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Bear River proposes single, capitated provider to integrate mental‑health and substance‑use services; county asked for exact cost share

Cache County Council · January 13, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Bear River Health Department recommended consolidating substance‑use and mental‑health contracts under a single capitated provider to streamline care and control Medicaid match growth; presenters said the plan creates an estimated $250,000 administrative shortfall shared across three counties and asked Cache County to decide after staff supplies the county’s dollar share.

Jordan Mathis of the Bear River Health Department presented a behavioral health integration plan to the Cache County Council, proposing that mental‑health and substance‑use contracting be consolidated under one capitated provider to improve coordination of care and reduce duplicated administrative work.

Mathis said the proposal would keep legal oversight with the counties while passing the majority of service dollars through a single provider, arguing the approach would improve continuity for people with co‑occurring diagnoses, simplify referrals for courts and law enforcement, and allow economies of scale. “We wanted to…

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