To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #77-445-1 with Maxim Healthcare Services Holdings, Inc.
☒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 #77-445-1 with Maxim Healthcare Services Holdings, Inc., a corporation, in an amount not to exceed $1,000,000, to provide Behavioral Health Treatment (BHT) - Applied Behavioral Analysis (ABA) services for Contra Costa Health Plan (CCHP) members and county recipients for the period March 1, 2024 through February 28, 2027.
FISCAL IMPACT:
Approval of this contract will result in contractual service expenditures of up to $1,000,000 over a three-year period and will be funded 100% by CCHP Enterprise Fund II revenues (No rate increase)
BACKGROUND:
CCHP has an obligation to provide certain specialized BHT-ABA health care services including, but not limited to; treatment plans to improve the functioning of CCHP members with pervasive development disorder or autism under the terms of their Individual and Group Health Plan membership contracts with the county. This contractor has been a member in the CCHP Provider Network providing BHT-ABA services and fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since March 1, 2022. This contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Health and Safety Code § 1451. Health Services Personnel approved this contract to ensure there is no conflict with labor relations. This 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 medical services needed is complex and requires seamless coordination, integration and collaboration with existing programs and systems. There are a total of 64 BHT-ABA providers in the CCHP service area. 59 of the agencies are currently contracted with CCHP for BHT-ABA services. 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. This contractor has been approved by the Public Works Department’s Purchasing Division on January 9, 2024.
On March 22, 2022, the Board of Supervisors approved Contract #77-445 with Maxim Healthcare Services Holdings, Inc., in an amount not to exceed $2,000,000, for the provision of BHT-ABA services for CCHP members and county recipients, for the period March 1, 2022 through February 29, 2024.
Approval of Contract #77-445-1 will allow the contractor to continue providing BHT-ABA services for CCHP members and county recipients through February 28, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this new contract is not approved certain specialized behavioral health treatment -applied behavioral analysis services for CCHP members under the terms of their Individual and Group Health Plan membership contracts with the county will not be provided and services may be delayed.