To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-735 with Naomi Natalie Terao, M.D.
☒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 #74-735 with Naomi Natalie Terao, M.D., an individual, in an amount not to exceed $425,000, to provide outpatient psychiatric care services for mental health patients with a substance abuse disorders in Contra Costa County, for the period October 1, 2025 through September 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $425,000 and will be funded as budgeted by the department, 100% by Mental Health Measure X Funds.
BACKGROUND:
This Contract meets the social needs of County’s population by providing Measure X funded mental health outpatient psychiatric services including, but not limited to diagnosing, counseling, evaluating, medication management and providing medical and psychiatric therapeutic treatment services to mental health patients with substance abuse disorders in Contra Costa County. This is a new Contractor who will provide these services and foster a deep understanding of the County’s organizations mission, values, and long-term objectives starting October 1, 2025.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Welfare and Institutions Code, § 5600 et seq. (The Bronzan - McCorquodale Act). Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Acting as a Mental Health Plan designated by Department of Health Care Services (DHCS), Contra Costa Behavioral Health is required to meet federal and state network adequacy standards to ensure that all Medi-Cal managed care covered services are available and accessible to beneficiaries in accordance with timely access and time and distance standards. Contractor currently cooperates with and participates in BHSD’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 Physician services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
Approval of new Contract #74-735 will allow the Contractor to provide outpatient psychiatric care services through September 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary psychiatric services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.