Agenda Item AGENDA STAFF REPORT ASR Control 25-000187
MEETING DATE:	05/06/25
legal entity taking action:	Board of Supervisors
board of supervisors district(s):	All Districts
SUBMITTING Agency/Department:	Health Care Agency (Approved)
Department contact person(s):	Veronica Kelley (714) 834-7024
	Ian Kemmer (714) 834-2160

Subject: Amendment No. 11 for Housing Full Service Partnership Services

ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

3 Votes Board Majority

Budgeted: N/A

Current Year Cost: N/A

Annual Cost: FY 2025-26 $5,549,859

Staffing Impact:

# of Positions:

Sole Source: No

Current Fiscal Year Revenue: N/A

Funding Source: State: 68% (Mental Health Service Act/Prop 63), Fees/Other: 32% (Federal Financial Participation Medi-Cal)	County Audit in last 3 years: No
Levine Act Review Completed: Yes

Prior Board Action: 3/26/2024 #20, 10/18/2022 #25, 5/11/2021 #19, 9/15/2020 #9

RECOMMENDED ACTION(S):

Approve Amendment No. 11 to extend the Contract with Telecare Corporation, for provision of Housing Full Service Partnership Services, in an amount not to exceed $5,549,859, for the term of July 1, 2025, through December 31, 2025, for a revised cumulative contract total amount not to exceed $40,631,177.

Authorize the County Procurement Officer or Deputized designee to execute Amendment No. 11 to the Contract with Telecare Corporation, as referenced in the Recommended Action above.

SUMMARY:

Approval of the Amendment with Telecare Corporation for Housing Full Service Partnership Services will continue the provision of integrated and multi-disciplinary intensive treatment and case management services to individuals living with a serious mental illness residing in permanent supportive housing.

BACKGROUND INFORMATION:

Your Honorable Board of Supervisors (Board) approved the Master Contract for provision of Housing Full Service Partnership (FSP) Services with Telecare Corporation (Telecare) and the below actions have been executed pursuant to appropriate authorities.

Board Date	Contract/Amendment	Action	Term
September 15, 2020	Contract	Board Approved Contract for $7,590,032	July 1, 2020 – June 30, 2023
N/A	Amendment No. 1, 2, 3, 5, 6	Deputy Purchasing Agent (DPA) Delegated Authority - Administrative Revisions	July 1, 2020 - June 30, 2023
May 11, 2021	Amendment No. 4	Board Approved Contract Increase of $2,755,346	July 1, 2020 – June 30, 2023
October 18, 2022	Amendment No. 7	Board Approved Contract Increase and Renewal of $13,636,221	July 1, 2020 – June 30, 2024
N/A	Amendment 8-9	DPA Delegated Authority - Administrative Revisions	July 1, 2020 - June 30, 2024
March 26, 2024	Amendment No. 10	Board Approved Contract Increase of $11,099,718 and Renewal	July 1, 2020 – June 30, 2025

Scope of Services

FSP Services provide intensive outpatient services and case management for individuals living with serious mental illness. The FSP Services framework is based on a “no fail” philosophy and does “whatever it takes” to meet the needs of clients, and when appropriate, their families, including providing supportive services. This framework builds strong connections to community resources, and provides 24 hours per day, seven days per week field-based treatment and recovery services. The primary goal of FSP Services is to improve quality of life by implementing practices which consistently promote good outcomes for the client. These outcomes include reducing the subjective suffering associated with behavioral health conditions, increasing safe and permanent housing, reducing out of home placement for children and youth, avoiding criminal or juvenile justice involvement, and reducing high frequency use of psychiatric hospitalizations or emergency and crisis services. FSP Services strive to provide stabilizing services for the client at the lowest level of care allowing for maximum flexibility to support wellness, resilience, and recovery.

