SLED Opportunity · CALIFORNIA · COUNTY OF SACRAMENTO
AI Summary
Sacramento County seeks a qualified organization to operate a peer-led sober living environment and leverage existing outpatient substance use disorder treatment services. The program targets adults with co-occurring disorders, homelessness, and justice involvement, aiming to improve recovery, housing stability, and reduce crisis and justice system interactions. Responses to the LOI are due May 19, 2026.
The County of Sacramento Department of Health Services (DHS), Behavioral Health Services (BHS), is seeking one qualified organization that is currently contracted with Sacramento County BHS Substance Use Prevention and Treatment (SUPT) for Outpatient (OP) and/or Intensive Outpatient (IOP) Substance Use Disorder (SUD) treatment services with the ability to provide a new and innovative enhanced sober living environment (SLE)/recovery residence. This will be a structured, 24/7 peer-operated SLE/recovery residence designed to serve Sacramento County residents (ages 18 and older) with:
Interested organizations must respond to all LOI Submission Questions attesting to their ability to operate both a structured, 24/7 peer-led SLE/recovery residence as well as their ability to leverage their existing Sacramento County contracted OP/IOP site infrastructure to support Medi-Cal billing at the SLE site(s) including for comprehensive peer support, coordinated behavioral health services, and support for individualized recovery pathways for the target population. All supports offered must be consistent with Substance Abuse and Mental Health Service Administration (SAMHSA) principles and the American Society of Addiction Medicine (ASAM) Criteria.
Communities are facing a growing and urgent need to better serve adults with severe co-occurring SUD and SMI, particularly those who are considered to be literally homeless or repeatedly cycling through emergency departments, hospitals and justice systems. Despite significant system involvement, many of these individuals remain disconnected from care due to complex trauma histories, untreated symptoms, limited trust in traditional service models, and low motivation for change. Existing services are often fragmented and lack the intensive, peer-driven, and housing-centered supports necessary to effectively engage this population. This gap highlights the need for a more integrated, flexible, and recovery-oriented approach, one that can meet individuals where they are and provide coordinated pathways to stability. The proposed Peer-Led Integrated Recovery and Housing (PIRH) Pilot Program is designed to address this unmet need through a comprehensive, evidence-informed model tailored to individuals with the most significant barriers to recovery and long-term stability. This Program will prioritize referrals from the Sacramento County District Attorney’s Chronic Offender Rehabilitation Effort (CORE) Program. All PIRH Pilot Program beds must be made available and supportive services implemented by the execution date of contract.
Key challenges include:
Sacramento County is focusing on the following key pillars to address these challenges by:
This Request for LOI No. SUPT/073 for the PIRH Pilot Program requires:
1. Organizations must meet all minimum requirements as well as complete and submit their responses to the PIRH Pilot Program LOI Submission Questions.
2. All responses to the LOI Submission Questions and all required supplemental documentation must be submitted electronically via the LOI posting in the OpenGov portal.
3. Responses that are not received by the date/time in the LOI timeline, through the OpenGov portal for SUPT/073 will be rejected.
It is the responsibility of the organization to respond to all LOI Submission Questions and submit all required supplemental documentation through OpenGov, in the Minimum Requirements and LOI Submission Questions section of this LOI by the time and date specified in the LOI timeline.
4. Emailed, faxed, mailed or hand-delivered submissions will not be accepted.
LOI Submission Question responses or required supplemental documents submitted anywhere else other than directly through the OpenGov portal for SUPT/073 will not be accepted.
5. This LOI is non-binding and does not obligate the applicant to contract with the County.
6. While a response to this LOI is required for an organization to be eligible to receive funding and contract with the County, receipt of a response does not guarantee funding.
1. All SLE/recovery residence and OP/IOP SUD treatment sites must be physically located within Sacramento County incorporated limits.
2. All facilities must be and remain in good repair and comply with local, state, federal regulations, and the Sacramento County Good Neighbor Policy. Best efforts should be made to complete repairs within seven (7) days. Best efforts should be made to complete repairs to essential systems within 24 hours from when issue is identified (plumbing, electric supply, etc.).
3. For the SLE/recovery residence:
a. The organization must be operating one or more houses with the capacity to serve up to a total of 25 individuals at one time with an average length of stay of between 3 to 9 months per individual.
b. Site(s) must have the capability to accommodate pets. The organization will have policies and procedures that will be flexible for individual’s to bring their pets along with a plan to care for their pets while residing at the SLE/recovery residence (i.e. food, kennel, medical expenses, safety, leashing outside of the home, sanitary needs, etc.).
4. The SLE/recovery residence facility location(s) must be in possession of a valid and current certificate from the California Consortium of Addiction Programs and Professionals (CCAPP). Please provide verification with your submission.
5. The organization must have the capacity to make PIRH Pilot Program SLE/recovery residence beds available by the execution date of contract. BHS reserves the right to cancel the contract if the organization is not meeting benchmarks on time.
