Agenda

Return

C. 76

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	June 7, 2022

Contra

Costa

County

Subject:

#74-610-9 with Westcare California, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 06/07/2022

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., 925-957-5169
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: June 7, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #74-610-9 with WestCare California, Inc., a non-profit corporation, effective April 1, 2022, to amend Contract #74-610-6, (as amended by Amendment Agreements #74-610-7 and #74-610-8), to modify the rates for residential substance use disorder prevention, treatment and detoxification treatment services, with no change in the original payment limit of $2,092,935, and no change in the original term of July 1, 2021 through June 30, 2022.

FISCAL IMPACT:

Approval of this amendment will not impact the payment limit of the contract; however, the rate schedule will be modified and include new rates as set by the State. (Rate increase)

BACKGROUND:

The Behavioral Health Services Department has been contracting with WestCare California, Inc., since October 2019 to provide substance use disorder prevention, treatment, and detoxification treatment services for County residents in West County. This contract meets the social needs of the County’s population by providing specialized substance use disorder treatment services, so that men and women, including women with children, are provided an opportunity 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.

On July 13, 2021, the Board of Supervisors approved Contract #74-610-6, with WestCare California, Inc. for the provision of substance use disorder prevention, treatment and detoxification treatment services for County residents in West County who are referred through the Behavioral Health Access Line, in an amount not to exceed $1,924,519, for the period July 1, 2021 through June 30, 2022.

On February 1, 2022, the Board of Supervisors approved Amendment Agreement #74-610-8, effective January 1, 2022, to modify the rates for residential substance use disorder prevention, treatment and detoxification treatment services, with no change in the original payment limit of $2,092,935, and no change in the original term of July 1, 2021 through June 30, 2022.

On May 3, 2022, the Board of Supervisors approved Amendment Agreement #74-610-7, effective November 1, 2021, to increase the payment limit from $1,924,519 to a new payment limit of $2,092,935, with no change in the original term of July 1, 2021 through June 30, 2022.

Approval of Amendment #74-610-9 will allow the contractor to continue providing services through June 30, 2022. The amendment will allow the contract to reflect the rates set by the state effective April 1, 2022 and support the department's need to maintain a viable service delivery network to ensure access to needed behavioral health services with the County. The delay of this request to the Board is due resurgences of COVID-19, which has created service interruptions, productivity declines and cash flow issues with the community based behavioral health service providers.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, individuals will not receive substance use disorder treatment from this contractor, resulting in an overall reduction of services to a community at risk for incarceration.

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).