To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-174-47 with Bi-Bett

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-174-47 with Bi-Bett, a non-profit corporation, in an amount not to exceed $5,223,727, to provide substance use disorder prevention, treatment, and detoxification services for county residents referred through the Behavioral Health Access Line, for the period from July 1, 2023 through June 30, 2024.
FISCAL IMPACT:
Approval of this contract will result in budgeted expenditures of up to $5,223,727 and will be funded by 23% Substance Abuse Treatment and Prevention Block Grant ($1,201,458); 72% Federal Medi-Cal ($3,761,083); 4% Assembly Bill 109 ($208,949) and 1% Early and Periodic Screening, Diagnosis and Treatment ($52,237) revenues. (Rate increase)
BACKGROUND:
The Behavioral Health Services Department has been contracting with Bi-Bett since May 2002 to provide substance use disorder treatment services for county residents referred through the Behavioral Health Access Line. This contract meets the social needs of county’s population by providing specialized substance use disorder treatment services so that men and women, including women with children, are provided an opportunity to achieve and maintain sobriety and to experience the associated benefits of self-sufficiency, family reunification, cessation of criminal activity and productive engagement in the community. This contractor was approved by the Public Works Department’s Purchasing Division on August 22, 2023. Contractor was selected as they are the only Community Based Organization that serves each geographic location where the services are delivered and the only credentialed vendor for detoxification services, a highly specialized service modality. They meet all regulatory compliance required of managed care plans.
On July 26, 2022, the Board of Supervisors approved Contract #74-174-46, with Bi-Bett, in an amount not to exceed $5,229,208, to provide substance use disorder prevention, treatment, and detoxification services for county residents referred through the Behavioral Health Access Line, for the period from July 1, 2022 through June 30, 2023.
Approval of Contract #74-174-47 will allow the contractor to continue providing substance use disorder treatment services through June 30, 2024. The delay of this contract was due to a significant postponement in receiving the FY 2023-24 rates for all Alcohol and Other Drugs (AODS) services from the State Department of Health Care Services.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, county residents referred through the Behavioral Health Access Line will not receive substance use disorder treatment services from this contractor.
Children’s Impact Statement:
This Alcohol and Drug Abuse prevention program supports the Board of Supervisors’ “Families that are Safe, Stable, and Nurturing” and “Communities that are Safe and Provide a High Quality of Life for Children and Families” community outcomes by providing individual, group, and family counseling; substance abuse education; rehabilitation support services; and substance abuse prevention services. Expected outcomes include increased knowledge about the impact of addiction; decreased use of alcohol, tobacco and other drugs; increased use of community-based resources; and increased school and community support for youth and parents in recovery.
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. |
ATTESTED: |
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Monica Nino, County Administrator and Clerk of the Board of Supervisors |
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By: |