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File #: 26-146    Version: 1 Name:
Type: Consent Item Status: Passed
File created: 12/23/2025 In control: BOARD OF SUPERVISORS
On agenda: 1/13/2026 Final action: 1/13/2026
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Harmonic Solutions, LLC, to include a Nurse Practitioner to provide methadone treatment services, and 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. (100% Federal Drug Medi-Cal)
To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment #74-623-10 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 Amendment #74-623-10 with Harmonic Solutions LLC, a limited liability company, effective July 1, 2025, to amend Contract #74-623-9, to include a Nurse Practitioner to provide methadone treatment services, and decrease the payment limit by $12,350, from $1,164,870 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.

FISCAL IMPACT:
Approval of this Contract Amendment will result in annual budgeted expenditures of up to $1,152,520 and will be funded 100% by Federal Medi-Cal revenues. (No rate increase)

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. The Contract is being amended to add a Nurse Practitioner, reduce their Medical Director time and move their Licensed Vocational Nurse from administrative staff to direct staff in their budget.

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. 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. This...

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