To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract Amendment #74-475-78(9) with Remarkable Marriage and Family Institute
☒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 Agreement #74-475-78(9) with Remarkable Marriage and Family Institute, a non-profit corporation, effective March 1, 2025, to amend Contract #74-475-78(8), to increase the payment limit by $250,000 from $600,000 to a new payment limit of $850,000 for additional Medi-Cal specialty mental health services to members in East Contra Costa County, with no change in the term of July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this Amendment will result in additional annual expenditures of up to $250,000 and will be funded by 50% Federal Medi-Cal and 50% State Mental Health Realignment funds. (No rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing Medi-Cal specialty mental health services for members of all ages in East Contra Costa County by providing assessment, testing, therapy and medication monitoring for treatment of anxiety, bipolar, depression, grief/loss, personality disorders, substance related disorders, and sexual and gender identity disorders. This Contractor has been providing these services as part of the Department’s Behavioral Health Services Network since 2018.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Welfare and Institutions Code § 5775 et seq.; Welfare and Institutions Code §§ 14680-14685; California Code of Regulations (CCR), Title 9 § 1810.100 et seq. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
On July 9, 2024, the Board of Supervisors approved Contract #74-475-78(8) with Remarkable Marriage and Family Institute, in an amount not to exceed $600,000, to provide Medi-Cal specialty mental health services, for the period from July 1, 2024 through June 30, 2025.
Approval of Contract Amendment Agreement #74-475-78(9) will allow the Contractor to provide additional Medi-Cal specialty mental health services, through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Amendment is not approved, the Contract will not have sufficient funds to pay Contractor and members will not have access to Contractor’s additional Medi-Cal specialty mental health services, which could result in increased wait times for services.