Agenda

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Consent-Health & Human Services # 28.

Board of Supervisors

Adult & Aging

Meeting Date:	06/29/2021
Brief Title: Agreement with Telecare Corporation for Full-Service Partnership (FSP) Services
From:	Karen Larsen, Director, Health and Human Services Agency
Staff Contact:	Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:

Subject

Approve agreement with Telecare Corp. in the amount of $5,828,300 for the period of April 1, 2021 through June 30, 2023 for the provision of Full-Service Partnership Services for Medi-Cal eligible Health and Human Services Agency consumers that are either Severely Emotionally Disturbed or Seriously Mentally Ill Transition Age Youth and Adult clients, including clients designated to participate in the Assisted Outpatient Treatment program. (No general fund impact) (Larsen)

Recommended Action

Approve agreement with Telecare Corp. in the amount of $5,828,300 for the period of April 1, 2021 through June 30, 2023 for the provision of Full-Service Partnership (FSP) Services for Medi-Cal eligible HHSA consumers that are either Severely Emotionally Disturbed (SED) or Seriously Mentally Ill (SMI) Transition Age Youth (TAY) and Adult clients, including clients designated to participate in the Assisted Outpatient Treatment (AOT) program. B. Delegate authority to the Director of the Yolo County Health and Human Services Agency or her/his designee to 1) exercise optional year extensions up to $2,798,148 per fiscal year for fiscal years 2023-24 and 2024-25 and 2) issue related option year notices. Please see Section III. of Att. A. Agreement.

Strategic Plan Goal(s)

	Thriving Residents
	Safe Communities

Reason for Recommended Action/Background

To provide Full-Service Partnership (FSP) and Assisted Outpatient Treatment (AOT) services to HHSA consumers that are either Severely Emotionally Disturbed (SED) or Seriously Mentally Ill (SMI), aimed at preventing consumers from requiring higher levels of care, or needing support in transitioning back into the community after being placed in a high level of care, like institutions for mental disease, acute psychiatric hospitals, and state hospitals. SED is defined as children, aged birth to 18 years, who meet or at any time during the past year has met criteria for a mental disorder – including within developmental and cultural contexts – as specified within a recognized diagnostic classification system (e.g., most recent editions of DSM, ICD, etc.), and who displays functional impairment, as determined by a standardized measure, which impedes progress towards recovery and substantially interferes with or limits the person’s role or functioning in family, school, employment, relationships, or community activities. SMI is defined as adults, aged 18 and over, who currently meets or at any time during the past year has met criteria for a mental disorder – including within developmental and cultural contexts – as specified within a recognized diagnostic classification system (e.g., most recent editions of DSM, ICD, etc.), and who displays functional impairment, as determined by a standardized measure, which impedes progress towards recovery and substantially interferes with or limits the person’s role or functioning in family, school, employment, relationships, or community activities.

The services are community-based intensive services patterned upon evidenced-based practices and incorporate Mental Health Services Act (MHSA) concepts of wellness, recovery, resiliency, and attention to client-driven services. The primary outcome objectives for these services are: decreasing the utilization and length of stay in costlier and more restrictive levels of care; reduction in homelessness; reduction in incarceration; increase in school enrollment; increase in consumer employment and increase support of consumers and their families and caregivers. FSP programs provide comprehensive and intensive mental health services and employ a “whatever it takes” community-based approach using innovative interventions to help people reach their recovery goals. These services must be available to support clients 24 hours a day, seven (7) days per week, and target a length of stay of 18 to 24 months, as an average, for all clients served. The Performance Measures associated with this Agreement are included in Attachment B.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Competitive Bid Process

On November 19, 2020 Yolo County Health and Human Services Agency (HHSA) issued a Request for Proposals (RFP) from qualified community-based organizations to provide Mental Health Services Act (MHSA) Full-Service Partnership (FSP) Services. The RFP was open for 62 days (just over 8 weeks), and staff offered potential bidders an opportunity to ask questions during a Mandatory Bidders’ Conference on December 4, 2020.

