To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #24-773-42 with Mountain Valley Child and Family Services, 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 #24-773-42 with Mountain Valley Child and Family Services, Inc., a non-profit corporation, effective April 1, 2026, to amend Contract #24-773-41 to increase the payment limit by $2,523,473, from $3,519,352 to an amount not to exceed $6,042,824, and to extend the termination date from June 30, 2026 to December 31, 2026, to provide additional Medi-Cal specialty mental health services including Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services and Therapeutic Behavioral Services (TBS) for Seriously Emotionally Disturbed (SED) children and their families in Contra Costa County.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $2,523,473 and will be funded 50% by Federal Medi-Cal revenues and 50% by Mental Health Realignment funds. (Rate increase)
BACKGROUND:
The Behavioral Health Services Division (BHSD) 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 July 1994.
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) and California Government Code §§ 26227 and 31000. 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.
On September 9, 2025, the Board of Supervisors approved Contract #24-773-41 with Mountain Valley Child and Family Services, Inc., in an amount not to exceed $3,519,352, for the provision of Medi-Cal specialty mental health services including EPSDT services and TBS for SED children and their families in Contra Costa County, for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment/Extension #24-773-42 will allow the Contractor to provide additional Medi-Cal specialty mental health services through December 31, 2026. This Contract is delayed due to administrative oversight and lack of real time knowledge of expenditures.
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 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).