To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #77-063-4 with Center for Social Dynamics, 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 #77-063-4 with Center for Social Dynamics, LLC, a limited liability company, effective July 1, 2025, to amend Contract #77-063-3 to increase the payment limit by $200,000, from $6,000,000 to a new payment limit of $6,200,000, to provide additional Behavioral Health Treatment (BHT) including Applied Behavioral Analysis (ABA) services, with the addition of consulting services regarding utilization management and care coordination, for Contra Costa Health Plan (CCHP) members and County recipients with no change in the term ending March 31, 2027.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional annual expenditures of $200,000 and will be funded 100% by CCHP Enterprise Fund II revenues (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized BHT including ABA health care services. These services include but are not limited to: treatment plans to improve the functioning of CCHP members with pervasive development disorder or autism under the terms of their Individual and Group Health Plan membership contracts with the County. This Contractor has been a member in the CCHP Provider Network providing BHT and ABA services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since April 2017.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Health and Safety Code § 1451. Health Services Personnel approved this contract to ensure there is no conflict 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. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On April 9, 2024, the Board of Supervisors approved Contract #77-063-3 with Center for Social Dynamics, LLC, in an amount not to exceed $6,000,000, for the provision of BHT including ABA services to CCHP members and County recipients for the period April 1, 2024 through March 31, 2027.
Approval of Contract Amendment #77-063-4 will allow the Contractor to provide additional BHT including ABA services with the addition of consulting services, for CCHP members and County recipients through March 31, 2027. This Contract is delayed due to the Division not receiving the required contract documents from the Contractor in a timely manner.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved certain consultation services in addition to BHT including ABA services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the County will not be provided and services may be delayed.