To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #74-191-24 with West Contra Costa Unified School District
☒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 #74-191-24 with West Contra Costa Unified School District, an educational institution, effective April 30, 2026, to amend Contract #74-191-23, to increase the payment limit by $25,627 from $491,876 to a new payment limit of $517,503 for additional school-based Medi-Cal specialty mental health services for Seriously Emotionally Disturbed (SED) children and their families in West Contra Costa County with no change in the term ending June 30, 2026.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional budgeted expenditures of up to $25,627 and will be funded by 50% Federal Medi-Cal revenues and 50% State Medi-Cal revenues. (No rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing Medi-Cal specialty mental health services including child-family team facilitators and other wraparound services for SED children and their families; facilitates multi-agency collaborative service delivery; and minimizes the need for crisis services and involvement with the Juvenile Justice System. West Contra Costa Unified School District has been providing wraparound services to families of SED children for the County since July 2002.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code, § 5600 et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, § 523 et seq. (Community Mental Health Services) and California Government Code §§ 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict 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 September 9, 2025, the Board of Supervisors approved Contract #74-191-23 with West Contra Costa Unified School District, in an amount not to exceed $491,876, to provide school-based Medi-Cal specialty mental health services for SED children and families in West Contra Costa County for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment #74-191-24 will allow the Contractor provide additional school-based Medi-Cal specialty mental health services for SED children and their families through June 30, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, there will be fewer Medi-Cal Specialty mental health services available for SED children in West Contra Costa County as the County solicits and engages an alternative Contractor.
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).