To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #77-584-1 with Cain Behavioral Therapy, LLC
☒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 #77-584-1 with Cain Behavioral Therapy, LLC, a limited liability company, in an amount not to exceed $3,000,000, to provide behavioral health treatment (BHT) including applied behavioral analysis (ABA) services for Contra Costa Health Plan (CCHP) members and County recipients, for the period July 1, 2025 through June 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $3,000,000 over a two-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain specialized BHT including ABA health care services. These services include but are not limited to; treatment plans to improve the functioning of CCHP members with pervasive development disorder or autism under the terms of their Individual and Group Health Plan membership contracts with the County. This Contractor has been part of the CCHP Provider Network providing BHT including ABA services fostering a deep understanding of the CCHP organizations, mission, values, and long-term objectives since July 1, 2023.
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. Contractor will cooperate with and participate in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care and services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On July 18, 2023, the Board of Supervisors approved Contract #77-584, with Cain Behavioral Therapy, LLC, in an amount not to exceed $400,000, for the provision of BHT including ABA services for CCHP members for the period July 1, 2023 through June 30, 2025.
Approval of Contract #77-584-1 will allow the Contractor to continue to provide BHT including ABA services to CCHP members and County recipients through June 30, 2027. This Contract is delayed due to the Division receiving the contract documents from the Contractor in June 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved certain specialized behavioral health treatment including applied behavioral analysis services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and may cause a delay to CCHP members.