To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #24-979-50 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 #24-979-50 with Addiction Research and Treatment, Inc., a corporation, in an amount not to exceed $13,031,968, to provide methadone maintenance treatment services for adults and youth in East and West Contra Costa County for the period from July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $13,031,968 over a three-year period 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 May 18, 2026.
On September 16, 2025, the Board of Supervisors approved Contract #24-979-48 with Addiction Research and Treatment, Inc., in the amount of $4,000,000, to provide methadone treatment services through its Methadone Maintenance Clinics Program (Medi-Cal Drug Abuse Treatment Services) for adults and youth in East and West Contra Costa County, for the period July 1, 2025 through June 30, 2026.
On May 19, 2026, the Board of Supervisors approved Contract Amendment #24-979-49 with Addiction Research and Treatment, Inc., effective May 1, 2026, to increase the payment limit by $343,990 to a new payment limit of $4,343,990, to provide additional methadone treatment services for adults and youth in East and West Contra Costa County in East and West Contra Costa County with no change in the term ending June 30, 2026.
Approval of Contract #24-979-50 will allow the Contractor to continue providing methadone maintenance treatment services through June 30, 2029.
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.
CHILDREN’S IMPACT STATEMENT:
This 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).