The selected organization must currently provide services from a consistent physical office location in ZIP code 95823 and shall provide community-defined canvassing to unhoused community members of all ages, living in the 95823 ZIP code. The selected organization will also provide behavioral health services to all community members experiencing homelessness who request and qualify for specialty mental health services (regardless of ZIP code). Individuals served will meet the defined criteria for homelessness or at risk of homelessness, will be Medi-Cal eligible, and if the client opts into mental health treatment services, they will meet medical necessity as defined by Medi-Cal specialty mental health criteria. Additionally, the proposed program and service model shall include, but is not limited to, these activities and support services: 1. Outreach and Engagement: a) Culturally tailored canvassing in and around the ZIP code 95823 in encampments, shelters, parking lots, parks and/or any location where individuals living homeless congregate. b) Peer-led services to reduce stigma and increase help-seeking behaviors. c) Other community defined practices to increase access to services to support positive outcomes. 2. Flexible Services and Support: Support for basic needs and wellness activities. a) Transportation, weather-appropriate clothing, food. b) Activities that will prevent entry into homelessness, help resolve homelessness and help stabilize housing, including but not limited to rent assistance, security deposits, landlord supports, housing navigation, documentation readiness etc. c) Tracking all clients who are homeless in Homeless Management Information System (HMIS) for data tracking using data standards as determined by Sacramento Steps Forward policies. d) Other community defined practices that affect the behavioral health condition. For example, conducting wellness seminars open to the public or other activities designed to improve social determinants of health. 3. Medi-Cal Eligible Behavioral Health Services To ensure long-term sustainability beyond the Innovation funding period, organizations must work toward integrating services into the Medi-Cal system. The selected organization will be required to become Medi-Cal site certification within 18 months of contract execution. While the design of the service model should reflect the unique strengths and approaches of the community-based organization, proposals must include a behavioral health service array that meets Medi-Cal specialty mental health standards and is responsive to the needs of the population served. The model should actively involve the community and participants in shaping service design and delivery.
