To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #74-286-25 with Crestwood Behavioral Health, Inc.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
![](data:image/png;base64,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)
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-286-25 with Crestwood Behavioral Health, Inc., a corporation, in an amount not to exceed $1,384,080, to provide Medi-Cal Specialty mental health services to Contra Costa County residents, for the period from July 1, 2024 through June 30, 2025.
FISCAL IMPACT:
Approval of this contract will result in annual budgeted expenditures of up to $1,384,080 and will be funded 100% by Federal Medi-Cal revenues.
BACKGROUND:
The Behavioral Health Services Department has been contracting with Crestwood Behavioral Health, Inc., since January 2007 to provide transitional residential treatment, rehabilitative services, medication support, and mental health services to Severe and Persistent Mental Illness (SPMI) adult clients. This contract meets the social needs of County’s population by providing transitional residential treatment, rehabilitative services, medication support, and mental health services to SPMI adult clients at its Crestwood Healing Center.
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); California Government Code §§ 26227 and 31000. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor staff meet on regular basis to ensure monitoring and performance measures in the contract are upheld. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. 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 October 17, 2023, the Board of Supervisors approved Contract #74-286-24 with Crestwood Behavioral Health, Inc., in an amount not to exceed $1,319,840, for the provision of residential treatment and mental health services to SPMI adults for the period from July 1, 2023 through June 30, 2024.
Approval of Contract #74-286-25 will allow the contractor to continue providing Medi-Cal Specialty mental health services to Contra Costa County residents through June 30, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this contract is not approved, the necessary mental health services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.