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Sonoma County doubles down on 24/7 mobile crisis response while racing to find sustainable funding
Summary
Health department officials told the Board of Supervisors Aug. 26 that Sonoma County has expanded countywide mobile crisis services and must maximize Medi‑Cal billing, unify data systems, and reduce duplication to sustain growth as Measure O and behavioral health funds decline.
Sonoma County officials on Aug. 26 told the Board of Supervisors that the county’s 24/7 mobile crisis teams have expanded rapidly but now face a sustainability problem that will require stronger revenue collection and operational consolidation.
DHS Director Nolan Sullivan said the county must “show us the money” by billing Medi‑Cal and aligning data across three separate response systems — the county Mobile Support Team (MST), SAFE (city-based teams), and Santa Rosa’s In Response program — to reduce duplication and stabilize costs. He said Medi‑Cal reimbursement could be significant if the county fully meets state requirements: “we can bill about $4,700 per instance,” Sullivan said, while noting the complexity of…
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