Alexandra Hagnere

Alexandra Hagnere serves as Clinical Services Manager II, Licensed Facilities, for the Behavioral Health and Recovery Services (BHRS) division of San Mateo County, where she plays a pivotal role in overseeing the procurement and operational compliance of residential crisis intervention services. In this capacity, she leads the acquisition of licensed residential facilities and associated clinical support services that align with California’s de-escalation and community-based behavioral health goals. Her procurement activities primarily involve sole-source and competitive solicitations for long-term care contracts, operational staffing agreements, and facility licensing compliance services, ensuring that all acquisitions meet state regulatory standards under Title 22 and CMS guidelines. While no specific contractor relationships are currently documented, Hagnere’s procurement pattern indicates a preference for established providers with demonstrated expertise in licensed residential behavioral health operations, including firms experienced in staffing certified peer specialists, licensed clinical counselors, and 24/7 crisis response teams. She engages vendors who can deliver integrated care models that combine clinical supervision, medication management, and trauma-informed support within non-institutional settings, prioritizing continuity of care and regulatory adherence over cost alone. Hagnere’s contracting portfolio reflects a 100% focus on open competition, with no set-asides designated for 8(a), HUBZone, or SDVOSB programs. This underscores a mission-driven approach centered on clinical outcomes and facility licensure compliance rather than socioeconomic preferences, though small businesses with proven capacity in behavioral health residential services remain eligible and actively considered under full and open competition. Her primary industry focus is exclusively on NAICS 623220—Residential Mental Health and Substance Abuse Facilities—where she specializes in procuring turnkey residential crisis stabilization units, partial hospitalization programs, and supported living arrangements. She possesses deep expertise in evaluating facility design, staffing ratios, clinical protocols, and compliance with state licensing requirements, ensuring that all contracted services meet the highest standards of safety, efficacy, and person-centered care.