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Monroe Community Mental Health Authority outlines crisis services, warns of Medicaid funding risk
Summary
Lisa Graham, CEO of the Monroe Community Mental Health Authority, told the board CMH now offers mobile crisis response and a walk-in behavioral health urgent care averaging 50-60 visits monthly, but expects a funding drop in fiscal year 2027 tied to changes in Medicaid eligibility.
Lisa Graham, CEO of Monroe Community Mental Health Authority, briefed the board on CMH's services and growing demand, including a 24/7 mobile crisis team and a behavioral health urgent care clinic opened last fall on ProMedica property that provides same-day psychiatric and therapy services. "We have 24 7 crisis services ... and then we, recently in the fall, we opened a behavioral health urgent care," Graham said, noting the urgent care averages about 50 to 60 walk-in visits monthly and is open Monday through Friday from 11 a.m. to 7 p.m.
Graham asked the district to continue referrals and collaboration and cautioned that federal changes to Medicaid could reduce CMH funding in fiscal year 2027 because eligibility rolls and recertification frequency may shrink the number of Medicaid-eligible residents. "We're expecting in fiscal year 27 to see a decrease because we know that, with the federal legislation, the number of people who are gonna be eligible for Medicaid is going to be reduced," she said. Board members discussed how CMH and schools can coordinate through PBIS and MTSS teams and whether crisis and urgent-care hours could expand as demand grows.