6. For the OP/IOP SUD treatment sites:
a. The Sacramento County BHS SUPT contracts must be in good standing for the provision of OP and/or IOP SUD treatment services.
b. The existing OP and/or IOP must possess the knowledge and infrastructure to serve the target population.
7. The OP/IOP SUD treatment facility locations must be in possession of:
a. A valid and current California DHCS AOD Program certification. Please provide verification with your submission.
b. A Drug Medi-Cal (DMC) approval letter from DHCS. Please provide verification with your submission.
The County of Sacramento reserves the right to:
1. Cancel this public notice and/or issue an RFA or RFP for these services, to reject any or all LOI submissions, determine which LOI submissions meet the minimum requirements, and request additional information or documentation from organizations.
2. Issue addendums or supplements.
3. Select one (1) qualified organization. If more than one organization applies and meets the minimum requirements, the determination criteria framework will be based upon:
4. Only those organizations that successfully submit an LOI to this public notice are eligible to participate in a procurement process, if utilized in the future, and pending award of additional grant funding.
5. Make a contract award to one or more organizations for all or part of the services, based on the needs of the community, to award based on the capacity of the organization, for all or part of the services or other criteria.
1. Literally Homeless - Chronic Homelessness:
Definition: An individual who is currently sleeping in an emergency shelter, hotel/motel paid by the County or social services Contractor, or location not meant for human habitation and meets the 4 requirements for chronic homeless status. Chronic homeless status requires that the individual lacks a regular fixed nighttime residence and has continuously lived in a place not meant for human habitation, including emergency homeless shelters, for at least 12 months consecutively or at least on 4 separate occasions adding up to 12 months in the last 3 years.
2. Literally Homeless – Not Chronic Homeless:
Definition: An individual who does not meet chronic homeless status AND the individual is currently sleeping in an emergency shelter, hotel/motel paid by the County or social services Contractor, or location not meant for human habitation.
3. Housing system partner for behavioral health:
Definition: A collaborative agency or organization that works with behavioral health providers to deliver stable housing paired with supportive services. For example, a housing provider, public housing agency, or specialized non‑profit. These partnerships integrate housing with treatment, counseling, and recovery supports to help individuals with mental health and/or substance use disorders achieve long‑term stability and well‑being.
4. Sacramento County District Attorney’s Chronic Offender Rehabilitation Effort (CORE) Program:
Definition: This is a tailored Program that addresses the substance use, mental illness, and housing needs of individuals with repeat criminal offenses (misdemeanor offenses of at least 10 arrests, citations, and/or bench warrants within 12 months) which negatively impact public safety and quality of life for a particular community. This Program is a collaboration between law enforcement, Sacramento Steps Forward, and Sacramento County BHS SUPT.
5. Justice system partner for behavioral health:
Definition: A collaborative agency or organization that works collaboratively with behavioral health providers to address the complex intersection of mental illness and the criminal justice system. For example, courts, probation, law enforcement, correctional health teams, and community‑based justice program. These partners integrate legal and clinical perspectives to balance public safety with the well‑being of individuals affected by mental illness and/or substance use disorders.
The PIRH Pilot Program is funded by BHBH. Below is an estimated budget for a structured, 24/7 peer-operated SLE/recovery residence for up to 25 individuals as well as to provide additional staffing support for the existing OP/IOP SUD treatment programs. This can be adjusted based upon the Program’s location, staffing model, and cost assumptions.
Cost Type /Estimated Budget
Personnel = $946,306
Benefits = $265,160
Facility & Housing = $343,000
Operating = $315, 000
Indirect = $280,534
Ancillary Costs = $50,000
Total Estimated Budget = $2,200,000
(The total estimated budget is inclusive of the daily bed reimbursement rate which is $236.00.)
The per-bed rate is intended to support the full cost of program operations, including staffing and services. Operational funding is based on an estimated rate of $236.00 maximum per bed per night during the initial program period. This includes providing supports beyond what is typically provided by standard SLE/recovery residences given the complex needs of the target population. These supports may include but are not limited to assisting during Absence Without Leave (AWOL) mitigation, immediate coordination with crisis supports such as 988 Suicide & Crisis Lifeline and/or law enforcement when safety issues occur, coordination with medical professionals for urgent or emergent medical/physical health needs, building community partnerships, and problem solving to address immediate needs.
BHBH funds shall serve as the payer of last resort. Where CalAIM Community Supports reimbursement, including Transitional Rent (TR), is available or has been authorized by an applicable MCP, such reimbursement shall be utilized prior to drawing BHBH funds for the same participant and service period. The per-bed rate may be reduced by any applicable TR or other CalAIM reimbursement received for the same participant, subject to bed utilization and availability of funds. Upon receipt of MCP or other third-party reimbursement for any activity or service period for which BHBH funds were previously utilized, Contractor shall notify the County and repay the County for BHBH funds expended for the same participant and service period, in accordance with section "Scope of Work" and County policy and contract terms.
