HomeMy WebLinkAboutMASTER AGREEMENT- Occupational Physical Therapy Services_A-24-695 A-24-335.pdf COtj County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
601 Board of Supervisors 93721-2198
O� 1$56 0 Telephone: (559)600-3529
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www.fresnocountyca.gov
December 17, 2024
Present: 5- Supervisor Steve Brandau, Chairman Nathan Magsig,Vice Chairman Buddy Mendes,
Supervisor Brian Pacheco, and Supervisor Sal Quintero
Agenda No. 65. Public Health File ID: 24-1316
Re: Under Administrative Policy No. 34 for competitive bids or requests for proposals, determine that an
exception to the competitive bidding requirement is satisfied and a suspension of competition is
warranted due to unusual or extraordinary circumstances, and that the best interests of the County
would be served by adding Delta Healthcare Providers, LLC to the Master Agreement for Occupational
and Physical Therapy Services; and approve and authorize the Chairman to execute Amendment I to
Master Agreement to add Delta Healthcare Providers, LLC as a contracted provider with no change to
the term of July 1, 2024 to June 30,2029, or maximum compensation of$4,286,875
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No. 24-695
County of Fresno Page 73
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Board Agenda Item 65
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DATE: December 17, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Amendment I to Master Agreement No. 24-335 for Occupational and Physical
Therapy Services
RECOMMENDED ACTION(S):
1. Under Administrative Policy No. 34 for competitive bids or requests for proposals,
determine that an exception to the competitive bidding requirement is satisfied and a
suspension of competition is warranted due to unusual or extraordinary circumstances, and
that the best interests of the County would be served by adding Delta Healthcare Providers,
LLC to the Master Agreement for Occupational and Physical Therapy Services; and
2. Approve and authorize the Chairman to execute Amendment I to Master Agreement to add
Delta Healthcare Providers, LLC as a contracted provider with no change to the term of July
1, 2024 to June 30, 2029, or maximum compensation of$4,286,875.
There is no additional Net County Cost associated with the recommended actions. Approval of the
recommended actions will allow the Department of Public Health (Department)to utilize an additional
qualified healthcare staffing vendor to provide qualified pediatric occupational and physical therapists under
the Master Agreement. The Master Agreement is funded with Department of Health Care Services (DHCS)
and Health Realignment monies. This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended actions, the Department will continue to recruit via County
Human Resources and work with existing providers of the Master Agreement to staff occupational therapists
(OT) and physical therapists (PT), an immediate need but has been a challenge.
SUSPENSION OF COMPETITION/SOLE SOURCE CONTRACT:
It is requested that the County find under Administrative Policy No. 34 (AP 34)that an exception to the
competitive bidding requirement is satisfied, and a suspension of competition is warranted due to unusual or
extraordinary circumstances as the Department seeks to fill vacant occupational therapist (OT)vacancies.
The Department has requested referrals for OT staff from the seven vendors currently contracted under
Master Agreement No. 24-335 but has not received any referrals. Delta Healthcare Providers, LLC was a
vendor for two years under the previous agreement for these services and was successful in finding a
qualified pediatric OT with relevant experience working with children with disabilities and special needs
conditions. Since the current agreement has been executed, Delta has reached out to the Department
consistently, expressing a desire to be added to the agreement and confirmed immediate availability of an
OT. Adding Delta as a vendor at this juncture would allow the Department to place an additional OT at the
Medical Therapy Units (MTUs)to address the needs of the 290 children who are on the OT waitlist. The
Internal Services Department- Purchasing concurs with the Department's assessment that this satisfies
County of Fresno page 1 File Number.24-1316
File Number:24-1316
the exception to the competitive bidding process required by AP 34.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. The addition of Delta
Healthcare Providers, LLC to the Master Agreement does not change the maximum compensation of
$857,375 per fiscal year; $4,286,875 for the five-year term, funded by DHCS (50%)and Health Realignment
(50%). Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY
2024-25 Adopted Budget and will be included in subsequent budget requests for the duration of the term.
Actual costs will be based on actual services provided.
DISCUSSION:
The MTP is a specialty program within CCS that provides medically necessary outpatient occupational
therapy, physical therapy(PT), and medical therapy conference (MTC)services for children ranging in age
from 0 to 21 with disabilities and special needs conditions, generally due to neurological or musculoskeletal
disorders. The services are provided on-site at MTUs located at three county public elementary schools:
Clovis, Powers-Ginsburg, and Storey. Currently, 691 eligible children receive OT and PT services provided
by County employees and contracted staff.
