To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-119-4 with Butterfly Effects, LLC
☒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 #77-119-4 with Butterfly Effects, LLC, a limited liability company, in an amount not to exceed $600,000, to provide behavioral health treatment (BHT) - applied behavior analysis (ABA) services for Contra Costa Health Plan (CCHP) members and County recipients, for the period October 1, 2024 through September 30, 2027.
FISCAL IMPACT:
Approval of this Contract will result in contractual service expenditures of up to $600,000 over a 3-year period and will be funded 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain BHT- ABA services for its members under the terms of their Individual and Group Health Plan membership Contracts with the County. This contractor has been a part of the CCHP Provider Network providing these services and fostering a deep understanding of the CCHP organizations mission, values, and long-term objectives since October 1, 2017 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. Contractor currently cooperates with and participates in CCHP’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.
The nature of the BHT-ABA services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. This Contract renewal will maintain comprehensive area coverage for the entire CCHP membership and meet the Knox-Keene Act, time and distance mandate required by the State of California Department of Managed Health Care (DMHC) services. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
In October 2021, the County Administrator approved and the Purchasing Services Manager executed Contract #77-119-3 with Butterfly Effects, LLC, in an amount not to exceed $60,000, for the provision of ABA services for CCHP members and County recipients, for the period October 1, 2021 through September 30, 2024.
Approval of Contract #77-119-4 will allow the Contractor to continue providing BHT-ABA services for CCHP members and County recipients through September 30, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain BHT-ABA services for CCHP members under the terms of their Individual and Group Health Plan membership Contracts with the County will not be provided and may cause a delay in services to CCHP members.