Consent-Health & Human Services # 32.
Board of Supervisors
- Meeting Date:
- 12/06/2022
- Brief Title
- Fifth Amendment to Agr. 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 fifth amendment to Agreement No 21-117 with TLCS, Inc. dba Hope Cooperative to increase funding in the amount of $1,095,576.64 for 2022-23 for a new contract maximum of $7,471,194 for the period of April 1, 2021, through June 30, 2023; and increase option year funding for 2023-24 and 2024-25; and; add 100 additional Full-Service Partnership (FSP) slots, and add Transition Age Youth (TAY) and Assisted Outpatient (AOT) services; for the provision of FSP Services for Medi-Cal eligible Seriously Mentally Ill (SMI) TAY, Adults, and Older Adult clients. (No general fund impact) (Sullivan)
Recommended Action
- Approve fifth amendment to Agreement No 21-117 with TLCS, Inc. dba Hope Cooperative to increase funding in the amount of $1,095,576.64 for 2022-23 for a new contract maximum of $7,471,194 for the period of April 1, 2021, through June 30, 2023; and increase option year funding for 2023-24 and 2024-25; and; add 100 additional Full-Service Partnership (FSP) slots, and add Transition Age Youth (TAY) and Assisted Outpatient (AOT) services; for the provision of FSP Services for Medi-Cal eligible Seriously Mentally Ill TAY, Adults, and Older Adult clients; and
- 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 $4,185,014 per fiscal year for 2023-24 and 2024-25; and 2) issue related option year notices. Please see Section III of Att. A. Fifth Amendment.
Strategic Plan Goal(s)
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Thriving Residents |
 |
Safe Communities |
Reason for Recommended Action/Background
On or about June 8, 2021, HHSA entered into Agreement No 21-117 (the Agreement) with TLCS, Inc. dba Hope Cooperative for the provision of 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.
The recent fourth amendment added additional MHSA funding for 2022-23, added twenty more FSP slots (10 for Adults and 10 for Older Adults; and increased funding for the two available optional extensions. Due to recent changes in provider capacity across all of the contracted providers, the FSP service provided by Hope Cooperative are being expanded to absorb an additional 100 FSP slots. As part of this FSP service augmentation, Hope Cooperative will also take on the provision of permanent supportive housing services at two additional client housing locations: 10 West Beamer Way, Woodland CA and 1801 W. Capital, West Sacramento, CA. The parties have agreed to execute a later amendment to include and incorporate fully executed MOUs with Mercy Housing to include housing supports at the two additional sites. These MOUs reference services provided by a “County Contracted Provider” Hope Cooperative will now be that provider. (Please see attachments B and C.)
HHSA request approval of this fifth Amendment in the best interest of the continuity of care and to continue providing these vital services to the Yolo FSP consumers.
Performance Measures included in this Agreement are as follows:
Performance measures were included in the underlying Agreement and are not being revised at this time.
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 recent fourth amendment added additional MHSA funding for 2022-23, added twenty more FSP slots (10 for Adults and 10 for Older Adults; and increased funding for the two available optional extensions. Due to recent changes in provider capacity across all of the contracted providers, the FSP service provided by Hope Cooperative are being expanded to absorb an additional 100 FSP slots. As part of this FSP service augmentation, Hope Cooperative will also take on the provision of permanent supportive housing services at two additional client housing locations: 10 West Beamer Way, Woodland CA and 1801 W. Capital, West Sacramento, CA. The parties have agreed to execute a later amendment to include and incorporate fully executed MOUs with Mercy Housing to include housing supports at the two additional sites. These MOUs reference services provided by a “County Contracted Provider” Hope Cooperative will now be that provider. (Please see attachments B and C.)
HHSA request approval of this fifth Amendment in the best interest of the continuity of care and to continue providing these vital services to the Yolo FSP consumers.
Performance Measures included in this Agreement are as follows:
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
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
HHSA confirms TLCS, Inc. dba Hope Cooperative has performed satisfactorily on the current agreement.
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)
| 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:
- $ 1,095,577
- Amount budgeted for expenditure:
- $ 1,095,577
- Additional expenditure authority needed:
- $ 0
- On-going commitment (annual cost):
- $ 4,185,014
Source of Funds for this Expenditure
- MHSA
- $1,095,577
Further explanation as needed:
No general funds are required by this action. These services will be funded by Mental Health Services Act (MHSA). The total amount of this action is $7,471,194 for the period of April 1, 2021 through June 30, 2023. The amount of $1,095,576.64 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 | $110,000 | $323,738 |
| Ongoing Costs | $423,206 | $2,539,236 | $4,185,014 | $7,147,456 |
| Total | $530,075 | $2,646,105 | $4,295,014 | $7,471,194 |
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 $4,185,014 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 $4,185,014 | Less than or equal to $11,656,208 |
| OY/FY 2024-25 | On or before June 30, 2025 |
Less than or equal to $4,185,014 | Less than or equal to $15,841,222 |
In no event shall the term of the Agreement extend beyond June 30, 2025 nor shall the total contract maximum exceed the amount of FIFTEEN MILLION EIGHT HUNDRED FORTY-ONE THOUSAND TWO HUNDRED TWENTY-TWO DOLLARS ($15,841,222), 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 | 11/21/2022 03:02 PM |
| County Counsel | Hope Welton | 11/21/2022 03:03 PM |
- Form Started By:
- Kimberly Mayfield
- Started On:
- 12/14/2021 09:13 AM
- Final Approval Date:
- 11/22/2022