To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74–610-14 with WestCare California, 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 #74-610-14 with WestCare California, Inc., a non-profit corporation, in an amount not to exceed $2,399,422, to provide substance use disorder prevention, treatment, and detoxification services for Contra Costa County residents in West Contra Costa County, for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $2,399,422 and will be funded by 39% Federal Medi-Cal, 39% State General Fund revenues, 17% Substance Abuse Treatment and Prevention Block Grant and 5% Assembly Bill (AB) 109.
BACKGROUND:
Contractor was selected as they are the only licensed and credentialed Community Based Organization (CBO) that serves the greater West County for residential and detoxification services for men who are formerly incarcerated and who have co-occurring disorders. They have a long-standing history with State Department of Health Care Services (DHCS), accreditation and compliance and meet all regulatory compliance required of managed care plans. The County has been contracting with the Contractor, since October 2019 to meet the social needs of the County’s population by providing specialized SUD treatment and detoxification treatment services for West County residents and 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 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. Per Administrative Bulletin 600.3 the Department has posted a continuous Request for Qualifications and maintains a current qualified list of vendors at all times.
On July 9, 2024, the Board of Supervisors approved Contract #74-610-13 with WestCare California, Inc., in an amount not to exceed $2,524,144, for the provision of substance use disorder prevention, treatment and detoxification treatment services for County residents in West County who are referred through the Behavioral Health Access Line for the period July 1, 2024 through June 30, 2025.
Approval of Contract #74-610-14 will allow the Contractor to continue providing substance use disorder prevention, treatment and detoxification services through June 30, 2026. The delay of this Contract was due to ongoing budget and rate negotiations between the Division and the Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, County’s clients will not receive substance use disorder treatment from Contractor, resulting in an overall reduction of services to a community at risk for incarceration.
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.