Sacramento County BHS is seeking to offer a new, innovative pilot program that is evidence-informed, based upon a peer-driven model, and designed to meet the needs of individuals with the greatest barriers to recovery and stability. By combining ASAM-aligned care coordination, SAMHSA-endorsed peer support, trauma-informed engagement strategies, structured sober living/recovery housing, and OP/IOP SUD treatment services, the program’s goals are to reduce crisis cycles, enhance safety, increase treatment participation, and support long-term recovery and reintegration.
Through this LOI, BHS intends to identify one qualified organization with the capacity to operate both a structured, 24/7 peer-operated SLE/recovery residence physically located within Sacramento County incorporated limits as well as leverage their existing Sacramento County contracted OP/IOP SUD treatment services. The organization must be able to provide the related peer-led services to individuals and have staff experienced in providing services to the identified population.
The selected organization is expected to work with BHS on establishing referral processes, prioritizing services, offering solutions to address the housing needs, and offering pathways to behavioral health treatment to the target populations of focus outlined in this LOI. The Program will screen individuals and offer linkage to a BHS outpatient mental health or SUD treatment program that can meet their behavioral health needs in tandem with the supports provided by the SLE/recovery residence. If an individual meets eligibility criteria for OP/IOP SUD treatment services, then the organization may enroll the individual in their existing OP/IOP SUD treatment services for continuity of care and to help foster consistent treatment engagement.
Please provide verification of the organization’s experience for each of these criteria with your submission (e.g. copy of public notice or prior award, memorandum of understanding (MOU), contract, or webpage screenshot).
1. Minimum of three (3) years of experience providing treatment to individuals with co-occurring SMI and SUD within Sacramento County.
2. Minimum of one (1) year experience working with individuals on their sobriety journey, in cooperative living arrangements, who have experienced homelessness.
3. Minimum of one (1) year experience in the State of California working with individuals experiencing homelessness; operating a housing program; working with persons who also have SMI and SUD; and serving special population(s) described in the organization’s LOI.
4. Minimum of one (1) year experience providing trauma-informed and culturally responsive services to populations with high-justice system involvement.
5. Minimum of one (1) year experience providing trauma-informed and culturally responsive services to populations with significant safety issues, such as survivors of domestic violence, gang violence, cult, commercial sexual exploitation, dating violence, sexual assault, or stalking. Organization is willing and able to manage safety needs and coordinate with local service efforts within the County.
6. Minimum of one (1) year experience providing intensive care coordination particularly to engage individuals with low treatment readiness.
1. Comply with the requirements of the Americans with Disabilities Act of 1990, California Code of Regulations, Title 22 (if applicable), California Building Code, the Fair Housing Amendments Act, the California Fair Employment and Housing Act, the Unruh Civil Rights Act, Government Code Section 11135, Section 504 of the Rehabilitation Act of 1973, and all regulations promulgated pursuant to those statutes, including 24 CFR Part 100, 24 CFR Part 8, and 28 CFR Part 35.
2. Recruit, hire, and retain peer staff (e.g., peer support specialists, care coordinators/case managers, housing, and facility support staff) who are reflective of the racial, cultural, ethnic, linguistic diversity and sexual orientation and gender identity of the individuals they serve.
3. Ensure that funds are not used to supplant/replace existing County funds used to provide housing or services. Programming is designed to expand inventory in the community.
The Program is intended to serve Sacramento County residents (ages 18 and older) with:
The SLE/recovery residence will have a capacity to serve up to 25 individuals at one time with an average length of stay of between 3 to 9 months per individual.
The Program will be based on a peer-driven model with peer support staff that are able to utilize their lived expertise though the services provided and are reflective of the cultural and/or ethnic populations served by the program.
The rate includes reimbursement towards the cost of staffing but does not include reimbursement for treatment services rendered.
1. Increase engagement among individuals who are unlikely to seek treatment independently.
2. Reduce cycles of homelessness, crisis service utilization, and justice-system involvement.
3. Stabilize behavioral health symptoms and improve functioning through integrated care.
4. Support long-term recovery and housing stability.
5. Enhance safety, community reintegration, and overall quality of life.
The organization shall ensure coordination and tracking of funding sources and shall not duplicate or supplant services or billing across funding streams.
The total funds available are subject to change. The County reserves the right to adjust the maximum contract amount.
The organization must be capable of:
1. Supporting individuals with co-occurring behavioral health needs who may require additional supports to engage in treatment.
2. Operating a structured, 24/7 peer-led SLE/recovery residence with staffing that has the capacity to serve up to a total of 25 individuals at one time. Staffing shall include a Program Director, Clinical Supervisor, Peer Support Specialists, Care Coordinators/Case Managers (Certified AOD Counselor, Registered AOD Counselor, or Other Qualified Provider), Housing and Facility Support, Transportation Support, and Administrative/Operations Support.
3. Leveraging their existing Sacramento County contracted OP/IOP SUD treatment services to serve individuals who meet the eligibility criteria for OP or IOP level of care based upon the ASAM assessment. These individuals would either be currently residing or have formerly resided in the PIRH Pilot Program’s SLE/recovery residence.
