|
Agenda Item
ASR
Control 24-000552 |
||
|
MEETING
DATE: |
05/20/25 |
|
|
legal entity taking action: |
Board
of Supervisors |
|
|
board of supervisors district(s): |
3 |
|
|
SUBMITTING Agency/Department: |
Health
Care Agency (Approved) |
|
|
Department contact person(s): |
Veronica
Kelley (714) 834-7024 |
|
|
|
Ian
Kemmer (714) 834-2160 |
|
Subject: Approval of Contracts for Irvine
Campus
|
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 $17,625,120 |
||||||||
|
|
|
|
||||||||
|
Staffing Impact: |
No |
# of Positions: |
Sole Source: No |
|||||||
|
Current Fiscal Year Revenue: N/A
|
||||||||||
|
Prior Board Action: N/A |
||||||||||
RECOMMENDED
ACTION(S):
|
1. |
Approve the Contract with Stars
Behavioral Health Group, Inc., dba Coastal Star Behavioral Health, for
provision of Adult Crisis Residential Services Irvine Campus, for the term of
July 1, 2025, through June 30, 2028, for an amount not to exceed $10,586,382,
renewable for one additional two-year term. |
|
2. |
Approve the Contract with Stars
Behavioral Health Group, Inc., dba Coastal Star Behavioral Health for
provision of Crisis Stabilization Services Irvine Campus, for the term of
July 1, 2025, through June 30, 2028, for an amount not to exceed $27,862,634,
renewable for one additional two-year term. |
|
3. |
Approve the Contract with Phoenix House
Orange County, Inc. for provision of Drug Medi-Cal Co-Occurring Residential
Treatment Services Irvine Campus, for the term of July 1, 2025, through June
30, 2028, for an amount not to exceed $10,800,000, renewable for one
additional two-year term. |
|
4. |
Approve the Contract with Phoenix House
Orange County, Inc. for provision of Sobering Center Services Irvine Campus,
for the term of July 1, 2025, through June 30, 2028, for an amount not to
exceed $5,700,294, renewable for one additional two-year term. |
|
5. |
Pursuant to
Contract Policy Manual Section 3.3-113, authorize the County Procurement
Officer or Deputized designee, to exercise a contingency contract cost
increase not to exceed 10 percent of the contract amount for the first year
of the contract for Adult Crisis Residential Services Irvine Campus; 10 percent of the contract amount for the
first year of the contract for Crisis Stabilization Services Irvine Campus;
10 percent of the contract amount for the first year of the contract for Drug
Medi-Cal Co-Occurring Residential Treatment Services Irvine Campus; 10
percent of the contract amount for the first year of the contract for
Sobering Center Services Irvine Campus; for the entire term of the contracts
including renewals, and within scope of work set forth in the contracts. The
contingency contract cost increase is subject to approval requirements
established by the County Procurement Officer. |
|
6. |
Authorize the
County Procurement Officer or Deputized designee to execute the contracts
with Stars Behavioral Health Group, Inc. dba Coastal Star Behavioral Health
and Phoenix House Orange County, Inc., as referenced in the Recommended
Actions above. |
SUMMARY:
Approval of the contracts with
Stars Behavioral Health Group, Inc., dba Coastal Star Behavioral Health for
Adult Crisis Residential Services and Crisis Stabilization Unit Services and
Phoenix House Orange County, Inc. for Drug Medi-Cal Co-Occurring Residential
Treatment Services and Sobering Center Services will allow for a continuum of
Behavioral Health Services addressing both mental health and substance use
disorders to be provided in one integrated setting at the Irvine Campus.
BACKGROUND
INFORMATION:
The Health Care Agency (HCA) is
requesting the Honorable Board of Supervisors (Board) approval of the Contracts
with Stars Behavioral Health Group, Inc., dba Coastal Star Behavioral Health
(Coastal Star) for provision of Adult Crisis Residential (CRP) Services and
Crisis Stabilization Unit (CSU) Services, and Phoenix House Orange County, Inc.
