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County explains Health Care Authority contract and subcontract plan for behavioral-health case management

Mason County Board of Commissioners · October 13, 2025
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Summary

Staff briefed commissioners on Mason County’s role as the primary contractor with the Health Care Authority and plans to subcontract case-management services to Olympic Health & Recovery Services. Commissioners pressed for clearer KPIs and outcomes reporting and for separation of lead/administration funds from program delivery.

County public-health staff told the commission that Mason County serves as the primary contractor with the Washington State Health Care Authority for a behavioral-health lead program and that Mason County intends to subcontract direct case-management services to Olympic Health & Recovery Services.

Staff said Mason County will retain an administrative portion of the contract—about $120,000—to cover county administration, finance, and oversight, and the remainder will fund provider staff (case managers and mental-health professionals) and client supports such as limited rental assistance and mileage. Staff described work to improve messaging and program promotion and noted the co-responder program has increased referrals from law enforcement.

Commissioners pressed staff to return with key performance indicators and clearer evidence of outcomes, including metrics that reflect reduced criminal justice involvement and diversion work with prosecutors. Staff noted recent conversations on pre-filing diversion and expressed commitment to provide KPIs and an annual report on outcomes so the commissioners can distinguish successful elements for continued funding.

No formal action was taken at the briefing; staff will return with more specific KPI proposals and subcontract details.