In a recent government meeting, officials from Sacramento County provided an overview of their division's operations, budget, and service delivery, highlighting the significant role of community-based organizations in their efforts. The division operates with a budget of $668 million and employs approximately 660 full-time equivalents (FTEs), with 90% of services contracted out to 161 provider agencies managing 238 programs. This extensive network supports around 40,000 consumers annually in both mental health and substance use disorder services, while prevention and early intervention programs reach nearly half a million individuals.

The meeting emphasized the importance of maximizing federal Medi-Cal revenue to enhance resource allocation. Officials noted that recent payment reforms, effective July 1, 2023, have introduced challenges as the county adapts to new reimbursement structures. The transition to a capitated payment model, which involves a fixed monthly payment per member, is anticipated to further impact funding dynamics. Officials expressed concerns that some counties may benefit more than others under this new system, underscoring the need for strategic planning to secure favorable capitated rates.

The division's funding sources were also discussed, revealing a reliance on Medi-Cal revenue and various realignment funds, with minimal support from the county's general fund. This financial framework is critical as the division continues to navigate the complexities of service delivery and funding reform while striving to meet the needs of the community effectively.