To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-475-201(4) with Erin Zadrozny, LCSW (dba Soul Flow Therapeutics)
☒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 #74-475-201(4) with Erin Zadrozny, LCSW (dba Soul Flow Therapeutics), a sole proprietor, in an amount not to exceed $210,000, to provide Medi-Cal specialty mental health services to beneficiaries in Contra Costa County, for the period July 1, 2026 through June 30, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $210,000 over a two-year period and will be funded by 40% Contra Costa Health Plan Enterprise Fund II revenues, 30% Federal Medi-Cal and 30% State Mental Health Realignment funds.
BACKGROUND:
This Contract meets the social needs of County’s population by providing Medi-Cal specialty mental health services for members ages eighteen (18) and over in Contra Costa County by providing assessment, testing, therapy and medication monitoring for treatment of anxiety, bipolar, depression, grief/loss, personality disorders, substance related disorders, and sexual and gender identity disorders. This Contractor has been providing these services as part of the Department’s Behavioral Health Services Network since October 2025.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Welfare and Institutions Code § 5775 et seq.; Welfare and Institutions Code §§ 14680-14685; California Code of Regulations (CCR), Title 9 § 1810.100 et seq. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. Per Administrative Bulletin 600.3 the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
In January 2025, the Purchasing Services Manager approved and executed Contract #74-475-201 with Erin Zadrozny, LCSW (dba Flow with Erin and Soul Flow Therapeutics), in an amount not to exceed $50,000, to provide Medi-Cal specialty mental health services, for the period from January 1, 2025 through June 30, 2026.
In November 2025, the Purchasing Services Manager approved and executed Contract Amendment #74-475-201(2) with Erin Zadrozny, LCSW (dba Flow with Erin, and Soul Flow Therapeutics), effective November 1, 2025, to increase the payment limit by $25,000, to an amount not to exceed $75,000, to provide additional Medi-Cal specialty mental health services to members in Contra Costa County with no change in the term.
In March 2026 the Purchasing Services Manager approved and executed Contract Amendment #74-475-201(3), (as amended by #74-475-201(2)), with Erin Zadrozny, LCSW (dba Flow with Erin, and Soul Flow Therapeutics), effective February 1, 2026, to increase the payment limit by $55,000, to a new payment limit of $130,000, to provide additional Medi-Cal specialty mental health services with no change in the term.
Approval of Contract #74-475-201(4) will allow the Contractor to continue providing Medi-Cal specialty mental health services through June 30, 2028.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, there will be fewer mental health services available as the County solicits and engages an alternative Contractor, which could result in increased wait times for services.