The County has been contracting with Bi-Bett since May 2002 to provide substance use disorder treatment services for County residents referred through the Behavioral Health Access Line. 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 27, 2021, the Board of Supervisors approved Contract #74–174–39, with Bi-Bett, in an amount not to exceed $5,232,481 to provide substance use disorder treatment services for County residents referred through the Behavioral Health Access Line, for the period from July 1, 2021 through June 30, 2022.  
  
On November 23, 2021, the Board of Supervisors approved Contract Amendment Agreement #74–174–40 to modify the rates, effective July 1, 2021, with no change in the original payment limit of $5,232,481, and no change in the original term of July 1, 2021 through June 30, 2022.  
  
On February 1, 2022, the Board of Supervisors approved Amendment Agreement #74-174-42, to modify rates, effective January 1, 2022, with no change in the original payment limit of $5,232,481, and no change in the original term of July 1, 2021 through June 30, 2022.  
  
On April 12, 2022, the Board of Supervisors approved Amendment Agreement #74-174-43, to modify the rates, effective January 1, 2022, with no change in the original payment limit of $5,232,481, 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 #74-174-44, to modify rates, effective April 1, 2022, with no change in the original payment limit of $5,232,481, and no change in the original term of July 1, 2021 through June 30, 2022.  
  
Approval of Amendment #74-174-45 will modify the fee schedule, as set by the State, and allow the contractor to continue providing services through June 30, 2022. Since the contractor consolidated three residential treatment centers, the amendment to adjust the fee schedule could not be submitted by the department until the licenses and the Drug Medi-Cal certification were completed by the State, causing a delay in processing the amendment.

If this amendment is not approved, the contractor will not be paid accordingly for services rendered.