4. Coordinating with local homeless Continuum of Care and other homeless service efforts within the County.
a. Enter both the Universal Data Elements and the Common Data Elements on persons served into HMIS as required by AB 977 (Gabriel, Chapter 397, Statutes of 2021). HMIS will be utilized while also ensuring the safety of individual’s within the program where visibility in HMIS may be to the individual’s detriment.
b. Track and document all CalAIM Community Supports services and associated costs in SmartCare using County-designated tracking mechanisms and in HMIS in accordance with applicable data entry requirements.
i. Prior to utilizing BHBH funds for any activity eligible for CalAIM Community Supports reimbursement, Contractor shall actively pursue authorization through all applicable MCPs for each enrolled individual, including but not limited to TR. Active pursuit requires, at minimum, submission of a housing support plan to the applicable MCP and documentation of the MCP's response, including any denial and the basis for denial.
ii. When MCP authorization is denied or not yet obtainable, Contractor shall document the denial or barrier, continue to pursue reimbursement as authorization pathways become available, and seek retroactive reimbursement consistent with applicable MCP requirements and DHCS guidance.
iii. BHBH funds shall serve as the payer of last resort and shall only be used for activities for which no other funding source, including CalAIM Community Supports, is available or has been denied following active pursuit. Upon receipt of MCP reimbursement for any activity for which BHBH funds were previously used, Contractor shall notify the County and repay BHBH funds used for the same participant and service period in accordance with County policy and contract terms.
c. Follow DHCS guidance regarding TR as it becomes available.
5. Coordinating with local justice system partners including District Attorney’s office and all Collaborative Court service efforts within the County. This includes having the capacity to accept individuals transitioning directly from incarceration back into the community setting.
6. Utilizing a phased and collaborative MDT approach to address the complex needs of the population served. MDT individuals may include, but are not limited to: behavioral health service providers, primary care providers, justice system partners, housing partners, family, support persons and additional linkage as identified by the County to support the individual with meeting their identified needs.
a. Upon individual’s entry, program will be responsible for stabilizing their health and safety, developing a housing and exit plan, determining eligibility for housing programs, determining makeup of the MDT and beginning barrier busting activities.
b. Once stable, program will be responsible for providing life skills training and support with housing navigation services in collaboration with BHS outpatient treatment provider.
7. Offering 24/7 onsite peer support at the SLE/recovery residence to individuals in a culturally responsive and trauma-informed environment. This would include ensuring flexibility as peer services may also be provided with OP/IOP SUD treatment services provided by the organization.
8. Facilitating daily wellness check-ins at the SLE/recovery residence including providing support for individuals to develop structured daily routines and build life skills necessary for independent living.
9. Coordinating integrated behavioral health treatment linkage including:
a. Coordination with behavioral health providers.
i. For mental health treatment: This includes referring the individual to BHS-SAC for a mental health screening and/or connecting the individual to one of the CORE sites for assessment.
ii. For SUD treatment: This includes completing a BQuIP screening with all individuals residing at the SLE/recovery residence to determine whether they meet criteria for SUD treatment services such as OP/IOP SUD treatment. If an individual meets criteria for Residential SUD treatment, the organization’s staff will coordinate with SUPT’s CPP team for linkage. In the interim, staff will continue to engage the individual in SLE programming and support with addressing identified priority needs.
b. Transportation and appointment accompaniment when appropriate.
c. Warm handoffs to community-based services.
d. Care alignment with ASAM Levels 1 through 3.
10. Provide comprehensive intensive care coordination including:
a. Behavioral health services.
b. Primary care services.
c. Justice-related needs.
d. Housing navigation and long-term planning needs.
e. MCP linkage and needs.
f. Supporting access to benefits, entitlements, and other community resources.
g. Policies and procedures regarding coordination of care and ensuring that individuals are connected to the appropriate level of care within the behavioral health system and/or to necessary community resources to meet their identified needs.
11. Provide comprehensive safety and crisis response:
a. 24/7 trained staff.
b. Individualized crisis and recovery management (relapse prevention) plans.
c. Trauma-informed de-escalation and suicide prevention including immediately addressing risks for harm to self and/or harm to others.
d. Policies and procedures for program staff to immediately address situations where an individual has either used substances and/or brought substances into the residence to ensure the safety and wellbeing of the individual and others residing in the residence.
e. Policies and procedures for program staff to immediately address any illicit activities to ensure the safety and wellbeing of the individual and others residing in the residence.
f. Policies and procedures for program staff response to a crisis incident including steps and timelines for responding to a crisis and following up after a crisis as well as adherence to BHS’ policies and procedures regarding responding to adverse incidents and submitting Adverse Incident Reports.
g. Coordination with mobile crisis, EMS, and law enforcement.
12. Assist with transition, aftercare, & long-term support:
a. Discharge planning beginning at intake.
b. Transition to permanent or supportive housing.
c. Recovery management (relapse prevention) and wellness planning.
d. Optional peer coaching after program completion.
13. Provide services that integrate SAMHSA’s Culturally and Linguistically Appropriate Services (CLAS) Standards, emphasizing:
a. Culturally responsive and trauma-informed care.
b. Recruitment of peer staff representative of the community served.
c. LGBTQ+ affirming practices.
d. Accessibility for individuals with disabilities.
e. Accommodations for language, cognitive, and sensory needs.
