Behavioral Health Services Act (BHSA) Early Intervention Behavioral Health Services and Supports: Adults and Older Adults

Solano County Behavioral Health is soliciting proposals from qualified organizations to provide ( Behavioral Health Services Act ) BHSA Early Intervention services for adults (ages 26-59 years) and older adults (ages 60 and over years) living in Solano County. This procurement focuses on a variety of priority populations, including but not limited to those experiencing early signs of mental health or substance use disorder conditions, those experiencing isolation and functional decline among other behavioral health symptoms associated with aging, and those experiencing homelessness or housing instability.

Early Intervention (EI) services are intended to proactively identify and address behavioral health needs for adults and older adults before those needs escalate into more severe, disabling or chronic mental health or substance use disorder conditions. For older adults, EI services should particularly emphasize prevention of crisis, functional decline, institutionalization, and avoidable emergency department utilization. EI activities may be provided to individuals lacking a specific diagnosis, including individuals at risk or experiencing early signs of a mental health or substance use disorder and/or known risk factors for poor outcomes.

EI programs are intended to function as an entry and linkage point to appropriate levels of care, including specialty mental health and substance use disorder services. EI services funded under this RFP should seek to align BHSA Early Intervention services with Solano County’s broader continuum of care, including specialty mental health and substance use disorder services, primary care, Medi-Cal Managed Care Plans (MCPs), public health, aging services, housing and homelessness response systems, justice partners, and healthcare providers. Where possible, EI services should complement (and not supplant) Medi-Cal reimbursable services or other County-funded behavioral health programs. EI programs are expected to transition toward Medi-Cal billing over FYs 2026-2029 and thus must design EI services to maximize Medi-Cal reimbursement where feasible and build operational readiness for claim-based billing.