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C. 56
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: December  15, 2020
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Amendment #74-610-4 with Westcare California, Inc.

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   12/15/2020
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Suzanne Tavano, Ph.D., 925-957-5212
cc: E Suisala     M Wilhelm    
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     December  15, 2020
David Twa,
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #74-610-4 with Westcare California, Inc., a non-profit corporation, effective October 1, 2020, to amend Contract #74-610-3 to modify the rates to continue to provide substance use disorder prevention, treatment, and detoxification services for Contra Costa County residents in West County, with no change in the original payment limit of $1,521,380, and no change in the original term of October 1, 2020 through June 30, 2021.

FISCAL IMPACT:

The recommended contract amendment does not change the payment limit, rather recognizes the business interruption issues faced by the Community Based Organizations (CBO’s). The rate adjustments will ensure that the CBO’s have sufficient cash to continue providing needed services to the community. The contracts are partially funded with State “2011 Realignment” dollars. Given the COVID-19 impact on State revenues it is likely that collection of the Realignment funding will be delayed.







BACKGROUND:

COVID-19 is causing significant impacts to the community based behavioral health providers in Contra Costa County. Social distancing requirements to prevent disease transmission has made delivery of critical services extremely difficult, impossible or ineffective. Many non-profit organizations have few, if any, financial reserves to sustain themselves. These rate increases are intended to be used by the contractor to retain its providers who deliver direct reimbursable behavioral health services to Contra Costa residents both during and after the current emergency. This action provides changes to the contract payment structure through the end of the fiscal year thereby providing cash flow and budget predictability to the CBO’s.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, the residents of Contra Costa County may experience reduced or discontinued behavioral health services.

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