14. Staff must have the ability to successfully engage with individuals who present with low treatment readiness through the use of intensive engagement and motivation strategies such as:
a. Assertive outreach and engagement.
b. Motivational interviewing.
c. Flexible, person-centered participation.
d. Relationship-based trust building.
15. Staff must possess knowledge of evidenced-based frameworks that promote improved treatment engagement, reduced crisis utilization, and increased long-term recovery and housing stability such as:
a. SAMHSA ROSC.
b. SAMHSA COC and COE Principles.
c. TIC.
d. Harm Reduction.
e. ASAM Criteria Across All Six Dimensions.
f. SAMHSA Peer Support Core Competencies.
g. Housing First–Aligned Engagement Practices.
16. Staff training will be provided by the organization based upon staff’s assigned roles including: TIC, Harm Reduction, Motivational Interviewing, co-occurring disorders, de-escalation, suicide prevention, and SAMHA Peer Support Core Competencies.
The organization will respond via the LOI Submission Questions confirming that they are able to meet the minimum requirements for program elements and activities listed within this section. The organization must be capable of:
1. Supporting individuals with co-occurring behavioral health needs who may require additional supports to engage in treatment.
2. Operating a structured, 24/7 peer-led SLE/recovery residence with staffing that has the capacity to serve up to a total of 25 individuals at one time. Staffing shall include a Program Director, Clinical Supervisor, Peer Support Specialists, Care Coordinators/Case Managers (Certified Alcohol and Other Drug (AOD) Counselor, Registered AOD Counselor, or Other Qualified Provider), Housing and Facility Support, Transportation Support, and Administrative/Operations Support.
3. Leveraging their existing Sacramento County contracted OP/IOP SUD treatment services to serve individuals who meet the eligibility criteria for OP or IOP level of care based upon the ASAM assessment. These individuals would either be currently residing or have formerly resided in the PIRH Pilot Program's SLE/recovery residence.
4. Coordinating with local homeless Continuum of Care and other homeless service efforts within the County.
a. Enter both the Universal Data Elements and the Common Data Elements on persons served into the Homeless Management Information System (HMIS) as required by AB 977 (Gabriel, Chapter 397, Statutes of 2021). HMIS will be utilized while also ensuring the safety of individual’s within the program where visibility in HMIS may be to the individual’s detriment.
b. Track and document all California Advancing and Innovating Medi-Cal (CalAIM) Community Supports services and associated costs in SmartCare using County-designated tracking mechanisms and in HMIS in accordance with applicable data entry requirements.
i. Prior to utilizing Behavioral Health Bridge Housing (BHBH) funds for any activity eligible for CalAIM Community Supports reimbursement, Contractor shall actively pursue authorization through all applicable Managed Care Plans (MCPs) for each enrolled individual, including but not limited to Transitional Rent (TR). Active pursuit requires, at minimum, submission of a housing support plan to the applicable MCP and documentation of the MCP's response, including any denial and the basis for denial.
ii. When MCP authorization is denied or not yet obtainable, Contractor shall document the denial or barrier, continue to pursue reimbursement as authorization pathways become available, and seek retroactive reimbursement consistent with applicable MCP requirements and Department of Health Care Services (DHCS) guidance.
iii. BHBH funds shall serve as the payer of last resort and shall only be used for activities for which no other funding source, including CalAIM Community Supports, is available or has been denied following active pursuit. Upon receipt of MCP reimbursement for any activity for which BHBH funds were previously used, Contractor shall notify the County and repay BHBH funds used for the same participant and service period in accordance with County policy and contract terms.
c. Follow DHCS guidance regarding TR as it becomes available.
5. Coordinating with local justice system partners including District Attorney’s office and all Collaborative Court service efforts within the County. This includes having the capacity to accept individuals transitioning directly from incarceration back into the community setting.
6. Utilizing a phased and collaborative multidisciplinary team (MDT) approach to address the complex needs of the population served. MDT individuals may include, but are not limited to: behavioral health service providers, primary care providers, justice system partners, housing partners, family, support persons and additional linkage as identified by the County to support the individual with meeting their identified needs.
a. Upon individual’s entry, program will be responsible for stabilizing their health and safety, developing a housing and exit plan, determining eligibility for housing programs, determining makeup of the MDT and beginning barrier busting activities.
b. Once stable, program will be responsible for providing life skills training and support with housing navigation services in collaboration with BHS outpatient treatment provider.
7. Offering 24/7 onsite peer support at the SLE/recovery residence to individuals in a culturally responsive and trauma-informed environment. This would include ensuring flexibility as peer services may also be provided with OP/IOP SUD treatment services provided by the organization.
8. Facilitating daily wellness check-ins at the SLE/recovery residence including providing support for individuals to develop structured daily routines and build life skills necessary for independent living.
