To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-317-26 with Alternative Family Services, Inc.
☒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 #74-317-26 with Alternative Family Services, Inc., a non-profit corporation, in an amount not to exceed $500,000, to provide Medi-Cal Specialty mental health services, for the period July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $500,000 and will be funded 100% by Federal Medi-Cal revenues.
BACKGROUND:
This Contract meets the social needs of the County’s population by providing mental health services for preschoolers with measurable delays in interpersonal, social/emotional, language and cognitive development, and for children who are at risk for such delays, including abused, developmentally delayed, Seriously Emotionally Disturbed (SED) and environmentally deprived children who do not meet the criteria for any categorical funding source for services. The County has been contracting with Alternative Family Services, Inc. since December 2007.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institution Code, §5600 et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, § 523 et seq. (Community Mental Health Services) and California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates and participates in BHSD’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. 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.
On June 27, 2023, the Board of Supervisors approved Contract #74-317-25, with Alternative Family Services, Inc., in an amount not to exceed $1,503,682 for the provision of Multidimensional Treatment Foster Care (MTFC) services for SED children and their families for the period from July 1, 2023 through June 30, 2024.
Approval of Contract #74-317-26 will allow the Contractor to continue providing services through June 30, 2025. The delay of this Contract was due to ongoing negotiations between the Contractor and the Department.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, SED children within Contra Costa County will have reduced access to mental health services as the county solicits and engages an alternative contractor.
CHILDREN’S IMPACT STATEMENT:
This program supports the following Board of Supervisors’ community outcomes: “Children Ready for and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS).