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Consent-Health & Human Services   # 20.
Board of Supervisors
Meeting Date:
10/25/2022
Brief Title
Fourth Amendment to Agreement 21-117 with TLCS Inc. dba Hope Cooperative
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Ian Evans, Adult and Aging Branch Director, Health and Human Services Agency, x8297
Supervisorial District Impact:
Countywide

Subject

Approve fourth amendment to Agreement No. 21-117 with TLCS, Inc. dba Hope Cooperative to increase funding in the amount of $660,201.36 for 2022-23 for a new contract maximum of $6,375,617.36 for the period of April 1, 2021, through June 30, 2023; and increase option year funding, and to update and clarify language in the Agreement for the provision of Full-Service Partnership (FSP) Services for Medi-Cal eligible Seriously Mentally Ill Adults and Older Adult clients. (No general fund impact) (Sullivan)

Recommended Action

  1. Approve fourth amendment to Agreement No. 21-117 with TLCS, Inc. dba Hope Cooperative to increase funding in the amount of $660,201.36 for 2022-23 for a new contract maximum of $6,375,617.36 for the period of April 1, 2021, through June 30, 2023; and increase option year funding, and to update and clarify language in the Agreement for the provision of Full-Service Partnership (FSP) Services for Medi-Cal eligible Seriously Mentally Ill Adults and Older Adult clients; and
     
  2. Re-Delegate authority to the Director of the Yolo County Health and Human Services Agency or his/her designee to: 1) exercise optional year extensions up to $3,199,437.36 per fiscal year for 2023-24 and 2024-25 and 2) issue related option year notices. Please see Section III of Att. A. Fourth Amendment.

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

HHSA entered into an agreement with TLCS, Inc. dba Hope Cooperative to provide Full-Service Partnership (FSP) services to HHSA consumers that are 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. 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.
 
HHSA requests approval of this Amendment which adds additional MHSA funding for FY 2022-23 for Cost-of-Living Adjustments and increases funding for the two available optional extensions, and adds twenty more FSP slots (10 for Adults and 10 for Older Adults.  
 
Performance measures were included in the underlying Agreement and are not being revised at this time.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.
Department of Financial Services, Procurement Division

Competitive Bid Process/Vendor Performance

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 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.
 
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
 
HHSA confirms TLCS, Inc. dba Hope Cooperative has performed satisfactorily on the current agreement.

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    660,201
Amount budgeted for expenditure:
$    660,201
Additional expenditure authority needed:
$   
On-going commitment (annual cost):
$   3,199,437

Source of Funds for this Expenditure

MHSA
$660,201

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 $660,201.36 for the period of April 1, 2021 through June 30, 2023. The amount of $660,201.36 is included in the HHSA adopted budget for fiscal year 2022-23. 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 $106,869 $106,869 $0 $213,738
Ongoing Costs $423,206 $2,539,236 $3,199,437.36 $6,161,879.36
Total $530,075 $2,646,105 $3,199,437.36 $6,375,617.36
The agreement also includes two (2) one-year extension options for Fiscal Year 2023-24 and 2024-25 in an amount less than or equal to $3,199,437.36 per fiscal year.
Option Year/Fiscal Year (OY/FY)
Revised Agreement Expiration Date Per OY/FY
Maximum Increased Funding Amount
Per OY/FY
Revised Agreement Lifetime Maximum
Per OY/FY
OY/FY 2023-24
On or before
June 30, 2024
Less than or equal to $3,199,437.36
Less than or equal
to $9,575,054.72
OY/FY 2024-25
On or before
June 30, 2025
Less than or equal to $3,199,437.36
Less than or equal
to $12,774,492.08

In no event shall the term of the Agreement extend beyond June 30, 2025 nor shall the total contract maximum exceed the amount of TWELVE MILLION SEVEN HUNDRED SEVENTY-FOUR THOUSAND FOUR HUNDRED NINETY-TWO DOLLARS AND EIGHT CENTS ($12,774,492.08), 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

Form Review

Inbox Reviewed By Date
Financial Services Tom Haynes 10/14/2022 11:27 AM
County Counsel Hope Welton 10/14/2022 11:31 AM
Form Started By:
Kimberly Mayfield
Started On:
08/08/2022 09:18 AM
Final Approval Date:
10/14/2022