To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #74-702-2 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center)
☒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 Amendment #74-702-2 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center), a limited liability company, effective April 1, 2026, to amend Contract 74-702-1, to increase the payment limit by $50,000, from $702,980 to a new payment limit not to exceed $752,980 and include Long Term Care (LTC) Patch services in addition to subacute skilled nursing care services with special treatment programs (SNF/STP) for adults with Serious and Persistent Mental Illness (SPMI) with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $50,000 funded 100% by Mental Health Realignment funds. (Additional rates)
BACKGROUND:
There are thirty (30) SNF’s in Contra Costa County, however GHC of Contra Costa, LLC is the only facility that also offers STP. Additionally, Contractor provides an additional placement option for clients who are involved in the justice system who have been placed on a Murphy conservatorship. This Contractor has been providing subacute SNF services since July of 2024. This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code §§ 5600, et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, §§ 523, et seq. (Community Mental Health Services); California Government Code §§ 26227 and 31000. SNF/STP services are locked sub-acute treatment options for clients discharging from acute care settings with co-occurring mental health and physical health needs. Patch services are services that are paid directly by County’s Mental Health Realignment funds to make up the difference in cost between the Medi-Cal reimbursable services and the actual cost of the service.
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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. 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 9, 2024, the Board of Supervisors approved Contract #74-702-1 with GHC of Contra Costa, LLC (dba Bayberry Skilled Nursing and Healthcare Center), in an amount not to exceed $702,980, for the provision of SNF/STP for adults with SPMI for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment #74-702-2 will allow Contractor to include LTC Patch services in addition to SNF/STP for adults with SPMI through June 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, adults with SPMI will not receive LTC Patch services from the Contractor which they may require.