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C. 67
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: August  15, 2023
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Contract #24-680-43 with Telecare Corporation

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   08/15/2023
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., 925-957-5169
cc: S Cordova     C Viscarra    
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  15, 2023
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #24-680-43 with Telecare Corporation, a corporation, in an amount not to exceed $2,302,628 to provide gero-psychiatric and subacute mental health care services to severely and persistently mentally ill (SPMI) clients, for the period July 1, 2023 through June 30, 2024.

FISCAL IMPACT:

Approval of this contract will result in budgeted expenditures of up to $2,302,628 and will be funded by 76% Mental Health Realignment ($1,755,437), 16% Hospital Enterprise Fund I ($360,139), and 8% County General Fund ($187,052) revenues. (Rate increase)  








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.  
  
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.  
  
Approval of Contract #24-680-43 will allow the contractor to continue providing gero-psychiatric and subacute mental health care services through June 30, 2024. This contract is late due to implementation of CalAim changes which caused delays in non Medi-Cal contracts.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, county’s SPMI adults will not have access to the contractor’s gero-psychiatric and subacute care services resulting in placements in State Hospital facilities at greater cost to the county.

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