To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-565-1 with Crestwood Behavioral Health, 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 #77-565-1 with Crestwood Behavioral Health, Inc., a corporation, in an amount not to exceed $900,000, to provide skilled nursing facility (SNF) services for Contra Costa Health Plan (CCHP) members and County recipients for the period June 1, 2025 through May 31, 2028.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $900,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II.
BACKGROUND:
CCHP has an obligation to provide certain specialized SNF services for its members under the terms of their Individual and Group Health Plan membership contracts with the County. Members are released from the hospital to recover at an SNF until they are well enough to be sent home. These services include but are not limited to: twenty-four (24) hour medical care, social service and case management coordination, wound care, respiratory therapy, nasogastric and gastric tube feeding, physical and speech therapy services. This Contractors proven track record and established reputation within the medical community mitigates potential risks as-sociated with CCHP’s success and patient wellbeing. This Contractor has been a member in CCHP Provider Network providing SNF services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since June 1, 2023.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates with and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care and 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. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On June 13, 2023, the Board of Supervisors approved Contract #77-565 with Crestwood Behavioral Health, Inc., in an amount not to exceed $2,400,000 for the provision of SNF services for Contra Costa Health Plan members and County recipients for the period June 1, 2023 through May 31, 2025.
Approval of Contract #77-565-1 will allow the Contractor to continue to provide SNF services for CCHP members and County recipients for the period through May 31, 2028. This Contract is delayed due to the Division not receiving the required contract documents from the Contractor in a timely manner.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain specialized SNF services for CCHP members under the terms of their Individual and Group Health Plan membership contract with the county will not be provided and may cause members to endure longer wait times.