To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #24-949-39(23) with A Step Forward Child Abuse Treatment and Training Programs, A Marriage, Family and Child Counseling Corporation
☒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 #24-949-39(23) with A Step Forward Child Abuse Treatment and Training Programs, A Marriage, Family and Child Counseling Corporation, a corporation, effective May 1, 2026, to amend Contract #24-949-39(20), as amended by Contract Amendment #24-949-39(21) and #24-949-30(22), to increase the payment limit by $130,000, from $850,000 to a new payment limit of $980,000 for additional Medi-Cal specialty mental health services to members in Central Contra Costa County, with no change to the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of up to $130,000 and will be funded 30% by Federal Medi-Cal funds, 30% State Mental Health Realignment funds, and 40% Contra Costa Health Plan (CCHP) Enterprise Fund II revenues.
BACKGROUND:
This Contract meets the social needs of County’s population by providing Medi-Cal specialty mental health services for beneficiaries of all ages in Contra Costa County by providing assessment, testing, therapy and medication monitoring for treatment of mental disorders, sexually abused children and sexual perpetrators. This Contractor has been providing these services as part of the Department’s Behavioral Health Services Network since 2006.
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; 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.
On July 9, 2024, the Board of Supervisors approved Contract #24-949-39(20) with A Step Forward Child Abuse Treatment and Training Programs, A Marriage, Family and Child Counseling Corporation, in an amount not to exceed $450,000 to provide Medi-Cal specialty mental health services for the period July 1, 2024 through June 30, 2026.
On February 25, 2025, the Board of Supervisors approved Contract Amendment #24-949-39(21) with A Step Forward Child Abuse Treatment and Training Programs, A Marriage, Family and Child Counseling Corporation, effective February 1, 2025, to increase the payment limit by $400,000 to a new payment limit of $850,000 for additional Medi-Cal specialty mental health services, with no change in the term.
On December 16, 2025, the Board of Supervisors approved Contract Amendment #24-949-39(22) with A Step Forward Child Abuse Treatment and Training Programs, A Marriage, Family and Child Counseling Corporation, effective January 1, 2026, to include additional Medi-Cal specialty mental health services for beneficiaries in Central Contra Costa County, with no change in the payment limit or term.
Approval of Contract Amendment #24-949-39(23) 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, beneficiaries in Contra Costa County will not have access to Contractors additional Medi-Cal specialty mental health services which could result in increased wait times for services.