To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Amendment #77-148-8 with Linda Copeland, 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 Amendment #77-148-8 with Lisa Copeland, M.D., a sole proprietor, effective August 1, 2026, to amend Contract #77-148-6, to increase the payment limit by $230,000, from $450,000 to an amount not to exceed $680,000, for additional consulting services to the Contra Costa Health Plan (CCHP) for pediatric patients with autism spectrum disorder (ASD) and developmental disabilities with no change in the term ending October 31, 2026.
FISCAL IMPACT:
Approval of this Amendment will result in additional annual expenditures of up $230,000 as budgeted by the department and funded 100% by CCHP Enterprise Fund II. (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized health care services including services for pediatric patients with ASD and developmental disabilities for its members under the terms of their Individual and Group Health Plan membership contracts with the county. This contractor has been assisting CCHP with consulting services for CCHP pediatric patients with ASD and developmental disabilities since November 2017. Medical consulting services are essential for CCHP to maintain mandated requirements by the State of California Department of Managed Health Care (DMHC) Services and Department of Health Care Services (DHCS).
This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. The nature of the professional services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. Linda Copeland, M.D. is familiar with CCHP’s specific requirements to help ensure a smooth implementation and delivery process and has established a history of maintaining the required accreditations and compliance with federal regulations reducing the risk for audit findings and ensuring CCHP’s eligibility for reimbursement. Linda Copeland, M.D. with a proven track record and established reputation within the medical community mitigates potential risks associated with CCHP’s successes and patient well-being. This Contractor was approved by the Public Works Department’s Purchasing Division on October 3, 2023.
On November 28, 2023, the Board of Supervisors approved Contract #77-148-6 with Linda Copeland, M.D., in an amount not to exceed $450,000, for the provision of consulting services to CCHP for pediatric patients with ASD and developmental disabilities for the period November 1, 2023 through October 31, 2026.
Approval of Contract #77-148-8 will allow the Contractor to provide additional consulting services to CCHP for pediatric patients with ASD and developmental disabilities through October 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, consulting services to CCHP for pediatric patients with ASD and developmental disabilities will not be provided by this Contractor and may cause a delay in services for CCHP members.