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Madera County approves leasing Casa Grande motel as certified Medi‑Cal site for behavioral health housing
Summary
The Board of Supervisors on March 13 authorized a resolution to certify the Casa Grande motel as a Medi‑Cal site and lease 37 units plus an office for temporary housing with wrap‑around behavioral health services through June 30, 2027, funded by Medi‑Cal reimbursement.
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The Madera County Board of Supervisors on March 13 adopted a resolution to allow the county Department of Behavioral Health Services to use the Casa Grande Motel, 12390 Gold State Boulevard, as a certified Medi‑Cal site to provide temporary housing and on‑site behavioral health services.
County interim assistant director Art Galindo told the board the county entered a lease for the 37 units and one stand‑alone office from July 1, 2024, through June 30, 2027, and that clients would be able to remain for case‑specific periods “of 6 to 12 months” while they locate permanent housing. He said certification is required so the Department of Health Care Services may authorize the site and allow the county to bill Medi‑Cal for specialty mental‑health and substance‑use disorder services.
The resolution and presentation emphasized that costs will be covered through Medi‑Cal reimbursement and that there will be no impact to the county general fund. The department said it will select a contract provider to deliver the mental‑health, substance‑use and supportive services on site. The board was told the program’s goal is “to provide stable temporary housing with supportive wrap around services while an individual is locating, applying for, and or obtaining permanent housing,” a phrase used by Art Galindo during the presentation.
Supervisors asked for clarifications. Supervisor Rogers said the agenda language was confusing and sought confirmation that the county will certify the site and contract with a provider rather than operate the motel directly. Galindo and county counsel confirmed the county will seek site certification and select a provider to deliver services on the leased property. Supervisor Warmhoff asked whether the site would accept residents from outside the county; department staff answered the program is limited to Madera County residents.
Board members and staff also acknowledged receipt of public complaints about operations and living conditions at the site. Galindo said the department established weekly meetings to follow up on reported concerns and that residents have direct access to case managers. He said operational and safety issues reported to the county are being tracked and addressed through those meetings.
The board approved the resolution by roll call, 5–0. The approved action directs Behavioral Health Services to proceed with site certification steps and contract/provider selection and positions the Casa Grande units to be billed through Medi‑Cal once certified.
The county did not provide additional specifics in the meeting about the selected provider, per‑unit rent amounts, or an exact resident census. Those details were listed as not specified in the presentation.

