To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-475-218(1) with MSK Solutions
☒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 #74-475-218(1) with MSK Solutions, a non-profit corporation, in an amount not to exceed $734,496, to provide Medi-Cal Specialty Mental Health Services (SMHS) to Seriously Emotionally Disturbed (SED) youth from Contra Costa County in congregate care facilities for the period July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $734,496 over a three-year period and will be funded by 50% Federal Medi-Cal revenues and 50% Mental Health Realignment funds.
BACKGROUND:
This Contract meets the social needs of County’s population by providing community-based Medi-Cal SMHS to SED youth in congregate care facilities who meet medical necessity criteria for discharge and who are looking to step down to a lower level of care to prepare them for long-term success transitioning back into the community. This Contractor has been providing these mental health services while fostering a deep understanding of Behavioral Health Service Departments organizations mission, values and long-term objectives since July 2025.
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 of Public Works has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
In November 2025, the Purchasing Services Manager approved and executed Contract #74-475-218 with MSK Solutions, in an amount not to exceed $190,000 for the provision of Medi-Cal SMHS for SED youth in Contra Costa County for the period July 1, 2025 through June 30, 2026.
Approval of Contract #74-475-218(1) will allow the Contractor to continue providing Medi-Cal SMHS through June 30, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, there will be fewer Medi-Cal SMHS available for SED youth in Contra Costa County as the County solicits and engages an alternative Contractor.
CHILDREN’S IMPACT STATEMENT:
This Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) 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).