To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-623-11 with Harmonic Solutions 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 #74-623-11 with Harmonic Solutions LLC, a limited liability company, in an amount not to exceed $3,457,560, to provide methadone maintenance treatment services for adults and youth in Contra Costa County, for the period from July 1, 2026 through June 30, 2029.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $3,457,560 over a three-year period and will be funded 100% by Federal Medi-Cal revenues.
BACKGROUND:
This Contract meets the social needs of County’s population by providing specialized substance abuse treatment and prevention programs to help clients to achieve and maintain sobriety and to experience the associated benefits of self-sufficiency, family reunification, cessation of criminal activity and productive engagement in the community. Contractor specializes in providing medication assisted treatment services to clients with a substance use disorder to prevent relapse and overdoses due to Opioids and has a long-standing history of successful compliance with all Federal and State laws as well as regulatory requirements, as reported following on-site audits conducted by the State Department of Health Care Services. The County has been contracting with Harmonic Solutions LLC since January 2021.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. This Contractor was approved by the Public Works Department’s Purchasing Division on February 23, 2026. The Behavioral Health’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. 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 September 9, 2025, the Board of Supervisors approved Contract #74-623-9 with Harmonic Solutions, LLC, in an amount not to exceed $1,164,870, to provide methadone treatment services for adults and youth in Contra Costa County, for the period July 1, 2025 through June 30, 2026.
On January 13, 2026, the Board of Supervisors approved Contract Amendment #74-623-10 with Harmonic Solutions, LLC, effective July 1, 2025, to decrease the payment limit by $12,350 to a new payment limit of $1,152,520 and to reduce the hours of the Medical Director, with no change in the term ending June 30, 2026.
Approval of Contract #74-623-11 will allow the Contractor to continue providing methadone treatment services through June 30, 2029.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, Contra Costa County residents will not receive methadone maintenance treatment services needed to provide them an opportunity to achieve sobriety and recover from the effects of alcohol and other drug use, become self-sufficient, and return to their families as productive individuals.
CHILDREN’S IMPACT STATEMENT:
This program supports the following Board of Supervisors’ community outcomes: “Children Ready for and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS).