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Consent-Health & Human Services   # 37.
Board of Supervisors
Meeting Date:
12/03/2024
Brief Title
Fourth Amendment to Agreement No. 23-142 with TLCS Inc. dba Hope Cooperative for Full-Service Partnership (FSP) Services
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Samantha Fusselman, Adult and Aging Branch Director, Health and Human Services Agency, x2492
Supervisorial District Impact:
Countywide

Subject

Approve fourth amendment to Agreement No. 23-142 with TLCS, Inc. dba Hope Cooperative to extend the term of the Agreement through January 31, 2025 and add funding in the amount of $1,573,177.78 for 2024-25 for a new contract maximum of $9,561,778.78, for the period of July 1, 2023 through January 31, 2025; and to update contract language for the provision of Full-Service Partnership (FSP) Services. (No general fund impact) (Sullivan)

Recommended Action

  1. Approve fourth amendment to Agreement No. 23-142 with TLCS, Inc. dba Hope Cooperative to extend the term of the Agreement through January 31, 2025 and add funding in the amount of $1,573,177.78 for 2024-25 for a new contract maximum of $9,561,778.78, for the period of July 1, 2023; and through January 31, 2025; and to update contract language for the provisions of Full-Service Partnership (FSP) Services; 
     
  2. Authorize the Yolo County Procurement Manager or designee to execute financial amendments, if necessary, to extend Agreement No. 23-142 with TLCS, Inc. dba Hope Cooperative through June 30, 2025 in an amount not to exceed $5,137,370 for 2024-25; and
     
  3. Delegate authority to the HHSA Director to issue all notices in conformance with the conditions of the underlying Agreement, including termination notices.

Strategic Plan Goal(s)

Thriving Residents

Reason for Recommended Action/Background

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 (IMD), acute psychiatric hospitals, jails 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 Agreement No. 23-142 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.

On or about August 28, 2024, the Parties amended the Agreement to extend the term through September 30, 2024 and added funding. Due to the uncertainty of the MHSA Budget, the Agreement was not extended through the end of the fiscal year.

Now that the MHSA Budget has been finalized, HHSA requests approval of this fourth amendment to extend the term through January 31, 2025 and add funding for the extended term and update rates.

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

HHSA confirms TLCS has performed satisfactorily under this agreement to date. Based on Performance Measures for Quarter 1 of FY 2024-25. The provider has served 217 clients (174 Adult FSP clients, 18 TAY FSP clients & 25 Older Adult clients). Two clients have successfully stepped down to a lower level of care. The provider has had a low no-show rate of 6% for both psychiatric and clinical services. 96% of clients reported satisfaction with the FSP services. 83% of clients engaged within 7 days of hospital discharge, and 95% of clients engaged within 4 hours of hospital or jail notification from discharge. 4% of the clients experienced homelessness, and 6% of the clients experienced incarceration while enrolled in the program.

Collaborations (including Board advisory groups and external partner agencies)

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

Competitive Bid Process/Vendor Performance

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 proposals 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
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 (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    1,573,178
Amount budgeted for expenditure:
$   1,573,178
Additional expenditure authority needed:
$   
One-time commitment:
Yes

Source of Funds for this Expenditure

MHSA
$988,293
FFP
$555,793
SGF
$29,091

Further explanation as needed:

No general funds are required by this action. These services will be funded by Mental Health Services act (MHSA), Federal Financial Participation (FFP) and State General Fund (SGF). The action increases the contract maximum by $1,573,177.78 for a total amount of $9,561,777.78 for the period of July 1, 2023 through January 31, 2025. The amount of $1,573,177.78 is included in the HHSA adopted budget for FY 2024-25.
Fiscal Year 2023-24
July 1, 2023
through
June 30, 2024
Fiscal Year 2024-25
July 1, 2024
through
January 31, 2025
Total
$6,390,880.00 $3,170,897.78 $9,561,777.78

Attachments

Form Review

Inbox Reviewed By Date
Financial Services mrobertson 11/22/2024 03:38 PM
County Counsel Hope Welton 11/22/2024 03:57 PM
Yen Nguyen Yen Nguyen 11/25/2024 10:42 AM
Form Started By:
Kimberly Mayfield
Started On:
10/22/2024 08:35 AM
Final Approval Date:
11/25/2024