Approve third amendment to Agreement No. 21-135 with Telecare Corp to update the term of the agreement to end on January 13, 2023; and to reduce funding in the amount of $1,298,148, for a new contract maximum of $4,530,152, for the period of April 1, 2021 through January 13, 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. (No general fund impact) (Sullivan)

Approve the third amendment to Agreement No. 21-135 with Telecare Corp to update the term of the agreement to end on January 13, 2023; and to reduce funding in the amount of $1,298,148, for a new contract maximum of $4,530,152, for the period of April 1, 2021 through January 13, 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. 

On or about June 29, 2021 the County entered into an Agreement with Telecare 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 severely emotionally disturbed 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 seriously mentally Ill 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 increased 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 September 20, 2021, the Parties amended the Agreement to add additional mental health service codes.

On or about March 15, 2022, the Parties amended the Agreement to shift funding within the Fiscal Year 2020-21 budget.

The County requests approval of this third amendment to update the term of the agreement to end on   January 13, 2023, remove the available optional extensions and reduce funding in the amount of $1,298,148 for FY 2022-23 for a new contract maximum of $4,530,152.

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

HHSA confirms Telecare Corp has not performed to the County’s satisfaction under this agreement. HHSA believes that it is in the best interest of the County to terminate this Agreement because the clients served by this vendor can be better served by another FSP service vendor. This vendor has been unable to provide referred HHSA clients with the required level of intensive mental health services expected for FSP clientele. Nor have they been able to recruit and retain the necessary cadre of staff to provide these services.

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

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