The Board approved the current Master Agreement No. 24-335 on June 18, 2024 with seven vendors to
provide OT and PT staffing at the MTUs. County Human Resources and the Department of Public Health
have had challenges filling permanent PT and OT positions due to a lack of candidates. Currently, there is
an open and continuous recruitment for an OT. Since executing the Master Agreement, the current seven
vendors have yet to refer a qualified OT. Adding Delta as a vendor to the Master Agreement would allow the
Department an additional resource to possibly find qualified OTs to address the needs of the 290 children on
the OT waitlist.
REFERENCE MATERIAL:
BAI #72, June 18, 2024
ATTACHMENTS INCLUDED AND/OR ON FILE:
Suspension of Competition Acquisition Request
On file with Clerk-Amendment I to Master Agreement
CAO ANALYST:
Ronald W. Alexander, Jr.
County of Fresno page 2 File Number.24-1316
cOc.Y,
[0 Email Me]
Suspension of Competition Acquisition Request Double click!
1. Fully describe the product(s)and/or service(s) being requested.
Healthcare staffing services to be provided by qualified occupational therapists (OT)and physical therapists (PT)
licensed in the state of California. Contracted staff to provide OT and PT services to children receiving therapy
services at the County's Medical Therapy Units (MTUs).
2. Identify the selected vendor and contact person; include the address, phone number and e-mail address for each.
Delta Healthcare Providers - Reygen Wentz; rwentz@deltahcp.com; (800) 521-5060; 3100 Olympus Blvd. Suite 500,
Dallas, TX, 75019
3. What is the total cost of the acquisition? If an agreement, state the total cost of the initial term and the amounts for
potential renewal terms.
Max compensation for the current Master Agreement No. 24-335 is $4,286,875. There will be no increase to the
current contracted amount with the addition of Delta Healthcare Providers to the Master Agreement as a
contracted vendor.
4. Identify the unique qualities and/or capabilities of the service(s) and/or product(s)that qualify this as a Suspension of
Competition acquisition.
On March 24, 2024, the Department issued RFSQ No. 24-053 to solicit vendors for these services. Unfortunately,
Delta did not respond to the RFSQ. The Board of Supervisors approved the Master Agreement with seven
vendors on June 18, 2024. The Department has been in ongoing contact with the seven vendors to fill the
desperately needed OT position to address the current OT waitlist. At this time, the current contracted vendors
have not been able to refer any staff to fill the vacant OT position.
Delta Healthcare Providers was a contracted provider under the previous Master Agreement No. 19-292 which ended
June 30, 2024. Prior to the contract expiration, Delta had submitted documentation and references as proof of
their qualifications affirming capability to provide necessary OT and PT staffing services. Delta has also
confirmed immediate availability of an OT for the MTU.
5. Identify from Administrative Policy#34 what circumstances constitute a Suspension of Competition.
❑ In an emergency when goods or services are immediately necessary for the preservation of the public health,welfare,or safety,or for the
protection of County property.
❑When the contract is with a federal,state,or local governmental agency.
❑When the department head,with the concurrence of the Purchasing Agent,finds that the cost of preparing and administering a competitive
bidding process in a particular case will equal or exceed the estimated contract amount or$5,000 whichever is more.
❑When a contract provides only for payment of per diem and travel expenses and there is to be no payment for services rendered.
❑When obtaining the services of expert witnesses for litigation or special counsel to assist the County.
®When in unusual or extraordinary circumstances,the Board of Supervisors or the Purchasing Agent/Purchasing Manager determines that
the best interests of the County would be served by not securing competitive bids or issuing a request for proposal.
6. Explain why the unique qualities and/or capabilities described above are essential to your department.
The MTP is a specialty program within CCS that provides medically necessary outpatient occupational therapy,
physical therapy, and medical therapy conference services for children ranging in age from 0 to 21 with disabilities
and special needs conditions, generally due to neurological or musculoskeletal disorders. The services are provided
on-site at MTUs located at three county public elementary schools. Currently, 691 eligible children receive services at
the MTUs; services are provided by County staff and contracted providers.There is a waitlist of 290 children needing
OT services. Unfortunately, the Department has been unsuccessful in filling it's OT vacancy through an open and
continuous recruitment for County staff or through regular contact with the current seven contracted healthcare
staffing vendors.
7. Provide a comprehensive explanation of the research done to verify that the recommended vendor is the only vendor
with the unique qualities and/or capabilities stated above. Include a list of all other vendors contacted, what they were
asked, and their responses.
E-PD-048 (Rev 07/2021)
DPH has requested referrals for OT staff from the seven vendors currently contracted under Master Agreement No.