(Phoenix House) for Drug Medi-Cal Co-Occurring Residential Treatment Services
and Sobering Center Services (collectively, SUD) at the Irvine Campus.
On December 2, 2024, the HCA
released two Request for Proposals (RFP) in the County’s online bidding system
to solicit proposals to provide CRP and CSU services. The RFPs included the
County’s intent to award one contract to the qualified respondent for each
service whose proposal was determined to be the most responsive to the
requirements of the RFP. On December 6, 2024, the HCA released one RFP in the
County’s online bidding system to solicit proposals to provide SUD Services.
HCA received by the deadline of January 6, 2025, five proposals for CRP
Services and five proposals for CSU Services. HCA received by the deadline of
January 10, 2025, seven proposals for SUD Services, with five responses for
Drug Medi-Cal Co-Occurring Residential Treatment Services and six responses for
Sobering Center Services. One Respondent was deemed non-responsive for SUD
Services. The Orange County preference policy is not applicable to these
contracts.
Proposal
Evaluation Process
Evaluation panels were recruited to
evaluate the proposals received for each RFP. CRP Services Panel consisted of
subject matter experts; three HCA employees, one Social Services Agency (SSA)
employee, and one external public member. CSU Services Panel consisted of:
three HCA employees with subject matter expertise and two public members with
subject matter expertise. SUD Services Panel consisted of three HCA employees
with subject matter expertise and two SSA employees with subject matter
expertise. Evaluation panel members independently rated the proposals using the
following criteria and possible maximum points of 1000.
CRP
Services:
|
Respondent |
Average
Score |
|
Coastal Star |
919.00 |
|
Telecare Corporation |
856.33 |
|
Crestwood |
799.67 |
|
Aliso Ridge Behavioral Health |
787.00 |
|
Kleer Health Technologies, LLC dba
Prosperous Health Response |
766.00 |
The evaluation panel deemed the proposal
and recommended award of contract to Coastal Star and no protests were
received.
CSU
Services:
|
Respondent |
Average
Score |
|
Coastal Star |
883.67 |
|
Kleer Health Technologies, LLC dba
Prosperous Health Response |
847.33 |
|
Telecare Corporation |
832.67 |
|
Aliso Ridge Behavioral Health |
765.00 |
|
CHCM, Inc. |
734.33 |
The evaluation panel deemed the proposal
and recommended award of contract to Coastal Star and no protests were
received.
SUD
Services:
Drug
Medi-Cal Co-Occurring Residential Treatment Services
|
Respondent |
Average
Score |
|
Phoenix House Orange County, Inc. |
956.33 |
|
HealthRIGHT 360 |
910.33 |
|
Clean Path Recovery Response |
886.33 |
|
Kleer Health Technologies, LLC dba
Prosperous Health Response |
882.33 |
|
God's Love Ministries |
808.00 |
Sobering
Center Services
|
Respondent |
Average
Score |
|
Phoenix House Orange County, Inc. |
943.67 |
|
HealthRIGHT 360 |
881.67 |
|
Kleer Health Technologies, LLC dba
Prosperous Health Response |
878.00 |
|
Clean Path Recovery Response |
836.67 |
|
God's Love Ministries |
807.00 |
|
Pamoja Advanced Nursing Practice
Response |
698.67 |
The evaluation panel deemed the proposal
and recommended award of contract for Drug Medi-Cal Co-Occurring Residential
Treatment Services and Sobering Center Services to Phoenix House and no
protests were received.