HHSA received six proposal(s) from this solicitation. The proposal submitted by Telecare Corp. was selected as one of the top choices by all members of the Review Committee and was evaluated and determined to meet all the required qualifications necessary to successfully provide these services.

Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.

Request for Proposals (RFP) Service Requested:
Mental Health Services Act (MHSA) Full-Service Partnership (FSP) Services

Evaluation Criteria Included in RFP

General Company Information (30 points)
Experience (118 points)
Vendor Approach to the Project (235 points)
Cost Proposal (15 points)
Responsiveness/Responsibility (18 points)
Quality Assurance and Oversight (15 points)
Financial Information (25 points)
Past Performance (25 points)
Reasonableness of Cost (48.1 points)
Quality and Completeness of the Proposal (pass/fail)

Bids Received

Bidder	Bid
Bay Area Community Services	$10,300,000
CommuniCare Health Centers	$2,437,198.45
Telecare Corp	$10,350,000
TLCS, Inc dba Hope Cooperative	$10,350,000
Turning Point Community Programs	$2,665,084
Victor Community Support Services	$2,899,352

Fiscal Impact

Fiscal Impact (Expenditure)
Fiscal impact (see budgetary detail below)
Total cost of recommended action:		$ 279,995
Amount budgeted for expenditure:		$ 279,995
Additional expenditure authority needed:		$
On-going commitment (annual cost):	$ 2,798,148

Source of Funds for this Expenditure

$279,995

Explanation (Expenditure and/or Revenue)

Further explanation as needed:

No general funds are required by this action. These services will be funded by MHSA. The total amount of this action is $5,828,300 for the period of April 1, 2021 through June 30, 2023. The amount of $279,995 is included in the HHSA adopted budget for fiscal year 2020-21. The related funding will be included in the requested budget process for future fiscal years.

The following is the breakdown of funding for this agreement.

FSP Services	Fiscal Year 2020-21 April 1, 2021 through June 30, 2021	Fiscal Year 2021-22 July 1, 2021 through June 30, 2022	Fiscal Year 2022-23 July 1, 2022 through June 30, 2023	Total
Start-Up Costs	$108,455	$200,723	$0	$ 309,178
Ongoing Costs	$171,540	$2,549,434	$2,798,148	$5,519,122
Total	$279,995	$2,750,157	$2,798,148	$5,828,300

The agreement also includes two one-year extension options for Fiscal Year 2023-24 and 2024-25 in an amount less than or equal to $2,798,148 per fiscal year.

Option Year/ Fiscal Year (OY/FY)	Maximum Agreement Term Extension Per OY/FY	Maximum Increased Funding Amount Per OY/FY	Revised Maximum Payment Obligation Per OY/FY
First/ (FY 2023-24)	On or before June 30, 2024	Less than or equal to $2,798,148	Less than or equal to $8,626,448
Second/ (FY 2024-25)	On or before June 30, 2025	Less than or equal to $2,798,148	Less than or equal to $11,424,596

In no event shall the term of the Agreement extend beyond June 30, 2025 nor shall the total contract maximum exceed the amount of ELEVEN MILLION FOUR HUNDRED TWENTY-FOUR THOUSAND FIVE HUNDRED NINETY-SIX DOLLARS ($11,424,596), unless otherwise agreed to in writing by the parties and in conformity with the then-current Yolo County Procurement Policy approved by the Yolo County Board of Supervisors.

Attachments
Att. A. Agreement
Att. B. Performance Measures

Form Review

Inbox	Reviewed By	Date
Financial Services	crinde	06/21/2021 04:31 PM
County Counsel	Hope Welton	06/21/2021 04:37 PM
Form Started By: Kimberly Mayfield		Started On: 04/23/2021 04:00 PM
Final Approval Date: 06/22/2021