24-335 but has not received any referrals. Delta was a vendor for two years under the previous contract for these
services and was successful in finding a qualified pediatric OT with relevant experience working with children with
disabilities and special needs conditions. Since the current contract has been executed, Delta has reached out to
the Department consistently, expressing a desire to be added to the Master Agreement and reiterating that they
have a local OT available to fill our vacancy. Adding Delta as a vendor at this juncture would allow us to place an
additional OT at the MTUs to address the needs of the 290 children on the OT waitlist.
pvasquez 10/31/2024 2:09:35 PM [a Sign] Double dick!
Requested By: Title
I approve this request to suspend competition for the service(s) and/or product(s) identified herein.
dluchini 11/4/2024 1:12:52 PM [a Sign] Double click!
Department Head Signature
rblackburn 11/13/2024 8:14:03 AM [a Sign] Double click!
Purchasing Manager Signature
E-PD-048 (Rev 07/2021)
Agreement No. 24-695
1 AMENDMENT NO. 1 TO SERVICE AGREEMENT
2 This Amendment No. 1 to Service Agreement ("Agreement No. 24-335") is dated
3 December 17, 2024 and is between, Contractor(s) listed in Revised Exhibit A "List of
4 Contractors" ("Contractor (s)"), and the County of Fresno, a political subdivision of the State of
5 California ("County").
6 Recitals
7 A. County, through its Department of Public Health (DPH) California Children's Services
8 (CCS) — Medical Therapy Program (MTP), is in need of Occupational Therapy (OT) and
9 Physical Therapy (PT) services to be performed by qualified Occupational Therapists and
10 Physical Therapists licensed by the State of California; and
11 B. County DPH CCS-MTP is mandated by the California State Law to provide OT and PT
12 services for children, ranging from birth to 21 years old, with handicapping conditions, generally
13 due to neurological, musculoskeletal or other medical disorders, such as but limited to, cerebral
14 palsy and spina bifida; and
15 C. On June 18, 2024, the County and the Contractor(s) entered into the Master Agreement
16 for Occupational and Physical Therapy Services, which is County agreement number A-24-335
17 ("Agreement").
18 D. The County and the Contractor now desire to amend the Agreement to add Contractor
19 Delta Healthcare Providers, LLC.
20 The parties therefore agree as follows:
21 1. All references to Exhibit A shall be deemed references to Revised Exhibit A, which is
22 attached and incorporated by this reference.
23 2. All references to Exhibit D "Compensation" shall be deemed references to Revised
24 Exhibit D, which is attached and incorporated by this reference.
25 3. When both parties have signed this Amendment No. 1, the Agreement and this
26 Amendment No.1 together constitute the Agreement.
27 4. The Contractor(s) represents and warrants to the County that:
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1 a. The Contractor(s) is duly authorized and empowered to sign and perform its
2 obligations under this Amendment.
3 b. The individual signing this Amendment on behalf of the Contractor(s) is duly
4 authorized to do so and his or her signature on this Amendment legally binds the
5 Contractor(s) to the terms of this Amendment.
6 5. The parties agree that this Amendment may be executed by electronic signature as
7 provided in this section.
8 a. An "electronic signature" means any symbol or process intended by an individual
9 signing this Amendment to represent their signature, including but not limited to (1) a
10 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
11 electronically scanned and transmitted (for example by PDF document) version of an
12 original handwritten signature.
13 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
14 equivalent to a valid original handwritten signature of the person signing this
15 Amendment for all purposes, including but not limited to evidentiary proof in any
16 administrative or judicial proceeding, and (2) has the same force and effect as the
17 valid original handwritten signature of that person.
18 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
19 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
20 2, Title 2.5, beginning with section 1633.1).
21 d. Each party using a digital signature represents that it has undertaken and satisfied
22 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
23 through (5), and agrees that each other party may rely upon that representation.
24 e. This Amendment is not conditioned upon the parties conducting the transactions
25 under it by electronic means and either party may sign this Amendment with an
26 original handwritten signature.
27 6. This Amendment may be signed in counterparts, each of which is an original, and all of
28 which together constitute this Amendment.
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1 7. The Agreement as amended by this Amendment No. 1 is ratified and continued. All
2 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and
3 effect.
4 [SIGNATURE PAGE FOLLOWS]
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I The parties are signing this Amendment No. 1 on the date stated in the introductory
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CONTRACTOR(S) COUNTY OF FRESNO
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See Revised Exhibit A "List of Contractors"
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Subsequent signature pages are attached.
