To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #74-402-24 with Aspiranet
☒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/Extension #74-402-24 with Aspiranet, a non-profit corporation, effective June 30, 2026, to amend Contract #74-402-23, to increase the payment limit by $298,350, from $585,000 to an amount not to exceed $883,350, and to extend the termination date from June 30, 2026 to December 31, 2026, to provide additional Medi-Cal specialty mental health services including Therapeutic Behavioral Services (TBS) for Seriously Emotionally Disturbed (SED) children and young adults up to twenty-one (21) years of age with high-risk behavior in East and West Contra Costa County.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $298,350 and will be funded 100% by Federal Medi-Cal revenues. (Rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing community-based mental health services focusing on high-risk behavior SED children, adolescents and their families which will result in positive social and emotional development at home, in the community and greater school success. This Contractor has been providing these mental health services while fostering a deep understanding of the BHSD organizations mission, values, and long-term objectives since July 2010.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institution Code, §5600 et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, § 523 et seq. (Community Mental Health Services) and California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates and participates in BHSD’s Quality Management Program which consists of quality improvement activities to improve the quality of care, services and member experience. Per Administrative Bulletin 600.3 the Department has posted a continuous Request for Qualifications (RFQ) and maintains a current qualified list of vendors at all times.
On July 22, 2025, the Board of Supervisors approved Contract #74-402-23 with Aspiranet, in an amount not to exceed $585,000, for the provision Medi-Cal specialty mental health services including TBS for SED children and young adults up to twenty-one (21) years of age with high-risk behavior in East and West Contra Costa County, for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment/Extension #74-402-24 will allow the Contractor to provide additional Medi-Cal specialty mental health services through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment/Extension is not approved, there will be fewer Medi-Cal specialty mental health services available for SED children in East and West Contra Costa County as the County solicits and engages an alternative Contractor.
CHILDREN’S IMPACT STATEMENT:
This Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program supports the following Board of Supervisors’ community outcomes: “Children Ready For and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS).