To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #74-452-20 with La Clinica De La Raza, 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 Amendment/Extension #74-452-20 with La Clinica De La Raza, Inc., a non-profit corporation, effective May 1, 2026, to amend Contract #74-452-19, to increase the payment limit by $476,167, from $800,000 to an amount not to exceed $1,276,167 and extend the termination date from June 30, 2026 to a new termination date of December 31, 2026 to provide additional Medi-Cal specialty mental health services for Seriously Emotionally Disturbed (SED) children and their families in East and West Contra Costa County.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $476,167 and will be funded 50% by Federal Medi-Cal and 50% Mental Health Realignment. (Rate increase)
BACKGROUND:
Behavioral Health Services Division (BHSD)/Mental Health has an obligation to provide certain Medi-Cal specialty mental health services, for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. This Contract meets the social needs of County’s population by providing community-based mental health services focusing on SED children, adolescents and their families which will result in positive social and emotional development at home, in the community and greater school success. This Contractor has been providing these mental health services while fostering a deep understanding of the BHSD organizations mission, values, and long-term objectives since October 2012.
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 8, 2025, the Board of Supervisors approved Contract #74-452-19 with La Clinica De La Raza, Inc., in an amount not to exceed $800,000, for the provision of Medi-Cal specialty mental health services for SED children and their families in East and West Contra Costa County, for the period from July 1, 2025 through June 30, 2026.
Approval of Contract Amendment/Extension #74-452-20 will allow the Contractor to provide additional Medi-Cal specialty mental health services for SED children and families 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 SED children in East and 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 (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).