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Board approves county contract with Crows Nest Ranch to restore in-person substance-use services in Truckee
Summary
The Board of Supervisors approved a contract with Crows Nest Ranch Outpatient LLC to provide in-person substance-use-disorder (SUD) outpatient services in the Truckee region, restoring services after prior provider closures. The contract authorizes Medi-Cal-reimbursed outpatient and intensive outpatient services through a local provider.
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The Board of Supervisors voted to approve a county contract with Crows Nest Ranch Outpatient LLC, a local outpatient substance-use provider that has completed Drug Medi-Cal certification and is offering partial-hospitalization, intensive outpatient and outpatient SUD services in Truckee.
Behavioral Health Director Phoebe Bell briefed the board on the need for in-person SUD services after Granite Wellness Center's closure and noted interim virtual services had partially filled the gap. Bell said Crows Nest has established local operations and pursued Medi-Cal certification to serve residents who rely on Medi-Cal for treatment.
Jordan and Brianna Minor, co-founders of Crows Nest Ranch, described the organization's origins as community-based peer support groups that expanded to clinical offerings and formal licensing. Brianna Minor said the clinic provides partial-hospitalization programs (up to 30 hours/week), intensive outpatient programs (9 to 20 hours/week) and outpatient services, and plans to expand peer support and crisis services.
After public comment and board discussion commending the provider and county staff assistance in the certification process, the board moved, seconded and approved the contract by roll call (District 1 absent). The county will execute contracting and oversee program implementation through the Behavioral Health Department; no additional details on contract amount were provided in the verbal record.

