Behavioral Health Continuum Infrastructure Program

Proposition 1: Behavioral Health Infrastructure Bond Act of 2024: Behavioral Health Continuum Infrastructure Program (BHCIP) Round 1 (2024)

The California Department of Health Care Services (DHCS) launched the Behavioral Health Continuum Infrastructure Program (BHCIP) to address historic gaps in the behavioral health care continuum and meet the growing demand for services and support across the life span of vulnerable individuals in need.

In March 2024, California voters passed Proposition 1, which includes the Behavioral Health Services Act (Senate Bill 326) and the Behavioral Health Infrastructure Bond Act (BHIBA) of 2024 (Assembly Bill 531), authorizing DHCS to make additional BHCIP grant funding available to eligible entities. The BHIBA is a $6.38 billion general obligation bond to develop a wide range of behavioral health treatment, residential care settings, and supportive housing to help provide appropriate care facilities for Californians experiencing mental health conditions and substance use disorders.

Of the total bond amount, DHCS is authorized to award up to $4.4 billion “to construct, acquire, and rehabilitate real estate assets or to invest in needed infrastructure to expand the continuum of behavioral health treatment resources to build new capacity or expand existing capacity for short-term crisis stabilization, acute and subacute care, crisis residential, community-based mental health residential, substance use disorder residential, peer respite, community and outpatient behavioral health services, and other clinically enriched longer term treatment and rehabilitation options for persons with behavioral health disorders in the least restrictive and least costly setting.” Of these funds, $1.5 billion of competitive grant funding will be exclusively available to cities, counties, city and counties, and tribal entities and $30 million will be specifically designated to tribal entities. The balance of the funds, up to $2.893 billion, is available to cities, counties, tribal entities, and nonprofit and for-profit organizations. The BHCIP portion of the bond is estimated to fund 6,800 residential treatment beds and provide behavioral health outpatient treatment for 26,700 slots and will build on other major behavioral health initiatives in California. The Department of Housing and Community Development (HCD) will oversee the remaining BHIBA available funding—up to $2 billion in total. There will be a separate Notice of Funding Availability for that portion of the BHIBA.

For general information about BHCIP Bond Round 1 Launch Ready:

Bond BHCIP Round 1: Launch Ready

A total of $3.3 billion will be available to construct, acquire, and rehabilitate real estate assets to expand the continuum of behavioral health treatment and service resources for Californians (see section 2.4) in this round of Bond BHCIP funding. Of that amount, $1.47 billion is designated for cities and counties; another $30 million is designated for tribal entities. The remaining $1.8 billion is available to all eligible entities, including cities, counties, and tribal entities. Bond BHCIP Round 1: Launch Ready funds are not intended to preserve existing service capacity. Bond BHCIP Round 1: Launch Ready grantees must commit to serving Medi-Cal beneficiaries.

For purposes of Bond BHCIP Round 1: Launch Ready funding, a project is defined as “launch ready” when some essential predevelopment design, planning, site control, and budgeting details have been professionally formalized; the project meets the minimum threshold requirements as listed in section 2.1 (“Project Readiness”); and construction for the requested project is not currently underway.

Eligibility Requirements

  1. Pre-Application Consultation
  2. Eligible Applicants
  3. Medi-Cal Services
  4. Licensing, Certification, and Accreditation
  5. Project Readiness
Application Timeline

Timeline for Bond BHCIP Round 1: Launch Ready

Request for Applications (RFA) release July 17, 2024
Pre-recorded enhanced technical assistance presentations Available beginning May 2024
Application portal opens August 9, 2024
Informational webinar August 7, 2024; 1–2 p.m. Pacific Time (PT)
Tribal informational webinar August 8, 2024; 2–3 p.m. PT

Pre-Application Consultation (PAC) registration opens

Deadline to schedule a required PAC

PAC window period

July 18, 2024

 October 15, 2024

August 9, 2024 – November 14, 2024

Deadline to request a L.A. County Letter of Support via Survey Portal December 3, 2024; Noon PT
Office Hours (Recommend PAC to be completed) Wednesdays and Thursdays, 10-11 a.m. PT
(ends December 13, 2024)
Application due date December 13, 2024; 5 p.m. PT (no exceptions)
Award announcements May 2025 (anticipated)

 

Eligible Facility Types

The following facility types may be considered for project funding only if they are expanding behavioral health infrastructure.

