To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract #74-475-140(6) with Stewart Solutions
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract #74-475-140(6) with Stewart Solutions, a nonprofit corporation, in an amount not to exceed $240,000, to provide Medi-Cal specialty mental health services to members in Central Contra Costa County, for the period July 1, 2025 through June 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in budgeted expenditures of up to $240,000 over a two-year period and will be funded 30% Federal Medi-Cal, 30% State Mental Health Realignment, and 40% Contra Costa Health Plan Enterprise Fund II.
BACKGROUND:
This Contract meets the social needs of County’s population by providing Medi-Cal specialty mental health services for members of all ages in East Contra Costa County by 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 2021.
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.
In July of 2023, the County Administrator approved, and the Purchasing Services Manager executed Contract #74-475-140(3) with Stewart Solutions in an amount not to exceed $140,000 to provide Medi-Cal specialty mental health services, for the period July 1, 2023 through June 30, 2025.
In March of 2025, the Purchasing Services Manager executed Contract Amendment #74-475-140(4) with Stewart Solutions, effective March 1, 2025, to increase the payment limit by $35,000 to a new payment limit of $175,000 for additional Medi-Cal specialty mental health services with no change in the term.
Approval of Contract #74-475-140(6) will allow the Contractor to continue providing Medi-Cal specialty mental health services through June 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, there will be fewer mental health services available as the County solicits and engages an alternative Contractor, which could result in increased wait times for services.