To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: July 21, 2026
|
Department Contact: |
Jenine Miller, Psy.D. |
Phone: |
707-472-2341 |
|
Item Type: Regular Agenda |
|
Time Allocated for Item: 30 Minutes |
Agenda Title:
title
Discussion and Possible Action Including Acceptance of a Presentation from Behavioral Health and Recovery Services Regarding Specialty Mental Health Services and the Behavioral Health Services Act; Provide Direction to Staff Regarding County Electronic Health Record Usage for Contracted Providers; and Approval of Agreements with 1. Anchor Health Management, Inc. Medication Support Services in the Amount of $2,200,000; 2. Mendocino Coast Hospitality Center in the Amount of $640,000; 3. Mendocino County Youth Project in the Amount of $750,000; 4. Redwood Community Services in the Amount of $10,664,056; and 5. Tapestry Family Services in the Amount of $4,952,300 to Provide Specialty Mental Health Services to Eligible Medi-Cal Beneficiaries of Mendocino County for a Total Combined Amount of $19,206,356, Effective July 1, 2026, through June 30, 2027
(Sponsor: Behavioral Health and Recovery Services)
End
Recommended Action/Motion:
recommendation
Accept presentation from Behavioral Health and Recovery Services regarding Specialty Mental Health Services and the Behavioral Health Services Act; provide direction to staff regarding County Electronic Health Record usage for contracted Providers; approve Agreements with 1. Anchor Health Management, Inc. Medication Support Services in the amount of $2,200,000; 2. Mendocino Coast Hospitality Center in the amount of $640,000; 3. Mendocino County Youth Project in the amount of $750,000; 4. Redwood Community Services in the amount of $10,664,056; 5. Tapestry Family Services in the amount of $4,952,300 to provide Specialty Mental Health Services to eligible Medi-Cal beneficiaries of Mendocino County for a total combined amount of $19,206,356, effective July 1, 2026, through June 30, 2027; authorize the Director of Health Services or designee to sign any future amendments that do not increase the annual maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
None.
Summary of Request:
All contracted providers would be providing Specialty Mental Health Services as defined in these contracts and pursuant to Medicaid laws and regulations, including the 1915(b) Waiver, the County of Mendocino State MHP Agreement, and BHRS policies and procedures. Specialty Mental Health Services are provided to residents of Mendocino County who meet medical necessity and access criteria and have Medi-Cal or are indigent.
Behavioral Health and Recovery Services requests Board direction regarding whether contracted Specialty Mental Health providers will utilize the County's Electronic Health Record (EHR) or a hybrid model utilizing provider-owned EHR systems. Direction is necessary to support implementation and ensure compliance with Medi-Cal documentation and reporting requirements, promote coordinated care, and evaluate fiscal and operational impacts to the County and contracted providers.
Contract with Anchor Health Management, Inc. for medication support services. Anchor would provide specialty mental health medication support services to Mendocino County residents in Ukiah, Fort Bragg, and via telehealth. Medication Support Services would be provided to residents of Mendocino County who meet medical necessity and access criteria and have Medi-Cal or are indigent. Anchor Health Management, Inc. would serve up to 950 beneficiaries. Anchor Health Management, Inc. has been providing specialty mental health medication support services for beneficiaries for several years. The estimated contract total would be $2,200,000, which includes Behavioral Health Services Act Full Service Partnership estimates.
Contract with Mendocino Coast Hospitality Center (MCHC) to provide specialty mental health services (SMHS) to Mendocino County adult residents in Fort Bragg. The services to be provided include assessment, plan development, collateral, therapy, rehabilitation, and targeted case management. MCHC will serve up to 200 adult beneficiaries. MCHC has been providing specialty mental health services for beneficiaries for several years. The estimated contract total would be $640,000, which includes their Behavioral Health Services Act Full Service Partnership and some Evidence Based Practices.
