To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #24-680-46 with Telecare Corporation
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #24-680-46 with Telecare Corporation, a corporation, in an amount not to exceed $1,088,770, to provide gero-psychiatric and subacute mental health care services for County residents with Severe and Persistent Mental Illness (SPMI), for the period July 1, 2026 through June 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $1,088,770 and will be funded by 66% Mental Health Realignment Funds, 22% Hospital Enterprise Fund I, and 12% County General Fund revenues.
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 Garfield Neuro-Behavioral Center, 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.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates and participates in BHSD’s Quality Management Program which consists of quality improvement activities to improve the quality of care, services and member experience. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On July 8, 2025, the Board of Supervisors approved Contract #24-680-45 with Telecare Corporation, in an amount not to exceed $1,492,648, for the provision of gero-psychiatric and subacute mental health care services for SPMI County residents, for the period July 1, 2025 through June 30, 2026.
Approval of Contract #24-680-46 will allow the Contractor to continue providing gero-psychiatric and subacute mental health care services through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, County’s SPMI adults will not have access to Contractor’s gero-psychiatric and subacute care services which may result in a reduction of services and placement in higher levels of care.