HCA staff have conducted due diligence on
the Respondents. Below are the reference checks, which have been confirmed as
satisfactory.
|
Respondent |
Reference
Check |
Reference
Check |
Reference
Check |
|
Coastal Star |
Los Angeles County Department of Mental
Health |
Fresno County Department of Behavioral
Health |
San Bernardino County Department of
Behavioral Health |
|
Phoenix House Orange County, Inc. |
Los Angeles County Department of Public
Health- Substance Abuse Prevention and Control Bureau |
San Bernardino County Department of
Behavioral Health |
Tulare County Probation Department |
HCA verified there are no concerns that
must be addressed with respect to the Respondents’ ownership/name, litigation
status or conflicts with County interest. HCA has confirmed that the
appropriate due diligence has been conducted and all non-profits have been
verified to be in good standing.
Scope
of Services
The Irvine campus will provide
Orange County adults and adolescents experiencing mental health crisis,
twenty-four (24) hours, seven days a week, access to psychiatric evaluations,
treatment and stabilization in the CSU. Adults may be diverted from psychiatric
hospitalization via a short-term stay in the CRP at the campus. Adults who are
under the influence of drugs or alcohol may be diverted from jails or the
emergency room to the Sobering Center and from there have the opportunity to be
served in the co-occurring capable SUD Withdrawal Management and Residential
Treatment program. The campus will have additional SUD services and Sobering
Center Services designed to serve individuals that are intoxicated and in need
of a safe place to become sober.
CRP
Services:
The Irvine CRP will provide
services to Orange County residents 18 years of age and older. CRP services
provide short term, temporary alternatives for people experiencing acute
psychiatric episodes or intense emotional distress who might otherwise face voluntary
or involuntary inpatient treatment. Services include crisis intervention,
therapy, medication monitoring and evaluation to determine the need and
intensity of additional services within a framework of evidence-based and
trauma-informed approaches to recovery planning, including a rich peer support
component. The program will include treatment for co-occurring disorders. The
programs emphasize mastery of daily living skills and social development using
strength-based approaches that support recovery and wellness. The residential
settings create solid links to the Continuum of Care with emphasis on housing
supports and linkages that will ease the transitions into independent living
and prevent psychiatric rehospitalization.
This program operates 24 hours a
day, seven days a week, emulating a home-like environment and supporting a
social rehabilitation model, designed to enhance clients’ social connections
with family or community to help them reintegrate into the community and
prevent inpatient stays. Services will involve families and significant others
throughout the treatment episodes so that the dynamics of the clients’
circumstances are improved prior to discharge. Clients are referred from Adult
and Older Adult Behavioral Health County or County-contracted behavioral health
providers. Services include collaborating with existing behavioral health
providers to arrange for discharge planning, appropriate housing placements, as
needed, in addition to securing linkages to ongoing treatment providers. The average length of services is three
weeks.
CSU
Services:
CSU Services include, but are not
limited to, 24 hours a day, seven days a week, medical services by
psychiatrists and other advanced medical practitioners, individual and group
therapy, nursing assessment, case management services with significant others,
individual and family education, psychiatric evaluations and medication
services, crisis intervention, and assessment for voluntary and involuntary
treatment with transfer to inpatient care as appropriate. These services are
provided for up to 24 hours and include coordination of referrals to continued
care with mental health and substance use treatment providers, as well as other
support services prior to discharge. Additionally, Peer Mentors are available
to provide direct support, education and advocacy, as well as resource and
linkage assistance to clients. The Peer Mentors are also mobile and continue to
provide such services for identified clients for a period of time following
discharge to ensure linkage to continuing care. The CSU operates on a 24 hours,
seven days per week basis, 365 days a year.
SUD
Services:
The campus will offer two SUD
programs: the first program, Drug Medi-Cal Co-Occurring Residential Treatment program
provides both withdrawal and residential treatment services. The residential
treatment is for adults that meet medical necessity for substance use
disorders. Treatment will consist of individual counseling, evidence based
clinical and psycho-educational groups, care coordination with mental and
physical health care services, access to Medication Assisted Treatment
services, and other ancillary services. Treatment will also consist of
providing stabilization to individuals that have a co-occurring condition.
