Approve second amendment to Agreement No. 23-142 with TLCS, Inc. dba Hope Cooperative to extend the term of the agreement through September 30, 2024; add funding in the amount of $1,597,720 for 2024-25 for a new contract maximum of $7,988,600, for the period of July 1, 2023 through September 30, 2024; and to update contract language for the provisions of Full-Service Partnership (FSP) Services in compliance with the new California Advancing and Innovating Medi-Cal (CalAIM). (No general fund impact) (Sullivan)

Mental Health Services Act (MHSA) Full-Service Partnership (FSP) Services are 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. These 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 to decrease the utilization and length of stay in costlier and more restrictive levels of care; reduction in homelessness; reduction in incarceration; increase in school and/or vocation program 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.

On or about June 27, 2023, the County entered into an Agreement with TLCS Inc. dba Hope Cooperative to provide FSP services for the initial term of July 1, 2023 through June 30, 2024 with a contract maximum of $6,390,880.

Due to the uncertainty of the MHSA Budget, HHSA is requesting approval of this second amendment which extends the term of the agreement through September 30, 2024 and adds funding for 2024-25 in an amount of $1,597,720 for a new contract maximum of $7,988,600. Once the MHSA Budget is finalized and contract service rates for FY 2024-2025 have been set, and discussions with the contractor have occurred (all prior to September 30, 2024), a budget amendment for the entire FY 2024-2025 will be submitted.

Performance Outcome Measures
The Performance Measures were included in the underlying Agreement and are not being revised as this time (See Attachment B, Performance Measures)

HHSA confirms TLCS has performed satisfactorily under this agreement to date.

County Counsel has approved the amendment as to form
Department of General Services, Procurement Division

Vendor Performance:

Summary of Contractor Performance (FY 23/24):

• 224 unduplicated clients served during the fiscal year, 3 clients successfully stepped down to a lower level of care.
• Low no show rates for both psychiatric and clinical services.
• 98% client program satisfaction rates.
• Timely client engagement: 98% of clients engaged in services within 7 days of hospital discharge, 100% of new clients engaged within 4 days of program referral, and 98% of new referrals engaged within 2 days of jail/hospital release.
• Clients were employed 1,341 days or in school for 1,234 days over the fiscal year. 

High psychiatric hospitalization rates for adult and transitional-age youth clients during the fiscal year. 

RFP History:

On November 19, 2020, the County issued a formal solicitation via a request for proposal (RFP) for the provision of Mental Health Services Act (MHSA) Full-Service Partnership (FSP) Services from qualified community-based organizations. 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.

The County received six proposal(s) from this solicitation.  The proposal submitted by TLCS, Inc. dba Hope Cooperative 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.

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