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Interim Shelter - Bridge Housing Bed Expansion

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Behavioral Health Bridge Housing-Open Enrollment-2026State & Local

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Sacramento County Department of Health Services is seeking qualified public agencies or nonprofit organizations to expand the Behavioral Health Bridge Housing program by adding up to 100 interim shelter beds. This initiative targets individuals experiencing homelessness with serious mental illness or substance use disorders, providing low-barrier, 24/7 shelter to facilitate stabilization, engagement in behavioral health treatment, and transitions to permanent housing. The program aligns with California Advancing and Innovating Medi-Cal CalAIM Community Supports, specifically regarding transitional rent and housing-related services. Eligible applicants must be current Sacramento County service providers with at least three years of experience within the last five years operating similar programs using Housing First and harm reduction principles. Key requirements include demonstrating site control, maintaining an average occupancy rate of at least 90 percent, and adhering to the County's Good Neighbor Policy. Successful providers must ensure facilities meet Emergency Solutions Grants minimum habitability standards and ADA compliance. The open enrollment process reviews applications on a first-come, first-served basis. Awarded contracts require the site to be secured within two weeks and fully operational for participant intake within 30 days of execution. All program funding must be spent by June 30, 2027. Applicants are required to participate in HMIS and SmartCare data systems and must provide a detailed budget using the provided Excel template.

General Info

Sacramento County seeks providers to add 100 behavioral health bridge housing shelter beds.

Place of Performance

CA, USA

Set-Aside

NONE

Documents

(6)

Attachment G – Transitional Rent 10.3.25

PDF•specifications

Behavioral Health Bridge Housing Program RFA

PDF•rfa

BHBH Program Round 3 RFA - County Behavioral Health Agencies

PDF•rfa

Sacramento County Behavioral Health Bridge Housing Open Enrollment

PDF•presolicitation

Community Supports Policy Guide Volume 2 (April 2025)

PDF•policy-guide

Transformation of Medi-Cal: Community Supports

PDF•other

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Timeline

PhaseSolicitation
Posted

Solicitation

Response Deadline

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Organization & Contact Information

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AgencyCalifornia → Health Services
Contacts1 person available
OfficeSacramento, CA, 95827, USA
Organization / AgencyCalifornia → Health Services
Office AddressSacramento, CA, 95827, USA
Contacts
Jessica SimanelloHuman Services Program Planner

Full Description

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The BHBH Program is a State of California initiative designed to address the urgent housing needs of individuals experiencing homelessness who have serious behavioral health conditions. Sacramento County applied for and was awarded BHBH funding through Department of Health Care Services (DHCS) to expand bridge housing capacity and support interim shelter placements that promote stabilization, engagement in treatment services, and transitions to permanent housing. Sacramento County BHS has implemented BHBH through a coordinated housing approach that combines program-designated beds with flexible, community-based placements and supports. This model expands access to low-barrier housing, supports stabilization and engagement in behavioral health services, and facilitates transitions to longer-term housing solutions. Sacramento County currently supports approximately 259 BHBH-funded beds across a range of interim shelter models and sober living environment programs. This includes site-based interim shelter such as the Grow Florin non-congregate community with 72 beds, Renewed Hope with 15 beds, and approximately 100 beds across 3 Safe Stay sites, as well as 71 beds operated across multiple sober living environment Successful Applicant(s). In addition to these program-designated beds, the County utilizes flexible housing funds to support placements in community-based settings such as room and board and board and care, expanding access beyond fixed site capacity. Through prior funding rounds, Sacramento County has established a strong foundation of interim shelter and supportive services. However, the need for interim shelter continues to exceed available capacity. This Open Enrollment is intended to expand interim shelter bed availability by allowing the County to partner with additional qualified Successful Applicant(s) to deliver low-barrier, service-connected housing placements for individuals experiencing homelessness with behavioral health needs. This program is designed to align with State guidance and requirements under California Advancing and Innovating Medi-Cal (CalAIM) Community Supports, including housing-related services and Transitional Rent (Attachment F – Transformation of Medi-Cal Community Supports; Attachment G – Transitional Rent Payment Methodology; Attachment H – Community Supports Policy Guide Volume 2).

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