The second program, the Sobering
Center, will provide a safe location for individuals experiencing intoxication
from alcohol or other substances.
Services include observation and monitoring as well as care coordination
to other services upon discharge.
Performance
Outcomes:
CRP
Services:
The performance outcomes for the CRP are
below:
|
• |
A minimum of 75% of Clients shall be
discharged to a lower level of care. |
|
• |
A minimum of 70% of Clients shall be
linked to a continuing care provider. |
|
• |
A minimum of 95% of Clients shall not
require hospitalization within 48 hours of discharge. |
|
• |
A minimum of 75% of Clients shall not
require readmission within 14 calendar days of discharge. |
CSU
Services:
The performance outcomes for the CSU
Services are below:
|
• |
At least 55% of Clients admitted shall
be successfully stabilized and returned to the community. |
|
• |
95% of Clients will be seen by a doctor
within one hour of admission. |
|
• |
Sustain an average daily census of 22
unduplicated clients per day based upon the number of recliners proposed. |
|
• |
85% success rate of linking discharged
clients to a lower level of care within 10 business days. |
SUD
Services:
The performance outcomes for Drug Medi-Cal
Co-Occurring Residential Treatment Services are below:
|
• |
Demonstrate provision of effective
withdrawal management services as measured by at least 70% of clients exit
the program making satisfactory progress. |
|
• |
Increase linkage to other levels of
substance use disorder services, as measured by at least 30% of clients
exiting the program attend at least one treatment service within 30 days of
exiting the program. |
The performance outcome for the Sobering
Center Services is below:
|
• |
Provide linkage through a warm handoff
to ongoing physical health and/or behavioral health treatment as deemed
appropriate. |
|
• |
Track barriers to linkage to care and
what solutions were provided, e.g., transportation, childcare, unhoused, etc.
|
|
• |
Use an evidence-based tool such as
Screening, Brief Intervention, and Referral to Treatment (SBIRT) or
Motivational Interviewing to engage in screenings and referrals. |
The Contracts include subcontractors. See
Attachment E for information regarding subcontractors and Contract Summary
Forms.
HCA requests that the Board approve the
Contracts with Coastal Star for provision of CRP Services, Coastal Star for
provision of CSU Services and Phoenix House for provision of SUD Services, as
referenced in the Recommended Actions above.
FINANCIAL
IMPACT:
Funding
Source:
State: 47% (Mental Health Services
Act, Behavioral Health Services Act, State General fund and Realignment, Opioid
fund)
Federal: 7% (Substance Use
Prevention, Treatment, and Recovery Services Block Grant)
Fees/Other: 46% (Medi-Cal Federal
Financial Participation, Drug Medi-Cal Federal Financial Participation)
Appropriations for this Contract
will be included in Budget Control 042 FY 2025-26 Budget and will be included
in the budgeting process for future years.
The Contract includes provisions
allowing HCA to terminate the Contract, reduce the level of services, and/or
renegotiate the levels of services provided, as necessary. his includes a
notice that allows HCA adequate time to transition or terminate service to
clients, if necessary. ppropriations for this Contract are included in
Budget Control 042 FY 2025-26 Budget and will be included in the budgeting
process for future years.
STAFFING
IMPACT:
N/A
ATTACHMENT(S):
Attachment
A - Contract MA-042-25011433 for Adult Crisis Residential Services Irvine
Campus
Attachment B - Contract MA-042-25011432 for Crisis Stabilization Services
Irvine Campus
Attachment C - Contract MA-042-25011434 for Drug Medi-Cal Co-Occurring Residential
Treatment Services Irvine Campus
Attachment D - Contract MA-042-25011435 for Sobering Center Services Irvine
Campus
Attachment E - Contract Summary Forms
Attachment F - Score Sheets for Adult Crisis Residential Services
Attachment G - Score Sheets for Crisis Stabilization Unit Services
Attachment H - Score Sheets for Substance Use Disorder Services