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HomeMy WebLinkAbout064108-A1 - General - Contract - Acclaim Physicians Group Inc.CSC No. 64108-A1 FIRST AMENDMENT TO CITY OF FORT WORTH CONTRACT 64108 BETWEEN THE CITY OF FORT WORTH AND ACCLAIM PHYSICIAN GROUP, INC. FOR PHYSICIAN ASSISTANT SERVICES This first amendment (the "Amendment") 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 Dianna Giordano, its duly authorized Assistant City Manager, and Acclaim Physician Group, Inc., DBA Acclaim Health JPS Physician Health Network, a non-profit healthcare organization certified by the Texas Medical Board under the Texas Health and Safety Code and as an affiliate of the Tarrant County Hospital District ("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. 64108, (the "Agreement"); WHEREAS, the Parties desire amend Section 10 of the Agreement to address questions regarding liability; 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. Section 10 is hereby deleted and replaced with the following: "10. INSURANCE. Agency represents and warrants that it is a governmental unit as defined by the Texas Tort Claims Act. Agency shall maintain at all times during this Agreement: 10.1 Coverage and Limits (a) Self-insurance with combined limits of not less than $100,000 per person and $300,000 per occurrence for bodily injury (in keeping with the terms of the Texas Tort Claims Act); (b) Self-insurance with combined limits of not less than $100,000 per occurrence for property damage (in keeping with the terms of the Texas Tort Claims Act); First Amendment to CSC 64108 OFFICIAL RECORD CoFW and ACCLAIM PHYSICIAN GROUP, INC. CITY SECRETARY FT. WORTH, TX (c) Worker's Compensation or worker's compensation self-insurance up to Statutory limits according to the Texas Workers' Compensation Act or any other state workers' compensation laws where the work is being performed. The insurance policies stated herein shall include a Waiver of Subrogation (Right of Recovery) in favor of My Health, My Resources of Tarrant County." II. 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] First Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. IN WITNESS WHEREOF, the parties hereto have executed this agreement, to be effective this day of , 20 FOR CITY OF FORT WORTH: Dianna Giordano (Nov 20, 2025 10:10:59 CST) Dianna Giordano Assistant City Manager Date: 11/20/2025 APPROVAL RECOMMENDED FOR AGENCY: Acclaim Physician Group, Inc. Sunny Jaryga Senior Vice President Date: 11/20/2025 Bethany Warner (Nov 20, 2025 09:24:04 CST) Bethany Warner, Intergovernmental Relations Manager Date: 11/20/2025 APPROVED AS TO FORM AND LEGALITY Gavin Midgley, Assistant City Attorney Date: 11/20/2025 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. %ate �au� Tara Perez Manager, Homeless Strategies First Amendment to CSC 64108 CoFW and ACCLAIM PHYSICIAN GROUP, INC. ATTEST: ?4L,� Jannette S. Goodall, City Secretary 11/20/2025 Date: 25-0658 M&C No.: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX City of Fort Worth, Texas Mayor and Council Communication DATE: 08/12/25 M&C FILE NUMBER: M&C 25-0658 LOG NAME: 02CONTINUATIONHIGHIMPACTPROGRAM SUBJECT (CD 2, CD 3, CD 4, CD 8, CD 9 and CD 11) Authorize Execution of Agreements with Listed Service Agencies for High ImpACT Program Services in an Amount Up to $2,178,303.00 and Authorize Three Annual Renewal Options in a Combined Amount Up to $6,534,909.00 RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager or his designee to execute agreements with agencies listed below in a combined amount up to $2,178,303.00 for a term commencing October 1, 2025 and terminating September 30, 2026 for High ImpACT Program services; 2. Authorize the City Manager or his designee to renew the agreements for Fiscal Years 2027, 2028 and 2029 with the agencies listed below in a combined amount of up to $6,534,909.00 for High ImpACT Program services dependent on funds being appropriated for Homeless Strategies; 3. Authorize the City Manager or his designee to amend the agreements 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 4. Find that such contract renewals and any amendments thereto serve a public purpose of reducing homelessness and that adequate controls are in place. DISCUSSION: On March 19, 2024, the City Council approved Mayor & Council Communication (M&C) 24-0200 to fund the first five months of a 17-month High ImpACT Pilot Program in the amount of $1,096,847.00. On December 10, 2024, the City Council approved M&C 24-1032 to allocate $2,178,304.00 to fund the remaining 12 months of the 17-month pilot. 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 Program aims to direct mental health and housing resources 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 9 and 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 2, 4, 8 and 11) • City-wide HOPE referrals are also considered This unique program houses the "hardest to house" clients who frequently interact with law enforcement and are highly visible to businesses and neighborhoods. The High ImpACT Program has two components and associated goals for the first 17 months of the pilot: 1. Housing Assistance: Housing assistance for at least 40 eligible High ImpACT clients. Leverage existing housing vouchers with a goal of providing housing assistance for up to 40 more people. 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. More than 70% of clients for the program were referred by Neighborhood Police Officers in the target areas based on considerations of both the length of time someone has been unsheltered in that target area or if he or she is an unsheltered individual who may have severe mental illness. As stated in M&C 24-0200, the 17-month pilot program's performance measures will be that at least 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 different unit, but must be housed). After one year of the pilot, the program is showing success in meeting performance objectives. Goals by Sept. 30, 2025 Progress as of April 30, 2025 ACT Team services provided to 80 ACT Team services clients provided to 79 clients House 40 clients with High ImpACT Housed 41 clients with assistance High ImpACT assistance At least 70% of those offered 89% housing accept within 6 months housing acceptance rate At least 70% still housed after one 92% still housed after year one year Based on the success so far, it is recommended that the City Council continue funding the program in order to provide medical, psychiatric and case management services as well as housing assistance. These intensive services combined with housing assistance have enabled many unsheltered individuals with severe mental illness in target areas to obtain and retain housing. The City contracted with My Health, My Resources of Tarrant County (MHMR) to provide High ImpACT services. MHMR contracted with Partnership Home (formerly Tarrant County Homeless Coalition) and Acclaim Health to provide master lease/landlord engagement services and physician assistant services. For Fiscal Year 2026, the proposal is for the City contract directly with all three agencies as follows. Agency Services Annual Contracted Amount My Health, My Resources of Provision of psychiatric $1,269,005.00 Tarrant County services, therapy, housing case management, client costs etc Acclaim Health Provision of physician $201,094.00 assistant services Partnership Home Master leasing and landlord $708,204.00 engagement services TOTAL $2,178,303.00 Funding will be budgeted within the General Fund for the City Managers office for Fiscal Year 2026. This project was approved for a waiver per the Chapter 252 exemption, for Professional Services by the Legal Department. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the Fiscal Year 2026 Budget by the City Council, funds will be available in the Fiscal Year 2026 operating budget, as appropriated, in the General Fund. Prior to an expenditure being incurred, the City Manager's Office has the responsibility to validate the availability of funds. Submitted for City Manager's Office by. Dianna Giordano 7783 Originating Business Unit Head: Bethany Warner 6121 Additional Information Contact: Tara Perez 2235 FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Acclaim Physicians Group Inc Subject of the Agreement: This is an amendment to Contract 64108 with Acclaim Physicians Group for physician assistant services for the High ImpACT program. M&C Approved by the Council? * Yes © No ❑ If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes © No ❑ 64108 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes ❑ No If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No © If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: Expiration Date: If different from the approval date. If applicable. Is a 1295 Form required? * Yes ❑ No *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes © No ❑ Contracts need to be routed for CSO processing in the followin order:. 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.