Improving California’s Infrastructure
CalHHS infrastructure funding, alongside significant new state and federal investments in homelessness, healthcare delivery reform, and the social safety net, will address historic gaps in the behavioral health and long-term care continuum to meet growing demand for services and supports across the lifespan.
These investments will ensure care can be provided in the least restrictive settings by creating a wide range of options including outpatient alternatives, urgent care, peer respite, wellness centers, and social rehabilitation models. A variety of care placements can provide a vital off-ramp from intensive behavioral health service settings and transition individuals, including the most vulnerable and those experiencing homelessness, to community living. Investing in adult and senior care facilities will divert SSI/SSP recipients from homelessness as a key part of the state’s strategic multi-agency approach to increase housing options for seniors and people with disabilities.
DHCS was authorized through 2021 legislation to establish BHCIP and award $2.2 billion to construct, acquire, and expand properties and invest in mobile crisis infrastructure related to behavioral health. In partnership with Advocates for Human Potential, Inc. (AHP), DHCS is releasing these funds through six grant rounds targeting various gaps in the state’s behavioral health facility infrastructure.
The Community Care Expansion (CCE) program was established by Assembly Bill (AB) 172 (Chapter 696, of Statutes 2021) and will provide $805 million in funding for acquisition, construction, and rehabilitation to preserve and expand adult and senior care facilities that serve Social Security Income (SSI) applicants and recipients, including those who are homeless or at risk of homelessness and people with behavioral health conditions. In partnership with AHP, CDSS will release a Request for Applications (RFA) in January 2022.
Technical assistance (TA) will be offered to applicants to answer questions about the RFA and application process, as well as made available to grantees throughout the grant period.
These combined infrastructure programs represent the largest provision of resources for behavioral health and social services infrastructure in the state’s history and an unprecedented opportunity to address historic gaps in the behavioral health and long-term care continuums in California. Both funding efforts afford counties, tribal entities, nonprofits, and for-profit organizations the ability to expand infrastructure around the entire continuum of care for individuals to meet growing demand for services and supports across the lifespan.
The California Department of Health Care Services (DHCS) and Department of Social Services (CDSS) are working closely to design and implement two new programs to support infrastructure projects: the Behavioral Health Continuum Infrastructure Program (BHCIP) and the Community Care Expansion (CCE) program.