To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #77-443-2 with Behavior Nation 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 #77-443-2 with Behavior Nation LLC, a limited liability company, effective May 1, 2026, to amend Contract #77-443-1, to increase the payment limit by $200,000, from $300,000 to a new payment limit of $500,000, for additional Behavioral Health Treatment (BHT) including Applied Behavioral Analysis (ABA) services with no change in the term ending January 31, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of up to $200,000 as budgeted by the department and funded 100% by CCHP Enterprise Fund II revenues. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized BHT-ABA health care services for its members under the terms of their Individual and Group Health Plan membership contracts with the county. These services include but are not limited to: functional assessments, initial plan development, skills training, therapeutic direct services, reassessments, case management services and home care training with families. Behavior Nation LLC’s proven track record and established reputation within the medical community mitigates potential risks associated with CCHP’s success and patient well-being. This Contractor has been part of the CCHP Provider Network providing BHT-ABA services since February 1, 2022.
This Contract Amendment is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates with and participates 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. The nature of the BHT-ABA services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. This Contractor was approved by the Public Works Department’s Purchasing Division on October 30, 2023.
On February 6, 2024, the Board of Supervisors approved Contract #77-443-1 with Behavior Nation LLC, in an amount not to exceed $300,000 for the provision of BHT-ABA services for CCHP members and County recipients for the period from February 1, 2024 through January 31, 2027.
Approval of Contract Amendment #77-443-2 will allow the Contractor to provide additional BHT-ABA services through January 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved certain specialized 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 in services to CCHP members.