9. Coordinating integrated behavioral health treatment linkage including:
a. Coordination with behavioral health providers.
i. For mental health treatment: This includes referring the individual to Behavioral Health Services-Screening and Coordination (BHS-SAC) for a mental health screening and/or connecting the individual to one of the Community Outreach Recovery and Empowerment (CORE) sites for assessment.
ii. For SUD treatment: This includes completing a Brief Questionnaire for Initial Placement (BQuIP) screening with all individuals residing at the SLE/recovery residence to determine whether they meet criteria for SUD treatment services such as OP/IOP SUD treatment. If an individual meets criteria for Residential SUD treatment, the organization’s staff will coordinate with SUPT’s Central Placement Pool (CPP) team for linkage. In the interim, staff will continue to engage the individual in SLE programming and support with addressing identified priority needs.
b. Transportation and appointment accompaniment when appropriate.
c. Warm handoffs to community-based services.
d. Care alignment with ASAM Levels 1 through 3.
10. Provide comprehensive intensive care coordination including:
a. Behavioral health services.
b. Primary care services.
c. Justice-related needs.
d. Housing navigation and long-term planning needs.
e. MCP linkage and needs.
f. Supporting access to benefits, entitlements, and other community resources.
g. Policies and procedures regarding coordination of care and ensuring that individuals are connected to the appropriate level of care within the behavioral health system and/or to necessary community resources to meet their identified needs.
11. Provide comprehensive safety and crisis response:
a. 24/7 trained staff.
b. Individualized crisis and recovery management (relapse prevention) plans.
c. Trauma-informed de-escalation and suicide prevention including immediately addressing risks for harm to self and/or harm to others.
d. Policies and procedures for program staff to immediately address situations where an individual has either used substances and/or brought substances into the residence to ensure the safety and wellbeing of the individual and others residing in the residence.
e. Policies and procedures for program staff to immediately address any illicit activities to ensure the safety and wellbeing of the individual and others residing in the residence.
f. Policies and procedures for program staff response to a crisis incident including steps and timelines for responding to a crisis and following up after a crisis as well as adherence to BHS’ policies and procedures regarding responding to adverse incidents and submitting Adverse Incident Reports.
g. Coordination with mobile crisis, Emergency Medical Services (EMS), and law enforcement.
12. Assist with transition, aftercare, & long-term support:
a. Discharge planning beginning at intake.
b. Transition to permanent or supportive housing.
c. Recovery management (relapse prevention) and wellness planning.
d. Optional peer coaching after program completion.
13. Provide services that integrate SAMHSA’s Culturally and Linguistically Appropriate Services (CLAS) Standards, emphasizing:
a. Culturally responsive and trauma-informed care.
b. Recruitment of peer staff representative of the community served.
c. LGBTQ+ affirming practices.
d. Accessibility for individuals with disabilities.
e. Accommodations for language, cognitive, and sensory needs.
14. Staff must have the ability to successfully engage with individuals who present with low treatment readiness through the use of intensive engagement and motivation strategies such as:
a. Assertive outreach and engagement.
b. Motivational interviewing.
c. Flexible, person-centered participation.
d. Relationship-based trust building.
15. Staff must possess knowledge of evidenced-based frameworks that promote improved treatment engagement, reduced crisis utilization, and increased long-term recovery and housing stability such as:
a. SAMHSA Recovery-Oriented Systems of Care (ROSC).
b. SAMHSA Co-Occurring Capable (COC) and Co-Occurring Enhanced (COE) Principles.
c. Trauma-Informed Care (TIC).
d. Harm Reduction.
e. ASAM Criteria Across All Six Dimensions.
f. SAMHSA Peer Support Core Competencies.
g. Housing First–Aligned Engagement Practices.
16. Staff training will be provided by the organization based upon staff’s assigned roles including: TIC, Harm Reduction, Motivational Interviewing, co-occurring disorders, de-escalation, suicide prevention, and SAMHA Peer Support Core Competencies.
1. The PIRH Pilot Program will include a separate allocation of BHBH flexible funds. Flexible funds include Participant Assistance Funds and Rental Assistance Funds which may be used to provide temporary participant and/or rental support for individuals who meet the Literally Homeless (Chronic or Not Chronic Homeless) criteria outlined within section "Definition of Terms." These funds are time limited through the end of FY 2026/27.
2. Minimum requirements to utilize BHBH Flexible Funds:
a. Enter data into HMIS.
b. Have designated staff complete Coordinated Access System (CAS) Assessor Training and to complete the Housing Conversation Tool and the Crisis Assessment Survey.
c. Utilize the standardized Maximum Rental Assistance Calculator (MRAC) tool inclusive of the U.S. Department of Housing and Urban Development (HUD) Small Area Fair Market Rents (SAFMRs) which are calculated at the zip code level allowing for precise payment standards that reflect local rental markets. The MRAC will determine a maximum rental and/or housing assistance amount for each household as required in the Sacramento County BHS Policy and Procedure for the BHBH Program.
d. Utilize the County’s Electronic Health Record (SmartCare) for billing, documenting the usage of flex funds and creating Housing Care Plans, and entering required special populations demographic information.
1. 70% of individuals will engage in outpatient mental health and/or SUD treatment services within 30 days of entry.