Contract with Mendocino County Youth Project (MCYP) to provide specialty mental health services (SMHS) to Mendocino County youth (0-17) and transitional age youth (18-24) residents in Ukiah, Willits, and Fort Bragg within the schools, community, and office. The services to be provided include assessment, plan development, collateral, therapy, rehabilitation, targeted case management, and intensive care coordination. MCYP will serve up to 250 children (0-15) and up to 100 transitional age youth (16-24) beneficiaries under the SMHS. MCYP has been providing specialty mental health services for beneficiaries for several years. The estimated contract total would be $750,000 and does not include Behavioral Health Services Act programs.
Contract with Redwood Community Services, Inc. (RCS) to provide specialty mental health services (SMHS) to Mendocino County youth (0-17), transitional age youth (18-24) and adults (25+) residents in Ukiah, Willits, and Fort Bragg within the schools, community, and office. The services to be provided include assessment, plan development, collateral, therapy, rehabilitation, targeted case management, intensive care coordination, intensive home-based services, therapeutic behavioral services, and therapeutic foster care. RCS will serve up to 460 youth (0-17), up to 260 transitional age youth (18-24), and up to 1055 adult beneficiaries. RCS has been providing specialty mental health services for beneficiaries for several years. The estimated contract total would be $10,664,056, which includes their Behavioral Health Services Act Full Service Partnership and other BHSA program estimates.
Contract with Tapestry Family Services Inc. (Tapestry) to provide specialty mental health services (SMHS) to Mendocino County residents in Ukiah, Willits, Laytonville, Fort Bragg, and Covelo within the schools, community, and office. The services to be provided include assessment, plan development, collateral, therapy, rehabilitation, targeted case management, intensive care coordination, intensive home-based services, therapeutic behavioral health services, and therapeutic foster care. Tapestry will serve up to 250 children (0-15) and up to 87 transitional age youth (16-24), and up to 325 adult beneficiaries (25 and over). Tapestry has been providing specialty mental health services for beneficiaries for several years. The estimated contract total would be $4,952,300, which includes their Behavioral Health Services Act Full Service Partnership and other BHSA programs estimates.
All contracted providers shall provide data and metrics to Behavioral Health which shall include: Number of individuals housed during services, number of individuals unhoused vs housed in services, number of new beneficiaries' accessing services, number of services provided, number of services provided by provider type, type of services provided by provider type, number of beneficiaries who completed treatment and have not returned, number of beneficiaries currently in services accessing crisis services, improvement in beneficiaries outcome measures including but not limited to based on client's age, the Adult Needs and Strengths Assessment (ANSA), Child Assessment of Needs and Strengths as required by DHCS, Client Satisfaction Questionnaire (CSQ-4) General Anxiety Disorder-7 (GAD7) Pediatric Symptom Checklist (PSC-35) and Adverse Childhood Experiences, to measure clients' functioning and/or satisfaction, and number of beneficiaries access services that needed a higher level of care, i.e. LPS.
An RFP for Behavioral Health Services Act (BHSA) Full Service Partnership (FSP) recently closed in December of 2025 due to changing regulations and allocations for BHSA funds. BHSA FSP funds create match funds for Medi-Cal reimbursement for qualifying specialty mental health service beneficiaries. The available allocation for FSP decreased in the new regulations making less available in the FSP component as well as increasing requirements for specific evidence based practices; this contributed to the decrease for each contract listed above. Once all awards of the BHSA Exhibits are determined, amendments will be necessary depending on available funds. County Behavioral Health & Recovery Services shall continue discussion and consider contracting with additional providers as needed to meet regulatory mandates and stakeholder priority.
Alternative Action/Motion:
Return to staff for alternative handling.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
Vote Requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
|
source of funding: Medi-Cal, Realignment, BHSA |
|
current f/y cost: 19,206, 356 |
|
budget clarification: N/A |
|
annual recurring cost: No |
|
budgeted in current f/y (if no, please describe): Yes |
|
revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Executive Office
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
|
Executed By: Deputy Clerk |
Final Status: Item Status |
|
Date: Date Executed |
Executed Item Type: item |
|
|
Number: |
|
|
|