The change concerns the Drug Medi-Cal Organized Delivery System, which funds services including residential treatment, withdrawal management, medication-assisted treatment and outpatient programs. At a Sept. 1 briefing, county behavioral health staff said Partnership would stop administering the regional system on Dec. 31, 2026, and the county would take responsibility for contracting, billing and oversight. Staff said the network serves roughly 1,800 Solano residents a year.
At that briefing, staff outlined plans for 18-month contracts with providers already in Partnership’s network. They said 11 organizations operating about 19 sites in Solano and neighboring counties had expressed interest. Staff aimed to have contracts ready by Dec. 1 so providers could prepare to bill the county for services starting Jan. 1. They also planned individual agreements where needed to let residents finish treatment at more distant programs. These were transition plans presented to supervisors, rather than an announcement that all provider contracts had been signed.
Staff said they planned to expand the county’s mental health access line into a call center handling both mental health and substance use needs, retain its phone number and add and cross-train staff. Keeping people connected to treatment was a central goal of the transition, they told supervisors.
At the September briefing, staff said costs were still preliminary because payments would move from a monthly per-member rate to a fee-for-service model and historical costs had not been fully reconciled. They identified Drug Medi-Cal reimbursement, substance use block grants and required nonfederal matching funds as funding sources.
On Oct. 6, supervisors approved seven positions for the county-administered system and eliminated two others, a net increase of five. The additions were a mental health services manager, two licensed clinicians, a mental health specialist, a staff analyst, an accountant and an accounting technician. The deleted positions were a clinical supervisor and a mental health nurse. The action was part of the consent calendar, which passed 4-0.