To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #27-950-10 with Brighter Beginnings
Recommendation: Recommendation of the County Administrator
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #27-950-10 with Brighter Beginnings, a non-profit corporation, in an amount not to exceed $3,000,000, to provide Primary Care Physician (PCP) and behavioral health services for Contra Costa Health Plan (CCHP) members and County recipients, for the period October 1, 2026 through September 30, 2029.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $3,000,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain PCP and behavioral health services including, but not limited to, family medicine for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. 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 currently cooperates and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care, 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. This Contractor has been a part of the CCHP Provider Network providing PCP and behavioral health services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since October 1, 2014. Per Administrative Bulletin 600.4, CCHP Physician services are exempt from solicitation requirements.
On September 19, 2023, the Board of Supervisors approved Contract #27-950-5 with Brighter Beginnings, in an amount not to exceed $1,200,000, for the provision of PCP services for CCHP members and County recipients, for the period October 1, 2023 through September 30, 2026.
On December 5, 2023, the Board of Supervisors approved Contract Amendment #27-950-6 with Brighter Beginnings, effective December 1, 2023, to increase the payment limit by $100,000 to a new total payment limit of $1,300,000, to include California Advancing and Innovating Medi-Cal (CalAIM) outreach services with no change in the term.
On January 21, 2025, the Board of Supervisors approved Contract Amendment #27-950-7 with Brighter Beginnings, effective January 1, 2025, to provide additional PCP services with no change in the payment limit of $1,300,000 or term.
On October 7, 2025, the Board of Supervisors approved Contract Amendment #27-950-8 with Brighter Beginnings, effective January 1, 2026, to include Dual Eligible Special Needs Plan (D-SNP) requirements and obligations, to allow Contractor to provide specialized care to beneficiaries who are dually eligible for Medicare and Medi-Cal and offer care coordination and wrap-around services with no change in the payment limit of $1,300,000 or term.
On June 9, 2026, the Board of Supervisors approved Contract Amendment #27-950-9 with Brighter Beginnings, effective July 1, 2026, to include behavioral health services for CCHP members and County recipients with no change in the payment limit of $1,300,000 or term.
Approval of Contract #27-950-10 will allow the Contractor to continue to provide PCP and behavioral health services for CCHP members and County recipients through September 30, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, CCHP members will not have access to Contractor’s PCP and behavioral health services under the terms of their Individual and Group Health Plan memberships which could cause delays in service to CCHP members.