To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract 74-408-19 with Shahbaz R. Khan, 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 #74-408-19 with Shahbaz R. Khan, M.D., an individual, in an amount not to exceed $250,000, to provide psychiatric services for Afghan speaking adults with mental illness in Central Contra Costa County and expert court testimony services for Lanterman-Petris-Short (LPS) Conservatorship hearings, for the period September 1, 2025 through August 31, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $200,000 and will be funded as budgeted by the department, 100% by Mental Health Realignment funds.
BACKGROUND:
This Contract meets the social needs of County’s population by providing outpatient psychiatric services including, but not, limited to diagnosing, counseling, evaluating, medication management and providing medical and psychiatric therapeutic treatment services for Afghan speaking adults with mental illness in Central County. Contractor’s expert witness testimony services for LPS conservatorship hearings are legal proceedings where a judge determines if an individual is “gravely disabled” due to a mental health disorder. This Contractor has been providing these services and fostering a deep understanding of the County’s organization’s mission, values, and long-term objectives since September 2010.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Welfare and Institutions Code, § 5600 et seq. (The Bronzan - McCorquodale Act). Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Acting as a Mental Health Plan designated by the Department of Health Care Services (DHCS), Contra Costa Behavioral Health is required to meet federal and state network adequacy standards to ensure that all Medi-Cal managed care covered services are available and accessible to beneficiaries in accordance with timely access and time and distance standards. Contractor currently cooperates with and participates in BHSD’s Quality Management Program which consists of quality improvement activities to improve the quality of care and services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. These Physician services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
In August 2024, the Purchasing Services Manager executed Contract #74-408-18 with Shahbaz R. Khan, M.D., in an amount not to exceed $200,000, for the provision of psychiatric services for Afghan speaking adults with mental illness in Central Contra Costa County and expert court testimony services for LPS Conservatorship hearings, for the period September 1, 2024 through August 31, 2025.
Approval of Contract #74-408-19 will allow the Contractor to continue providing services through August 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary psychiatric 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.