To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Participation Agreement #74-672-3 with California Mental Health Services Authority
☒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 Participation Agreement #74-672-3 with California Mental Health Services Authority (CalMHSA), a government agency, in an amount not to exceed $733,824, for County to participate in the Psychiatric Inpatient Concurrent Review (PICR) project and for CalMHSA to act as the fiscal and administrative agent for the project for the period July 1, 2026 through June 30, 2028.
FISCAL IMPACT:
Approval of this Agreement will result in annual budgeted expenditures of up to $733,824 funded 100% by Proposition 30 funds.
BACKGROUND:
The purpose of this Participation Agreement is to grant CalMHSA the authority to act as the fiscal and administrative agent on behalf of the County as part of the Greater Bay Area Regional Partnership. In order to access the matching funds provided by the State, counties must participate as a regional county partnership with the agreement of providing about 30% matching funds, while the State provides 70% of the funds. Contra Costa Behavioral Health Services, as part of the Greater Bay Area Regional Partnership had communicated its intent to the State in participating in this program prior to the onset of the pandemic along with other Bay Area counties as a manner to amplify educational loan repayment to address workforce needs.
On December 9, 2025, the Board of Supervisors approved Participation Agreement #74-672-2 with CalMHSA, in an amount not to exceed $376,488, for County’s participation in PICR project and for Contractor to act as the fiscal and administrative agent for the period July 1, 2025 through June 30, 2026.
Approval of Participation Agreement #74-672-3 will allow County to continue to participate in the PICR project, through June 30, 2028. This Participation Agreement includes a mutual indemnification provision to hold harmless both parties for any claims arising out of the performance of this Agreement.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, Contra Costa County will not be allowed to participate in the PICR project and subsequently will not have access to review and authorization services administered by CALMHSA which is required for all psychiatric inpatient hospital services and psychiatric health facility services administered by CALMHSA.