2. 65% will complete individualized recovery plans within 14 days.
3. 30% reduction in withdrawal management and emergency psychiatric service utilization compared to the six months prior to admission.
4. 25% reduction in arrests or justice-system events among individuals.
5. 60% will transition to stable housing upon exit.
6. 80% will report increased hope, empowerment, or recovery capital (measured through validated tools).
1. Quantitative Measures:
a. Engagement in mental health/SUD treatment services.
b. Hospitalizations, withdrawal management visits, and emergency department use.
c. Arrests, probation violations, and recidivism.
d. Housing stability at discharge and 6 months post-exit.
e. Length of stay and program retention.
f. Linkage and continuity of care.
2. Qualitative Measures:
a. Participant satisfaction surveys.
b. Qualitative interviews on safety, empowerment, and trust.
c. Peer staff observations and case reviews.
3. Evaluation tools can align with:
a. State-specific performance benchmarks.
The organization will respond via the LOI Submission Questions confirming that they are able to provide the following staffing noted below:
Staff Type: Program Director
Brief Description: Responsibilities include overall oversight for the SLE/recovery residence including supervision of staff, contract compliance, partnership development, and coordination with justice, housing, and behavioral health systems. Additionally required to ensure fidelity to SAMHSA and ASAM-aligned models and manage quality improvement efforts.
Full Time Equivalent (FTE): 1.0 FTE
Staff Type: Clinical Supervisor
Brief Description: Responsibilities include supervision of peer specialists and care coordinators for the SLE/recovery residence crisis protocols, adherence to trauma-informed and co-occurring capable practices, and coordination with mental health and SUD treatment providers.
Full Time Equivalent (FTE): 0.5-1.0 FTE
Staff Type: Peer Support Specialists
Brief Description: Responsibilities include direct recovery support, daily wellness check-ins, crisis response assistance, engagement activities, transportation assistance, and care coordination collaboration for both the SLE/recovery residence and OP/IOP SUD treatment services.
Full Time Equivalent (FTE): 6-10 FTE for 24/7 coverage
Staff Type: Care Coordinators/Case Managers (Certified AOD Counselor, Registered AOD Counselor, or Other Qualified Provider)
Brief Description: Responsibilities include individualized service planning, appointment scheduling, transportation coordination to necessary behavioral health, justice, and/or other community resource-related appointments, benefits assistance including linkage to housing resources to prepare for independence following SLE/recovery residence stay, and justice-system communication (probation/courts) for both the SLE/recovery residence and OP/IOP SUD treatment services.
Full Time Equivalent (FTE): 1-2 FTE
Staff Type: Housing & Facility Support
Brief Description: Responsibilities include maintenance of the residence, ensuring safety, handling basic housing facility operations, as well as supporting individuals with chores, meal planning, and daily routines at the SLE/recovery residence.
Full Time Equivalent (FTE): 1-3 FTE for 24/7 coverage
Staff Type: Transportation Support
Brief Description: Responsibilities include transportation to behavioral health treatment appointments, probation/court appointments, medical care, and community resources at the SLE/recovery residence.
Full Time Equivalent (FTE): 0.5-1.0 FTE or contracted drivers
Staff Type: Administrative/Operations Support
Brief Description: Responsibilities include clerical duties (answering/responding to telephone calls, scheduling appointments, run data reports), general office support, and customer service functions to ensure smooth operations for the SLE/recovery residence.
Full Time Equivalent (FTE): 1.0 FTE
Enter the following information:
Enter the following information:
a. The organization must be operating one or more houses with the capacity to serve up to a total of 25 individuals at one time with an average length of stay of between 3 to 9 months per individual.
b. Site(s) must have the capability to accommodate pets. The organization will have policies and procedures that will be flexible for individual’s to bring their pets along with a plan to care for their pets while residing at the SLE/recovery residence (i.e. food, kennel, medical expenses, safety, leashing outside of the home, sanitary needs, etc.).
a. The Sacramento County BHS SUPT contracts must be in good standing for the provision of OP and/or IOP SUD treatment services.
b. The existing OP and/or IOP must possess the knowledge and infrastructure to serve the target population.
a. A valid and current California DHCS AOD Program certification. Please provide verification with your submission.
b. A Drug Medi-Cal (DMC) approval letter from DHCS. Please provide verification with your submission.
List individual site name, location, capacity, and specify how services are accessed (i.e., in-person, telehealth, or both in- person/telehealth). If not applicable, enter N/A.
List individual site name, location, capacity, and specify how services are accessed (i.e., in-person, telehealth, or both in- person/telehealth). If not applicable, enter N/A.
Please provide verification of the organization’s experience for each of these criteria with your submission (e.g. copy of public notice or prior award, memorandum of understanding (MOU), contract, or webpage screenshot).
