To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #77-334-2 with AEFCT
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #77-334-2 with AEFCT, a corporation, in an amount not to exceed $600,000, to provide Behavioral Health Treatment (BHT) including Applied Behavioral Analysis (ABA) services for Contra Costa Health Plan (CCHP) members for the period June 1, 2025 through May 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $600,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized BHT including ABA services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. These services include but are not limited to: thorough reviews and assessments of an individual’s development and behavior using national, evidence-based practice standards, and treatment plans to improve the functioning of CCHP members with pervasive developmental disorder or autism. This Contractor has been a part of the CCHP Provider Network providing BHT including ABA services and fostering a deep understanding of the CCHP organizations, mission, values, and long-term objectives since June 2021.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this contract to ensure no conflicts with labor relations. Contractor will cooperate with and participate in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care and services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On June 13, 2023, the Board of Supervisors approved Contract #77-334-1 with AEFCT in the amount not to exceed $780,000 for the provision of BHT including ABA services for CCHP members for the period June 1, 2023 through May 31, 2025.
Approval of Contract #77-334-2 will allow the Contractor to continue to provide BHT and ABA services for CCHP members through May 31, 2028. This Contract is delayed due to Division waiting for Contractor to provide updated documents.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized BHT including ABA services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the county will not be provided, which may delay services for members.