImpACT Pilot Program in the amount of $1,096,847.00. The M&C set forth the intent that the remaining funds for FY 2025 in the amount of approximately $2,200,000.00 would be utilized to pay for the remaining 12 months of the pilot. This M&C authorizes the execution of a renewal agreement with My Health, My Resources of Tarrant County in the amount of up to $2,178,304.00 to allow the term of the pilot to be completed. With the end of the eviction moratorium and federal emergency rental assistance funds, homelessness has increased in Fort Worth compared to pre -pandemic levels. Most nights, emergency shelters are near capacity resulting in a sharp increase in unsheltered homelessness, 18% from 2020 to 2024. Residents regularly report homeless encampments throughout the City. While many areas of Fort Worth have seen an uptick in unsheltered homelessness and the issues associated with it, there are seven areas that have been hit especially hard. The High ImpACT Pilot Program aims to direct mental health and housing resources in a targeted way to reduce issues related to unsheltered homelessness in those seven areas: • Camp Bowie West/Las Vegas Trail (CD 3) • Seminary/La Gran Plaza/Hemphill (CD 11) • Downtown (CD 9) • Near Southside (CD 9) • Historic Southside/Near Eastside (CD 8) • Northside/Stockyards (CD 2) • Beach Street Intersections — from East Lancaster to North Tarrant Parkway (CD 4) • City-wide HOPE referrals are also considered The High ImpACT Pilot Program has two parts: 1. Housing Assistance: Housing Assistance for at least 40 eligible High ImpACT clients. 2. Housing First Assertive Community Treatment Team (Housing First ACT Team): Services for at least 80 severely mentally ill unsheltered and housed clients by a mobile, high-level team, including psychiatric and medical professionals. Clients for the program are largely referred by Neighborhood Police Officers in the target areas based either on the length of time someone has been unsheltered in that target area or if it is someone who may have severe mental illness. The success of the 17-month pilot will be measured by having at last 70% of those offered housing enter housing within six months and after one year of entering housing, at least 70% are still housed (can be a different unit, but must be housed). Notable outcomes of the pilot's first six months include: • Of the initial 102 referrals, 30 were housed in the first six months. • Over 90% of referrals who have been offered housing accepted housing within six months - with the vast majority accepting rental assistance the first time it was offered. Data will continue to be gathered over the next 11 months of the pilot will be used to analyze whether the program should continue, be expanded, or end at the conclusion of the 17-month pilot. Funding is budgeted in the Other Contractual Services account within the General Fund for the Neighborhood Services Department. City Manager's Office is responsible for the funds. A Form 1295 is not required because: This contract will be with a governmental entity, state agency or public institution of higher education: My Health, My Resources of Tarrant County FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current operating budget, as previously appropriated, in the General Fund to support the approval of the above recommendations and award of the contract. Prior to any expenditure being incurred, the City Manager's Office has the responsibility to validate the availability of funds. Submitted for Citv Manaaer's Office bv: Mark McDaniel 6316 Oriainatina Business Unit Head: Bethany Warner 6121 Additional Information Contact: Tara Perez 2235