The organization must be capable of:
a. Enter both the Universal Data Elements and the Common Data Elements on persons served into HMIS as required by AB 977 (Gabriel, Chapter 397, Statutes of 2021). HMIS will be utilized while also ensuring the safety of individual’s within the program where visibility in HMIS may be to the individual’s detriment.
b. Track and document all CalAIM Community Supports services and associated costs in SmartCare using County-designated tracking mechanisms and in HMIS in accordance with applicable data entry requirements.
i. Prior to utilizing BHBH funds for any activity eligible for CalAIM Community Supports reimbursement, Contractor shall actively pursue authorization through all applicable MCPs for each enrolled individual, including but not limited to TR. Active pursuit requires, at minimum, submission of a housing support plan to the applicable MCP and documentation of the MCP's response, including any denial and the basis for denial.
ii. When MCP authorization is denied or not yet obtainable, Contractor shall document the denial or barrier, continue to pursue reimbursement as authorization pathways become available, and seek retroactive reimbursement consistent with applicable MCP requirements and DHCS guidance.
iii. BHBH funds shall serve as the payer of last resort and shall only be used for activities for which no other funding source, including CalAIM Community Supports, is available or has been denied following active pursuit. Upon receipt of MCP reimbursement for any activity for which BHBH funds were previously used, Contractor shall notify the County and repay BHBH funds used for the same participant and service period in accordance with County policy and contract terms.
c. Follow DHCS guidance regarding TR as it becomes available.
a. Upon individual’s entry, program will be responsible for stabilizing their health and safety, developing a housing and exit plan, determining eligibility for housing programs, determining makeup of the MDT and beginning barrier busting activities.
b. Once stable, program will be responsible for providing life skills training and support with housing navigation services in collaboration with BHS outpatient treatment provider.
a. Coordination with behavioral health providers.
i. For mental health treatment: This includes referring the individual to BHS-SAC for a mental health screening and/or connecting the individual to one of the CORE sites for assessment.
ii. For SUD treatment: This includes completing a BQuIP screening with all individuals residing at the SLE/recovery residence to determine whether they meet criteria for SUD treatment services such as OP/IOP SUD treatment. If an individual meets criteria for Residential SUD treatment, the organization’s staff will coordinate with SUPT’s CPP team for linkage. In the interim, staff will continue to engage the individual in SLE programming and support with addressing identified priority needs.
b. Transportation and appointment accompaniment when appropriate.
c. Warm handoffs to community-based services.
d. Care alignment with ASAM Levels 1 through 3.
a. Behavioral health services.
b. Primary care services.
c. Justice-related needs.
d. Housing navigation and long-term planning needs.
e. MCP linkage and needs.
f. Supporting access to benefits, entitlements, and other community resources.
g. Policies and procedures regarding coordination of care and ensuring that individuals are connected to the appropriate level of care within the behavioral health system and/or to necessary community resources to meet their identified needs.
a. 24/7 trained staff.
b. Individualized crisis and recovery management (relapse prevention) plans.
c. Trauma-informed de-escalation and suicide prevention including immediately addressing risks for harm to self and/or harm to others.
d. Policies and procedures for program staff to immediately address situations where an individual has either used substances and/or brought substances into the residence to ensure the safety and wellbeing of the individual and others residing in the residence.
e. Policies and procedures for program staff to immediately address any illicit activities to ensure the safety and wellbeing of the individual and others residing in the residence.
f. Policies and procedures for program staff response to a crisis incident including steps and timelines for responding to a crisis and following up after a crisis as well as adherence to BHS’ policies and procedures regarding responding to adverse incidents and submitting Adverse Incident Reports.
g. Coordination with mobile crisis, EMS, and law enforcement.
a. Discharge planning beginning at intake.
b. Transition to permanent or supportive housing.
c. Recovery management (relapse prevention) and wellness planning.
d. Optional peer coaching after program completion.
a. Culturally responsive and trauma-informed care.
b. Recruitment of peer staff representative of the community served.
c. LGBTQ+ affirming practices.
d. Accessibility for individuals with disabilities.
e. Accommodations for language, cognitive, and sensory needs.
a. Assertive outreach and engagement.
b. Motivational interviewing.
c. Flexible, person-centered participation.
d. Relationship-based trust building.
a. SAMHSA ROSC.
b. SAMHSA COC and COE Principles.
c. TIC.
d. Harm Reduction.
e. ASAM Criteria Across All Six Dimensions.
f. SAMHSA Peer Support Core Competencies.
g. Housing First–Aligned Engagement Practices.
a. Enter data into HMIS.
b. Have designated staff complete Coordinated Access System (CAS) Assessor Training and to complete the Housing Conversation Tool and the Crisis Assessment Survey.
c. Utilize the standardized Maximum Rental Assistance Calculator (MRAC) tool inclusive of the U.S. Department of Housing and Urban Development (HUD) Small Area Fair Market Rents (SAFMRs) which are calculated at the zip code level allowing for precise payment standards that reflect local rental markets. The MRAC will determine a maximum rental and/or housing assistance amount for each household as required in the Sacramento County BHS Policy and Procedure for the BHBH Program.
d. Utilize the County’s Electronic Health Record (SmartCare) for billing, documenting the usage of flex funds and creating Housing Care Plans, and entering required special populations demographic information.
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SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
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