To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #74-475-24(13) with Isaac Burns, LMFT
☒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 #74-475-24(13) with Isaac Burns, LMFT, a sole proprietor, effective November 1, 2025, to amend Contract #74-475-24(11), to increase the payment limit by $80,000 from $200,000 to a new payment limit of $280,000 for additional Medi-Cal specialty mental health services to beneficiaries in East Contra Costa County ages 7 years and older, with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of up to $80,000 and will be funded by 30% Federal Medi-Cal, 30% State Mental Health Realignment funds, and 40% Contra Costa Health Plan Enterprise Fund II. (No rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing Medi-Cal specialty mental health services for members aged seven (7) and over in East Contra Costa County. Services include but are not limited to providing assessment, testing, therapy and medication monitoring for treatment of anxiety, bipolar, depression, grief/loss, personality disorders, substance related disorders, and sexual and gender identity disorders. This Contractor has been providing these services as part of the Department’s Behavioral Health Services Network since June 2015.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Welfare and Institutions Code § 5775 et seq.; Welfare and Institutions Code §§ 14680-14685; and California Code of Regulations (CCR), Title 9 § 1810.100 et seq. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. 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. 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.
In July 2024, the Purchasing Services Manager executed Contract #74-475-24(11) with Isaac Burns, LMFT, in an amount not to exceed $200,000 for the provision of Medi-Cal specialty mental health services, for the period July 1, 2024 through June 30, 2026.
Approval of Contract Amendment #74-475-24(13) will allow the Contractor to provide additional Medi-Cal specialty mental health services through June 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, the Contract will not have sufficient funds to pay Contractor and members will not have access to Contractor’s additional Medi-Cal specialty mental health services, which could result in increased wait times for services.