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Pawnee Mental Health updates commissioners on wait list, services and primary-care launch; discusses facility and funding uncertainty

5444118 · July 22, 2025
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Summary

Representatives from Pawnee Mental Health briefed Riley County commissioners on program funding risks, a wait list for services, recent fundraising and plans to add integrated primary care. They asked the board to consider long-term facility planning and coordination with county services.

A representative of Pawnee Mental Health on July 17 briefed Riley County commissioners on a string of program updates, funding risks and plans to add integrated primary-care services at a local behavioral-health clinic.

The presenter said the federal government has delayed or stopped movement toward ending 14(c) certificates (a federal wage-certification program discussed historically), and expressed concern about pending Medicaid budget cuts that could affect non‑entitlement services. The presenter reported the statewide developmental-services waiting list remains significant; the speaker said the statewide list stood at 4,830 individuals with 118 on the list in the four‑county area served by the agency.

Pawnee reported completion of its “Raise the Roof” fundraising campaign and said proceeds will be used for capital projects including HVAC replacement and electrical work. The speaker said the agency raised funds through a recent Grow Green Match Day and plans to purchase larger passenger vans (one 15‑passenger van and a second replacement later in the year) to support program transportation.

The agency also described plans to add primary-care services integrated with behavioral health under a federal SAMHSA-supported CCBHC (Certified Community Behavioral Health Clinic) initiative. The county speaker and Pawnee staff discussed coordination and the possibility of transferring long-term responsibility for the Pawnee facility building; Pawnee representatives said they have been at their current building for decades and that county participation has been key historically.

Why it matters: Pawnee provides behavioral-health services to residents across Riley County and surrounding areas. Changes to Medicaid and state funding, and the agency’s plan to integrate primary care, could affect clients who rely on combined behavioral and physical health services.

What commissioners asked: Commissioners asked about coordination between Pawnee and the Riley County Health Department, about building ownership and long-term facility planning, and about whether Pawnee’s planned primary-care services would duplicate or coordinate with county services. Pawnee staff said conversations are ongoing and that the county’s support has been important for Pawnee’s operations.