6 Nathan Magsig, Chairman of the Board of
Supervisors of the County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
10 By:
11 Deputy
12 For accounting use only:
13 Org No.: 56201601
Account No.: 7295
14 Fund No.: 0001
Subclass No.: 10000
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Docusign Envelope ID: DBED3C2D-35E7-4B8C-AD50-464557A47124
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CONTRACTOR:
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Delta Healthcare Providers, LLC
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DocuSigned by:
4 p_^^ AAW Executive vice President
5 Ryan AnhoIt
6 3100 Olympus Blvd. Suite 500
Dallas, TX 75019
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Revised Exhibit A
List of Contractor(s)
1. ATC Healthcare Services, LLC
Business Type: LLC
Business Address: 1983 Marcus Avenue, E-122
Lake Success, NY 11042
Contact: Cheryl Stein, Vice President of Contracting
516-750-1618
cstein(cDatchealthcare.com
2. Health Advocates Network, Inc.
Business Type: Corporation
Business Address: 100 N. Barranca Street, Suite 430
Covina, CA 91791
Contact: Andrea Goodwin, Director of Sales and Operations
800-928-5561
Andrea.Goodwin@hanstaff.com
3. HealthPRO Pediatrics, LLC
Business Type: LLC
Business Address: 1 Marcus Drive, Suite 101
Greenville, SC 29615
Contact: Krupa Kuruvilla, Regional Vice President
270-506-4254
pedsrfp(a).healthpropediatrics.com
4. Infojini, Inc.
Business Type: Corporation
Business Address: 10015 Old Columbia Road, Suite B215
Columbia, MD 21406
Contact: Sandeep Harjani, President
443-257-0086
statebids@infojiniconsulting.com
5. JayKay Services, Inc.
Business Type: Corporation
Business Address: 2054 Classique Lane,
Tavares, FL 32778
Contact: Nancy Malika, General Manager
909-686-6088
nmalika@jaykaymedicalstaffing.com
A-1
Revised Exhibit A
List of Contractor(s)
6. Meda Health, LLC
Business Type: LLC
Business Address: 15331 W. Bell Road, Suite 212
Surprise, AZ 85374
Contact: Logan Frank, Chief Executive Officer
480-336-1181
Ifrank@medahealthstaffing.com
7. Worldwide Travel Staffing, Limited
Business Type: LLC
Business Address: 2829 Sheridan Drive
Tonawanda, NY 14150
Contact: Leo R. Blatz, Chief Executive Officer
866-633-3700; ext. 101
Iblatz(a)worldwidetravelstaffing.com
8. Delta Healthcare Providers
Business Type: LLC
Business Address: 3100 Olympus Blvd., Suite 500
Dallas, TX 75019
Contact: Reygan Wentz, Senior Principal Account VP
800-521-5060
rwentz@deltahcp.com
A-2
Revised Exhibit D
Compensation
ATC Healthcare Services, LLC
Classification Hourly Rate
Occupational Therapist $94.50
Physical Therapist $98.25
Overtime Pay: 1 '/2 times the normal hourly rate will be charged for all hours worked over
eight (8) in a day; 2 times the normal hourly rate will be charged for all hours worked over
twelve (12) in a day; 1 '/2 times the normal hourly rate will be charged for all hours worked
over forty (40) in one week.
Holiday Pay: 1 1/2 times the hourly bill rate.
Health Advocates Network, Inc.
Classification Hourly Rate
Occupational Therapist $89.00
Physical Therapist $96.00
HealthPRO Pediatrics, LLC
Classification Hourly Rate
Occupational Therapist $95.00
Physical Therapist $95.00
Info'ini, Inc.
Classification Hourly Rate
Occupational Therapist $85.00
Physical Therapist $85.00
Overtime Pay: 1 '/2 times the normal hourly rate.
Holiday Pay: 1 '/2 times the normal hourly rate.
JayKay Services, Inc.
Classification Hourly Rate
Occupational Therapist $75.00
Physical Therapist $75.00
Overtime Pay: 1 '/2 times the normal hourly rate.
Holiday Pay: 1 1/2 times the normal hourly rate.
D-1
Revised Exhibit D
Compensation
Meda Health, LLC
Classification Hourly Rate
Occupational Therapist $80.00
Physical Therapist $80.00
Overtime Pay: Overtime will be billed at 1.4x the base hourly rate for all hours worked over
40.
Holiday Pay: Holiday hours will be billed at 1.4x the base hourly rate.
Worldwide Travel Staffing, Limited
Classification Hourly Rate
Occupational Therapist $95.00
Physical Therapist $100.00
Overtime Pay: Overtime will be billed at 1.4x the base hourly rate for all hours worked over
40.
Holiday Pay: Holiday hours will be billed at 1.4x the base hourly rate.
Delta Healthcare Providers, LLC
Classification Hourly Rate
Occupational Therapist $94.00
Physical Therapist $94.00
D-2