To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-610-11 with WestCare California, Inc.

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-610-11 with WestCare California, Inc., a non-profit corporation, in an amount not to exceed $2,460,899, to provide substance use disorder prevention, treatment, and detoxification services for Contra Costa County residents in West County, for the period July 1, 2023 through June 30, 2024.
FISCAL IMPACT:
Approval of this contract will result in budgeted expenditures of up to $2,460,899 and will be funded by 2% Assembly Bill 109 ($49,217); 22% Substance Abuse Treatment and Prevention Block Grant ($541,398); 38% Federal Medi-Cal ($935,142) and 38% State General Fund ($935,142) revenues. (Rate increase)
BACKGROUND:
This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this contract to ensure no conflicts with labor relations. This contractor shall provide, operate, and administer Substance Use Disorder (SUD) prevention and treatment program services as certified by the State of California must operate under the terms and conditions of the Drug Medi-Cal Organized Delivery System (DMC-ODS) and must be provided in its facility(ies) referenced in County Health Services Alcohol and Other Drugs (AODS) Department’s Work Plan.
The county has been contracting with WestCare California, Inc., since October 2019 to meet the social needs of the county’s population by providing specialized SUD treatment and detoxification treatment services for West County residents and an opportunity to achieve and maintain sobriety and to experience the associated benefits of self-sufficiency, family reunification, cessation of criminal activity and productive engagement in the community. This contractor was approved by the Public Works Department’s Purchasing Division on August 30, 2023. This contractor was selected as they are the only licensed and credentialed Community Based Organization (CBO) that serves the greater West County for residential and detoxification services for men who are formerly incarcerated and who have co-occurring disorders. They have a long-standing history with State Department of Health Care Services (DHCS) accreditation and compliance and meet all regulatory compliance required of managed care plans.
On July 26, 2022, the Board of Supervisors approved Contract #74-610-10 with WestCare California, Inc., in an amount not to exceed $1,924,519, for the provision of substance use disorder prevention, treatment and detoxification treatment services for county residents in West County who are referred through the Behavioral Health Access Line for the period July 1, 2022 through June 30, 2023.
Approval of Contract #74-610-11 will allow the contractor to continue providing substance use disorder prevention, treatment and detoxification services through June 30, 2024. The delay of this contract was due to a significant postponement in receiving the FY 2023-24 rates for all AODS services from the DHCS.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, county’s clients will not receive substance use disorder treatment from contractor, resulting in an overall reduction of services to a community at risk for incarceration.
Children’s Impact Statement:
This Alcohol and Drug Abuse prevention program supports the Board of Supervisors’ “Families that are Safe, Stable, and Nurturing” and “Communities that are Safe and Provide a High Quality of Life for Children and Families” community outcomes by providing individual, group, and family counseling; substance abuse education; rehabilitation support services; and substance abuse prevention services. Expected outcomes include increased knowledge about the impact of addiction; decreased use of alcohol, tobacco and other drugs; increased use of community-based resources; and increased school and community support for youth and parents in recovery.
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. |
ATTESTED: |
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Monica Nino, County Administrator and Clerk of the Board of Supervisors |
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By: |