Agenda

Return

C. 87

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	August 1, 2023

Contra

Costa

County

Subject:

Payments for Services Provided by Telecare Corporation

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 08/01/2023

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Suzanne Tavano, Ph.D., 925-957-5212
cc:	L Walker M Parkinen

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: August 1, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Auditor-Controller, or designee, to pay an amount not to exceed $299,915 to Telecare Corporation for the provision of gero-psychiatric and subacute mental health care services to severely and persistently mentally ill (SPMI) clients during the months of May and June 2023.

FISCAL IMPACT:

Payment of $299,915 is funded by 71% Mental Health Realignment, 19% Hospital Enterprise Fund I, and 10% County General Fund.

BACKGROUND:

The county has been contracting with Telecare Corporation since July 1997 to provide gero-psychiatric services and subacute care for SPMI county residents at contractor’s Villa Fairmont Mental Health Center, Garfield Neuro-Behavioral Center, Gladman Psychiatric Health Facility, and Morton Bakar Center. This contract is part of the Department’s cost saving plan to reduce the number of high-cost State Hospital beds by developing alternative placements.

BACKGROUND: (CONT'D)

On July 26, 2022, the Board of Supervisors approved Contract #24-680-41 with Telecare Corporation, in an amount not to exceed $1,909,065, for the provision of gero-psychiatric and subacute mental health care for SPMI clients for the period from July 1, 2022 through June 30, 2023.

This contractor’s bed utilization has been higher than originally anticipated and incoming referrals are unpredictable by nature, therefore the BHSD Division was unable to amend the contract for additional funds in a timely manner.

As requested by the County, Telecare Corporation provided additional gero-psychiatric and subacute mental health care services in good faith. BHSD Administration has therefore determined that Telecare Corporation is entitled to a payment of $299,915 for the reasonable value of their services under the equitable relief theory of quantum meruit. That theory provides that where a person has been asked to provide services without a valid contract, and the provider does so to the benefit of the recipient, the provider is entitled to recover reasonable value of those services.

CONSEQUENCE OF NEGATIVE ACTION:

Telecare Corporation will not be paid for gero-psychiatric and subacute mental health care services rendered in good faith.