To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #74-623-10 with Harmonic Solutions, 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 Amendment #74-623-10 with Harmonic Solutions LLC, a limited liability company, effective July 1, 2025, to amend Contract #74-623-9, to include a Nurse Practitioner to provide methadone treatment services, and decrease the payment limit by $12,350, from $1,164,870 to a new payment limit of $1,152,520, and to reduce the hours of the Medical Director, with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in annual budgeted expenditures of up to $1,152,520 and will be funded 100% by Federal Medi-Cal revenues. (No rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing specialized substance abuse treatment and prevention programs to help clients 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. The Contract is being amended to add a Nurse Practitioner, reduce their Medical Director time and move their Licensed Vocational Nurse from administrative staff to direct staff in their budget.
The County has been contracting with Harmonic Solutions LLC, since January 2021. 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. 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. This Contractor was approved by the Public Works Department’s Purchasing Division on April 8, 2025.
On September 9, 2025, the Board of Supervisors approved Contract #74-623-9 with Harmonic Solutions, LLC, in an amount not to exceed $1,164,870, to provide methadone treatment services for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment #74-623-10 will allow the Contractor to include a Nurse Practitioner to provide methadone treatment services through June 30, 2026. The change in administrative staff was realized after the Contract had executed causing a delay in processing the Contract Amendment.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, Contra Costa County residents will not receive necessary methadone treatment services from a Nurse Practitioner and provide them an opportunity to achieve sobriety and recover from the effects of alcohol and other drug use, become self-sufficient, and return to their families as productive individuals.
CHILDREN’S IMPACT STATEMENT:
This Alcohol and Drug Abuse program supports the Board of Supervisors’ “Families that are Safe, Stable, and Nurturing” community outcome by providing parenting education, stability, and safety for mothers (and their children) and pregnant women who are alcohol and drug dependent, while they are in substance abuse treatment. Expected outcomes include delivery of drug-free babies, decreased use of alcohol, tobacco and other drugs, reduction in the number of relapses, and creation of a sober social network.