To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #24-979-48 with Addiction Research and Treatment, 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 #24-979-48 with Addiction Research and Treatment, Inc., a corporation, in an amount not to exceed $4,000,000, to provide methadone maintenance treatment services to County residents for the period from July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $4,000,000 and will be funded 100% by Federal Drug Medi-Cal revenues.
BACKGROUND:
Contractor is a Community Based Organization and is the only Narcotic Treatment Program (NTP) provider rendering services to Contra Costa County clients in two critical geographical locations. Contractor specializes in providing Medication Assisted Treatment (MAT) services to clients with substance use disorder to prevent relapses and overdoses due to Opioids. The County has been contracting with Addiction Research and Treatment, Inc., since October 1998 to provide methadone treatment services through its Methadone Maintenance Clinics Program in East and West Contra Costa County.
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 July 9, 2024, the Board of Supervisors approved Contract #24-979-47 with Addiction Research and Treatment, Inc., in the amount of $5,946,184, to provide methadone treatment services through its Methadone Maintenance Clinics Program (Medi-Cal Drug Abuse Treatment Services) in East and West Contra Costa County, for the period July 1, 2024 through June 30, 2025.
Approval of Contract #24-979-48 will allow the Contractor to continue providing services through June 30, 2026. The delay of this Contract was due to ongoing budget and rate negotiations between the Division and the Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, Contra Costa County residents will not receive the specialized substance abuse treatment services needed to 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.