REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 17, 2026
FROM
JOSHUA DUGAS, Director, Department of Behavioral Health
SUBJECT
Title
Amendments to Contracts for Substance Use Disorder Perinatal Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to contracts with the following agencies, for the provision of Substance Use Disorder Perinatal Services, updating standard contract language, increasing the combined amount by $339,907, from $8,455,018 to $8,794,925, with no change to the contract period of January 1, 2022 through December 31, 2026:
1. High Desert Child, Adolescent and Family Services Center, Inc., Contract No. 21-905, increasing the contract amount by $70,000, from $2,413,633 to $2,483,633.
2. Inland Behavioral and Health Services, Inc., Contract No. 21-906, increasing the contract amount by $179,907, from $3,381,306 to $3,561,213.
3. Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services, Contract No. 21-907, increasing the contract amount by $90,000, from $2,660,079 to $2,750,079.
(Presenter: Joshua Dugas, Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Foster Sustainable Development Through Strategic Partnerships.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of additional Discretionary General Funding (Net County Cost). The increase of $339,907 for Substance Use Disorder (SUD) Perinatal Services (PS) will be funded by Federal Financial Participation Drug Medi-Cal Organized Delivery System and existing ongoing 2011 Realignment funds. Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2026-27 budget.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and SUD services to county residents experiencing severe mental illness and/or SUD. DBH’s PS program provides evidence-based SUD treatment and therapeutic interventions for pregnant and parenting women. The program is designed to promote positive changes in thinking and behavior, reduce substance use, and prevent relapse. Services include a structured treatment program consisting of at least nine hours per week for adults, provided over a minimum of three hours per day, three days per week.
On December 7, 2021 (Item No. 14), as the result of a formal procurement, the Board of Supervisors (Board) approved Contract No. 21-905 with High Desert Child, Adolescent and Family Services Center, Inc. (HDCAFSC) in the amount of $2,280,615, Contract No. 21-906 with Inland Behavioral and Health Services, Inc. (IBHS) in the amount of $3,201,125, Contract No. 21-907 with Inland Valley Drug and Alcohol Recovery Services dba Inland Valley Recovery Services (IVRS) in the amount of $2,518,260, to provide SUD PS for a combined contract amount of $8,000,000 for the period of January 1, 2022 through December 31, 2026.
On May 10, 2022 (Item No. 20), the Board approved Amendment No. 1 to Contract No. 21-905 with HDCAFSC, increasing the contract amount by $33,018, from $2,280,615 to $2,313,633; Amendment No. 1 to Contract No. 21-906 with IBHS, increasing the contract amount by $48,119, from $3,201,125 to $3,249,244; and Amendment No. 1 to Contract No. 21-907 with IVRS increasing the contract amount by $41,819, from $2,518,260 to $2,560,079, increasing the total combined contract amount by $122,956, from $8,000,000 to $8,122,956, with no change to the contract period of January 1, 2022 through December 31, 2026.
As part of the California Department of Health Care Services’ (DHCS) California Advancing and Innovating Medi-Cal (CalAIM) initiatives, Behavioral Health Payment Reform transitioned eligible providers from a DHCS-administered cost-based reimbursement model to a DBH-administered rate-based fee-for-service (FFS) model.
On June 9, 2026 (Item No. 27), the Board approved Amendment No. 2 to Contract No. 21-905 with HDCAFSC, increasing the contract amount by $100,000, from $2,313,633 to $2,413,633; Amendment No. 2 to Contract No. 21-906 with IBHS, increasing the contract amount by $132,062, from $3,249,244 to $3,381,306; and Amendment No. 2 to Contract No. 21-907 with IVRS increasing the contract amount by $100,000, from $2,560,079 to $2,660,079, increasing the total combined contract amount by $332,062, from $8,122,956 to $8,455,018, with no change to the contract period of January 1, 2022 through December 31, 2026. The contracts also updated the contract language based on the FFS methodology.
Following a review of CalAIM expenditures after the transition to FFS, DBH determined that a $339,907 increase is needed to ensure sufficient funding is available to reimburse providers for services already rendered and for services provided through the remainder of the current contract term ending December 31, 2026.
Approval of Recommendation No. 1 will increase the combined contract amount by $339,907, from $8,455,018 to $8,794,925, and will also update standard contract language, including incorporating an updated Levine Act - Campaign Contribution Disclosure requirements (formerly Senate Bill 1439) form.
From January 1, 2022, through December 31, 2025, the SUD PS program annually served:
• Approximately 148 unduplicated clients;
• An estimated cost of $10,977 per client across all providers.
For 2026, DBH projects the SUD PS program to serve:
• Approximately 174 unduplicated clients, an increase of 26 clients over the prior annual average;
• An estimated cost of $13,221 per client across all providers.
Performance measures for Substance Use Disorder and Recovery Services contracts focus on tracking service quality, timeliness, accessibility, and outcomes to ensure providers meet established standards. Contractors are required to submit regular reporting such as monthly service logs, outcome data, fiscal reports, and compliance documentation, which allows the department to monitor progress and identify trends or concerns. Accountability mechanisms, including performance audits, contract monitoring meetings, site visits, and corrective action plans, help ensure that services are delivered as intended and align with program goals. Together, these structures promote transparency, support continuous improvement, and ensure that community members receive high quality, effective behavioral health services.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health (Vanessa Esparza, Administrative Supervisor I, 388-0858) on October 5, 2026; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on November 4, 2026; and County Finance and Administration (Lizveth Varela, Administrative Analyst, 387-4883) on October 26, 2026.