To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #74-322-28 with Youth Homes Incorporated
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #74-322-28 with Youth Homes Incorporated, a non-profit corporation, in an amount not to exceed $3,800,000, for Medi-Cal specialty mental health specialty services for Seriously Emotionally Disturbed (SED) children for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $3,800,000 for FY 2025-26 and will be funded 100% by Federal Medi-Cal revenues.
BACKGROUND:
This Contract meets the social needs of County’s population by providing residential day treatment therapeutic behavioral services (TBS), including medication, support, crisis intervention and other mental health services to children who are SED and their families in order to keep them out of higher levels of placement. Contractor has been providing residential treatment services and TBS to SED children for the County since September 2007.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code, §§ 5600, et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, §§ 523, et seq. (Community Mental Health Services); California Government Code §§ 26227 and 31000. 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. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. 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 August 13, 2024, the Board of Supervisors approved Contract #74-322-26, with Youth Homes Incorporated, in an amount not to exceed $6,785,199 for the provision of residential treatment and TBS to SED children for the period from July 1, 2024 through June 30, 2025.
Approval of Contract #74-322-28 will allow the Contractor to continue providing Medi-Cal specialty mental health services through June 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, there will be fewer Medi-Cal specialty mental health services available for SED children in Contra Costa County as the County solicits and engages an alternative contractor.
CHILDREN’S IMPACT STATEMENT:
This Contract 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 placement at discharge to a lower level of care.