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Agenda Item
ASR
Control 24-000519 |
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MEETING
DATE: |
05/06/25 |
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legal entity taking action: |
Board
of Supervisors |
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board of supervisors district(s): |
2,
3, 4, 5 |
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SUBMITTING Agency/Department: |
Health
Care Agency (Approved) |
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Department contact person(s): |
Veronica
Kelley (714) 834-7024 |
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Ian
Kemmer (714) 831-2160 |
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Subject: Approve Contracts for Adult
Behavioral Health Outpatient Services
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ceo CONCUR |
County Counsel Review |
Clerk of the Board |
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Concur |
Approved
Agreement to Form |
Discussion |
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3
Votes Board Majority |
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Budgeted: N/A |
Current Year
Cost: N/A |
Annual Cost: FY 2025-26 $11,227,501 |
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Staffing Impact: |
No |
# of Positions: |
Sole Source: N/A |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: N/A |
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RECOMMENDED
ACTION(S):
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1. |
Approve the Contract with Orange County
Association for Mental Health dba Mental Health Association of Orange County
for provision of Adult Behavioral Health Outpatient Services for the term
July 1, 2025, through June 30, 2028, in an amount not to exceed $16,059,180,
renewable for two additional one-year terms. |
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2. |
Approve the Contract with College Community
Services dba Clarvida for provision of Adult Behavioral Health Outpatient
Services for the term July 1, 2025, through June 30, 2028, in an amount not
to exceed $17,623,323, renewable for two additional one-year terms. |
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3. |
Pursuant to Contract Policy Manual
Section 3.3-113, authorize the County Procurement Officer or Deputized
designee to exercise a contingency contract cost increase in an amount not to
exceed 10 percent of the contract amount for the first year of the Contracts,
for provision of Adult Behavioral Health Outpatient Services, for the entire
term of the Contract, including renewals, and within the scope of work set
forth in the contract. The use of the contingency contract cost increase is
subject to approval requirements established by the County Procurement
Officer. |
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4. |
Authorize the
County Procurement Officer or Deputized designee to execute the Contracts
with Orange County Association for Mental Health dba Mental Health
Association of Orange County and College Community Services dba Clarvida, as
referenced in the Recommended Actions above. |
SUMMARY:
Approval of the Contracts for
provision of Adult Behavioral Health Outpatient Services will provide
outpatient mental health services to adults, ages 18 and older, with serious
mental illness and who may have a co-occurring substance use disorder.
BACKGROUND
INFORMATION:
The Health Care Agency (HCA) is
requesting the Honorable Board of Supervisors (Board) approve the Contracts
with Orange County Association for Mental Health dba Mental Health Association
of Orange County (MHA) and College Community Services dba Clarvida (Clarvida)
for provision of Adult Behavioral Health Outpatient Services.
HCA released a Request for Proposal
(RFP) for Adult Behavioral Health Outpatient Services on December 20, 2024, in
the online bidding system to solicit proposals for the services. There were
seven respondents to the RFP. An evaluation panel evaluated the proposals and
recommended award of the two contracts. The Orange County Preference Policy is
not applicable to the contracts.
Proposal
Evaluation Process
A standard evaluation panel of five
members was recruited to evaluate the proposals received for the RFP.
Evaluation panel members independently rated the proposals using established
criteria and possible maximum points of 1000. The panel recommended MHA and
Clarvida; no protests were received.
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Respondent |
Average Score |
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MHA |
949.33 |
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Clarvida |
923 |
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Orange
County Asian Pacific Islander Community Alliance, Inc. |
832.67 |
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Alinea
Health |
644 |
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Pamjoa
Advance Nursing Practice |
626 |
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Healthcare
Services, Inc. |
578.67 |
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Collaborative
Neuroscience Network, LLC |
562 |
HCA staff have conducted due
diligence on the Respondents. Below are reference checks of MHA and Clarvida,
which have been confirmed as satisfactory.
