REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
May 24, 2022
FROM
GEORGINA YOSHIOKA, Interim Director, Department of Behavioral Health
SUBJECT
Title
Contracts for Crisis Residential Treatment Program Services
End
RECOMMENDATION(S)
Recommendation
Approve contracts with the following agencies for the provision of Crisis Residential Treatment and Transitional Age Youth Crisis Residential Treatment program services, in the combined amount of $69,000,000, for the period of July 1, 2022 through June 30, 2027:
1. Telecare Corporation, West Valley region, in the amount of $14,000,000.
2. Valley Star Behavioral Health, Inc., East Valley region, in the amount of $14,000,000.
3. Valley Star Behavioral Health, Inc., Eastern Desert region, in the amount of $14,000,000.
4. Valley Star Behavioral Health, Inc., High Desert region, in the amount of $14,000,000.
5. Valley Star Behavioral Health, Inc., Transitional Age Youth, East Valley region, in the amount of $13,000,000.
(Presenter: Georgina Yoshioka, Interim Director, 388-0801)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The amount of $69,000,000 for Crisis Residential Treatment (CRT) and Transitional Age Youth (TAY) CRT program services will be funded by Medi-Cal Federal Financial Participation, 2011 Realignment, and Mental Health Services Act funding. Adequate appropriation and revenue will be included in the Department of Behavioral Health’s (DBH) 2022-23 recommended budget and future recommended budgets.
BACKGROUND INFORMATION
DBH, the County's Mental Health Plan, provides behavioral health treatment services throughout San Bernardino County for individuals with severe and persistent mental illness. This has been a seamless system of care enabling residents to access behavioral health treatment services in all regions of San Bernardino County. Crisis residential treatment is a bundled service, which includes, but is not limited to, assessments, treatment plan development, collateral services, crisis intervention, medication support services, and individual and group therapy. The average length of stay in a CRT or TAY CRT facility can be up to 30 days. If deemed medically necessary, up to two 30-day extensions are available, not to exceed a total of 90 days. Services are provided 24 hours a day, 7 days a week.
CRTs have a maximum capacity of 16 beds per site, specializing in providing crisis residential treatment for consumers aged 18 to 59 who have been diagnosed with mental health or co-occurring disorders. The TAY CRT has a maximum capacity of 14 beds and provides care for transitional age youth consumers aged 18 through the individual’s 26th birthday. DBH anticipates the contracts in Recommendations No. 1, 2, 3 and 4 with Telecare Corporation and Valley Star Behavioral Health, Inc. will provide CRT program services to approximately 127 consumers per facility annually, at an estimated cost of $22,047 per consumer, and the contract in Recommendation No. 5 with Valley Star Behavioral Health, Inc. will provide TAY CRT program services to approximately 115 TAY consumers annually, at an estimated cost of $22,608 per TAY consumer.
PROCUREMENT
On January 26, 2022, the County Administrative Office approved and authorized the release of a Request for Proposals (RFP), Electronic Procurement Network (ePro) No. DBHE22-ADMN-4430, to solicit interested and qualified organizations and agencies to provide CRT program services. Per the RFP, agencies were instructed to submit one proposal providing separate program deliveries and budgets for each CRT facility and proposed target population(s). The RFP was publicly advertised through direct mailings to more than 600 community-based organizations, service providers, and other interested parties; advertised in local newspapers; and posted on ePro.
The mandatory proposal conference was held on February 9, 2022. Two proposals were received in response to the RFP by the established deadline, both which met the procurement requirements and continued in the evaluation process.
|
Proposing Agency |
Proposed Regions |
Proposed Budget |
|
Telecare Corporation |
West Valley |
$14,000,000 |
|
Valley Star Behavioral Health, Inc. |
East Valley (CRT & TAY CRT), Eastern Desert, High Desert & West Valley |
$69,000,000 |
The evaluation committee, comprised of six individuals with representation from the Department of Aging and Adult Services, Family and Children’s Services, San Bernardino County Sheriff’s Department, and DBH, reviewed and evaluated the proposals based on the criteria referenced in the RFP, including but not limited to: demonstrated ability to serve the target population, ability to provide required services, demonstrated ability to provide services to meet bed day utilization requirements, experience, staffing levels and qualifications, and demonstrated ability to obtain licensing and certifications.
Based on the evaluation results of the proposals, both agencies were recommended for contract award through five contracts listed in the Recommendations for each region and target population to be served, in the combined amount of $69,000,000 (Telecare Corporation - $14,000,000, Valley Star Behavioral Health, Inc. - $55,000,000). The proposals submitted indicated these agencies will provide the most adequate and appropriate services, and will be ready to provide services by the contract start date in the specified regions. These agencies are currently providing CRT and TAY CRT program services to consumers through facilities located throughout San Bernardino County.
DBH will monitor contractor performance on a regular basis to ensure compliance standards are met. Contract monitoring is inclusive of, but not limited to, site visits and assessments of policy, procedures, process implementation, and service delivery components, to ensure compliance with the contract and applicable laws and regulations. The fiscal review ensures costs claimed are reasonable, allowable, and in compliance with related financial records and procedures.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Natalie Kessee, Contracts Manager, 388-0869) on April 25, 2022; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on April 27, 2022; Purchasing (Bruce Cole, Supervising Buyer, 387-2148) on April 20, 2022; Finance (Christopher Lange, Administrative Analyst, 386-8393) on May 4, 2022; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on May 10, 2022.