To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-623-7 with Harmonic Solutions, LLC
☒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 #74-623-7 with Harmonic Solutions, LLC, a limited liability company, in an amount not to exceed $882,649, to provide methadone maintenance treatment services for the period from July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this Contract will result in budgeted expenditures of up to $882,649 and will be funded by 50% Federal Medi-Cal and 50% Drug Medi-Cal Realignment revenues. (Rate increase)
BACKGROUND:
This contract meets the social needs of county’s population by providing specialized substance abuse treatment and prevention programs to help clients to achieve and maintain sobriety and to experience the associated benefits of self-sufficiency, family reunification, cessation of criminal activity and productive engagement in the community. The County has been contracting with Harmonic Solutions, LLC., since January 2021.
This contractor specializes in providing medication assisted treatment services to clients with a substance use disorder to prevent relapse and overdoses due to Opioids, and has a long standing history of successful compliance with all Federal and State laws as well as regulatory requirements, as reported following on-site audits conducted by the State Department of Health Care Services. This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this contract to ensure no conflicts with labor relations. This Contractor was approved by the Public Works Department’s Purchasing Division on February 26, 2024. 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.
On May 9, 2023, the Board of Supervisors approved Contract #74-623-5 with Harmonic Solutions, LLC, in an amount not to exceed $1,496,576, to provide methadone treatment services through its Methadone Maintenance Clinics Program (Medi-Cal Drug Abuse Treatment Services) for the period from July 1, 2023 through June 30, 2024.
On December 12, 2023, the Board of Supervisors approved Amendment Agreement #74-623-6, effective July 1, 2023, to decrease the contract payment limit by $613,927, from $1,496,576 to a new payment limit of $882,649, with no change in the original term of July 1, 2023 through June 30, 2024.
Approval of Contract #74-623-7 will allow the contractor to continue providing methadone treatment services through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, Contra Costa County residents will not receive methadone maintenance treatment services needed to provide them an opportunity to achieve sobriety and recover from the effects of alcohol and other drug use, become self-sufficient, and return to their families as productive individuals.
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).