To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #24-308-61 with Early Childhood Mental Health Program
☒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/Extension #24-308-61 with Early Childhood Mental Health Program, a non-profit corporation, effective June 30, 2026, to amend Contract #24-308-60, to increase the payment limit by $2,107,082, from $4,011,197 to an amount not to exceed $6,118,279, and to extend the termination date from June 30, 2026 to December 31, 2026, to provide additional Medi-Cal specialty mental health services for children in West Contra Costa County.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $2,107,082 and will be funded 100% by Federal Medi-Cal. (Rate increase)
BACKGROUND:
This Contract meets the social needs of the County’s population by providing Medi-Cal specialty mental health services including assessments, individual, group and family therapy; medication support, case management, outreach, and crisis intervention services, to an underserved population and will result in greater home, community, and school success. Early Childhood Mental Health Program has been providing mental health services to the County since July 1, 1983.
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 July 22, 2025, the Board of Supervisors approved Contract #24-308-60 with Early Childhood Mental Health Program in the amount of $4,011,197 for the provision of specialized mental health services including in-home behavioral health services to children in West Contra Costa County for the period from July 1, 2025 through June 30, 2026.
Approval of Contract Amendment/Extension #24-308-61 will allow the Contractor to continue to provide Medi-Cal specialty mental health services through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment/Extension is not approved, there will be fewer Medi-Cal specialty mental health services available for children in West Contra Costa County as the County solicits and engages an alternative contractor.
CHILDREN’S IMPACT STATEMENT:
This Early and Periodic Screening Diagnostic and Treatment 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) and a decrease in juvenile offender recidivism as measured by probation database information.