Eligible Facility Types

Bond BHCIP Round 1: Launch Ready Eligible Facility Types

Acute Psychiatric Hospital

Adolescent Residential Substance Use Disorder (SUD) Treatment Facility

Adult Residential SUD Treatment Facility

Behavioral Health Urgent Care (BHUC)/Mental Health Urgent Care (MHUC)

Chemical Dependency Recovery Hospital

Children’s Crisis Residential Program (CCRP)

Community Mental Health Clinic (outpatient)

Community Residential Treatment System (CRTS)/Social Rehabilitation Program (SRP)

Community Treatment Facility (CTF)

Community Wellness/Prevention Center (tribal entities only)

Crisis Stabilization Unit (CSU)

General Acute Care Hospital (GACH) for behavioral health services only

Hospital-Based Outpatient Treatment (outpatient detoxification/withdrawal management)

Mental Health Rehabilitation Center (MHRC)

Narcotic Treatment Program (NTP)

NTP Medication Unit

Office-Based Opioid Treatment (OBOT)

Outpatient Treatment for SUD

Partial Hospitalization Program

Peer Respite

Perinatal Residential SUD Facility

Psychiatric Health Facility (PHF)

Psychiatric Residential Treatment Facility (PRTF)

Short-Term Residential Therapeutic Program (STRTP)

Skilled Nursing Facility with Special Treatment Program (SNF/STP)

Sobering Center (funded under the Drug Medi-Cal Organized Delivery System [DMC-ODS] and/or Community Supports)

Social Rehabilitation Facility (SRF)

 

L.A. County Letter of Support

(Deadline to request a L.A. County Letter of Support is December 3, 2024; noon Pacific Time)

LOS ANGELES COUNTY
BOND BHCIP ROUND 1: LAUNCH READY
LETTER OF SUPPORT SURVEY

The California Department of Health Care Services (DHCS) launched the Behavioral Health Continuum Infrastructure Program (BHCIP) to address historic gaps in the behavioral health care continuum and meet the growing demand for services and support across the life span of vulnerable individuals in need.

In July 2024, DHCS announced the next BHCIP rounds – Behavioral Health Infrastructure Bond Act of 2024: Behavioral Health Continuum Infrastructure Program Round 1 (2024): Launch Ready and Round 2 (2025): Unmet Needs. The Round 1 Request for Applications (RFA) was released in July 2024 and Round 2 is targeted for release in mid-2025. Round 1 aims to construct, acquire, and rehabilitate real estate assets or to invest in needed infrastructure to expand the continuum of behavioral health treatment resources to build new capacity or expand existing capacity for short-term crisis stabilization, acute and subacute care, crisis residential, community-based mental health residential, substance use disorder residential, peer respite, community and outpatient behavioral health services, and other clinically enriched longer term treatment and rehabilitation options for persons with behavioral health disorders in the least restrictive and least costly setting.

Applications are due to DHCS on December 13, 2024. The deadline to request the required Pre-Application Consultation (PAC) is October 15, 2024. DHCS’ regional allocation for Los Angeles County is $479,190,226.

Included among the application requirements is city, nonprofit, or for-profit applicants must include a letter of support from their county behavioral health agency.

  • To be considered for a LA County Letter of Support for a qualifying substance use disorder and/or mental health related project, organizations must submit one survey for each distinct project for which they intend to apply. Please complete the survey by 12 noon on Tuesday, December 3, 2024, and attest that all responses are detailed, accurate and complete. The County cannot guarantee that surveys received after December 3 will be able to be evaluated or letters issued by the December 13, 2024 BHCIP Bond 1: Launch Ready application deadline.
  • You will be required to attest that you have read and understand the DMH and DPH-SAPC requirements to become a County contracted provider (see resources section). A County contract is necessary for providers serving Medi-Cal clients. DHCS stipulates that projects must make a commitment to serve Medi-Cal beneficiaries
  • Only One Survey Per Grant Application Submission
Webinars

Bond BHCIP Round 1: Launch Ready Informational Webinar​ (August 7, 2024)

DHCS and Advocates for Human Potential (AHP), the BHCIP administrative entity, hosted an informational webinar for all prospective applicants. The webinar offered an overview of the funding opportunity and information related to the application and award processes.

 

L.A. County BHCIP Stakeholder Webinar (August 21, 2024)

Resources

DHCS Resources

L.A. County Contract Resources

L.A. County BHCIP Contacts