The Housing FSP Services (Program) target population are adults living with a serious mental illness residing in permanent supportive housing and who need assistance to maintain their housing. The Program operates from a housing-centered perspective, recognizing that treatment, social services, and care coordination are necessary elements of housing stability and quality of life. The Program is a field-based program that effectively engages individuals who were previously experiencing homelessness prior to residing in permanent supportive housing and provides intensive and comprehensive treatment and support that focuses on promoting long-term housing stability and preventing loss of housing. The Program may also assist with housing deposits, provide rental assistance, and fund shelter as needed. The Program is the primary onsite supportive services provider for the Mental Health Services Act (MHSA) housing units and Telecare’s staff are stationed at many of the Board approved permanent supportive housing projects. Referrals into the Program primarily come from the Program’s outreach efforts at the permanent supportive housing development, however, additional referrals may come from any source, including landlords, family, and community stakeholders.

Telecare has administrative offices located in Garden Grove and La Palma and FSP Services are provided throughout communities in Orange County.

Performance Outcomes

The Health Care Agency (HCA) utilizes state-mandated data fields to evaluate the effectiveness of the FSP Service model in supporting the wellness, recovery and safety of its clients. Program targets, newly established in 2022, specify that at least 80 percent of clients served will: remain safely in the community and not require psychiatric hospitalization, remain out of custody, not be arrested for a new legal charge and/or remain in shelter/housing (e.g., not experience unsheltered homelessness). The goal of 80 percent was determined by taking into account past and current data trends across all FSP programs. The 80 percent benchmarks may be refined as additional years of data are analyzed, with particular attention paid to whether separate indicator benchmarks should be established for programs based on areas of specialization (i.e., age groups, justice involved, etc.)

Housing FSP
		Remained Out of Custody		Was Not Arrested for New Legal Charge		Did Not Require Psychiatric Hospitalization		Did Not Experience Unsheltered Homelessness
		Goal = 80%		Goal = 80%		Goal = 80%		Goal = 80%
	Total Clients Served	# Clients	%	# Clients	%	# Clients	%	# Clients	%
FY 2023-24	320	311	98.4%	314	99.4%	305	96.5%	296	93.7%
FY 2024-25 July-January	375	363	98.1%	369	99.7%	363	98.1%	352	95.1%

HCA is requesting a six-month extension of the Contract with Telecare so that the latest guidelines for Behavioral Health Services Act (BHSA) are implemented in the upcoming solicitation. An extension of the contract with Telecare, for the term July 1, 2025, through December 31, 2025, is necessary to allow for the continuation of services to existing clients, as well as time to release a Request For Proposal (RFP) to solicit proposals from qualified providers to provide this level of care. The State of California is currently developing guidelines for the allocation and use of BHSA funding for housing supportive services. HCA will release a RFP for housing supportive services incorporating the state guidelines as required by the Department of Health Care Services (DHCS) once they are released and continue services consistent with the County's OC CARES and its 2025 Vision. The Orange County Preference Policy does not apply to this contract amendment.

The Contractor's performance has been confirmed as satisfactory. HCA has verified there are no concerns that must be addressed with respect to the Contractor's ownership/names or conflicts with County interests. Existing litigation does not impede the statement of work as outlined by the County under the contract nor adversely impacts the County.

The Program will operate in accordance with the Orange County’s Standards of Care, a comprehensive set of administrative, operational, and facility-based standards designed to support the quality and consistency of program operations, evidence-based participant services, core organizational/administrative functions, and facility design/operations. HCA has worked to incorporate the Homeless Service System Pillars Attestations into the Amendment No. 11 for the Contract, for the Outreach and Supportive Services and Housing Pillars as applicable to the Housing FSP Services being provided.

This Amendment No. 11 to extend the Contract includes subcontractors. See Attachment B for the Contract Summary Form.

HCA requests the Board approve the Amendment No. 11 to extend the Contract with Telecare Corporation for Housing FSP Services, as referenced in the Recommended Actions above.

FINANCIAL IMPACT:

Appropriations for this Amendment will be included in Budget Control 042 FY 2025-26 Budget.

Should services need to be reduced or terminated due to lack of funding, these Contracts contain language that allows HCA to give 30 days’ notice to either terminate or renegotiate the level of services provided. The notice will allow HCA adequate time to transition or terminate services to clients, if necessary.

STAFFING IMPACT:

N/A

REVIEWING AGENCIES:

Office of Care Coordination

ATTACHMENT(S):

Attachment A - Amendment No. 11 to Contract MA-042-21010167 with Telecare Corporation for Housing Full Service Partnership Services
Attachment B - Contract Summary Form