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Respondent |
Reference Check |
Reference Check |
Reference Check |
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MHA |
CalOptima
Health -Medi-Cal and Cal Fresh Outreach |
City
of Irvine – Irvine Veterans Assistance Program |
Cigna
Foundation – Homeless Street Medicine |
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Clarvida |
Los
Angeles County Department of Mental Health – Full-Service Partnerships,
Outreach Services |
Kern
County Behavioral Health & Recovery Services – Outpatient Substance Use
Disorder Treatment Services |
County
of San Diego Behavioral Health Services – Full-Service Partnership |
Scope
of Services
Adult Behavioral Health Outpatient
Services provide therapeutic mental health services in a clinic outpatient
setting which includes a peer-run clubhouse. The target population is adults 18
years of age and older diagnosed with a serious mental illness and who may also
have co-occurring substance use disorder. The clinical services provided
include, but are not limited to, case management, mental health treatment,
medication management, crisis intervention, educational and vocational
services, socialization, and peer support activities. Clinical services prioritize
the individual needs, strengths, choices, and involvement of each client in
service planning and implementation. The goal of the Adult Behavioral Health
Outpatient Services is to empower clients to take charge of their lives through
informed decision-making.
This program has transitioned from
a Recovery Center, which served individuals who were ready to reduce their
reliance on the mental health system, to an Outpatient Clinic. This new
contract will provide services to individuals at all levels of mental health
recovery and will be an HCA-approved Direct Access site.
Performance
Outcomes
The Adult Behavioral Health
Outpatient Services will incorporate the statewide Behavioral Health
Accountability Set (BHAS), Timely Access Standards and Population Behavioral
Health Goals as required by the Department of Health Care Services (DHCS) and
will be required to meet or exceed the minimum performance level as established
by DHCS. These performance outcomes are newly established, and in previous
years, contract providers were not obligated to meet them. MHA and Clarvida are
incumbents and met the previous outcome measures. For the new contract new
performance outcomes have been established by the State for 2025.
BHAS Performance
Outcome Goals for 2025*
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55%
of clients will receive a follow-up appointment within 30 days after an
emergency department visit for mental illness |
58%
of clients will receive a follow-up appointment within 30 days of discharge
after hospitalization for mental illness |
61%
of Individuals with Schizophrenia will remain on Antipsychotic Medications
for 80% of their treatment period |
*DHCS may update or
change the BHAS measures in subsequent years.
Timely
Access Outcome Goals
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Type
of Provider |
80% of Initial
Appointments are offered within: |
80% of Follow-up
Appointment are offered within: |
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Physician/Psychiatrist |
15
business days |
15
business days |
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Non-Physician
Mental Health Provider |
10
business days |
10
business days |
Behavioral
Health Goals
The state is in the process of
developing performance measurement standards for its statewide Behavioral
Health Goals. HCA will incorporate relevant performance metrics for this
program as they are available.
HCA has verified there are no concerns
that must be addressed with respect to the Contractors' ownership/name,
litigation status or conflicts with County interests.
The individual contracts have
subcontractors with various providers. See Attachment C for information
regarding subcontractors and Contract Summary Forms.
HCA has confirmed that the appropriate due
diligence has been conducted and all non-profits have been verified to be in
good standing.
HCA requests the Board approve the
Contracts with MHA and Clarvida for provision of Adult Behavioral Health
Outpatient Services, as referenced in the Recommended Actions.
FINANCIAL
IMPACT:
Funding Source:
State: 50% (Mental Health Service
Act/Behavioral Health Service Act)
Fee/Other: 50% (Medi-Cal Federal
Financial Participation)
Appropriations for these contracts
will be included in Budget Control 042 FY 2025-26 Budget and will be included
in the budgeting process for future years.
The Contracts include provisions allowing
HCA to terminate the Contract, reduce the level of services, and/or renegotiate
the levels of services provided, as necessary. This includes a notice that
allows HCA adequate time to transition or terminate service to clients, if
necessary.
STAFFING
IMPACT:
N/A
ATTACHMENT(S):
Attachment
A - Contract MA-042-25010627
for provision of Adult Behavioral Health Outpatient Services with MHA.
Attachment B - Contract MA-042-25011338 for provision of Adult Behavioral
Health Outpatient Services with Clarvida.
Attachment C - Contract Summary Forms
Attachment D - Scoring Sheet