Alameda
Total Population
1,659,982
County Residents in Calendar Year 2024Medi-Cal Enrollment
510,160
Members enrolled in December 2024Penetration Rate of County Specialty Mental Health Services
2.24%
Medi-Cal Members in Calendar Year 2024Penetration Rate of Substance Use Disorder Treatment Services
0.38%
Medi-Cal Members in Calendar Year 2024Annual Expenditures
Available 2029
As per BHOATR 2029Behavioral Health Services Act County Integrated Plan
The Behavioral Health Services Act (BHSA) County Integrated Plan (IP) is a comprehensive, three-year plan that each county must develop and submit to the Department of Health Care Services (DHCS). The Integrated Plan outlines how the county will use all available behavioral health funding to deliver services, address local needs, and achieve statewide and local behavioral health goals.
BHSA Projected Revenue
Estimated Projected Annual Revenues of Local Behavioral Services Fund reported in the submitted county Integrated Plan Budget.
Behavioral Health Services Act (BHSA) Exemptions
Department of Health Care Services (DHCS)-approved exemptions from specific Behavioral Health Services Act (BHSA) requirements for the 3-year Integrated Plan period. Behavioral Health Services Act (BHSA) allows counties to request exemptions from certain statutory requirements when developing their Integrated Plan. Exemptions provide flexibility for counties to address unique local needs, funding limitations, or population characteristics, subject to approval by Department of Health Care Services (DHCS).
Housing Interventions (HI) Exemptions
The following are Housing Interventions (HI) program requirements eligible counties can apply for exemptions on.
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BHSF HI Component Allocation
Counties are required to allocate 30% of the Behavioral Health Services Fund (BHSF) to Housing Interventions services.
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HI funds for Chronically Homeless
Counties are required to allocate 50% of Housing Interventions funds to support persons who are chronically homeless.
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Capital Development Expenditure Limit
Capital development expenditures are limited to 25% of Housing Interventions funds.
Full Service Partnership Exemptions
The following are Full Service Partnership (FSP) program requirements eligible counties can apply for exemptions on.
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Assertive Community Treatment (ACT)
An evidence-based practice that provides intensive, community-based mental health services and supports for individuals with serious behavioral health needs.
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Forensic Assertive Community Treatment (FACT)
A specialized form of ACT designed for individuals with significant behavioral health needs who are also involved in the justice system.
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Individual Placement and Support (IPS)
An evidence-based supported employment model that helps individuals with behavioral health conditions find and maintain employment.
Funding Transfer Requests
Funding Transfer Requests allow counties to adjust the statutory allocation percentages of Behavioral Health Services Act (BHSA) funds among the three core program components—Housing Interventions, Full Service Partnership (FSP), and Behavioral Health Services and Supports (BHSS).
This county did not request and/or did not receive approval on any funding transfers.
Local Prudent Reserve
Counties are allowed to use local BHSF money to fund their local Prudent Reserve (PR), which they are required to establish and maintain, to ensure HI programs, FSP, and BHSS are not significantly impacted in years in which revenues for the BHSF are below recent averages (WIC section 5892, subdivision (b)(1)).
Population-Level Behavioral Health Measures
Statewide and county-selected behavioral health goals (SFY 2026-2029)
Additional County Selected Goal
Overdoses
Note: For more information on the six priority statewide behavioral health goals, please see the Performance Tab.
Behavioral Health Care Continuum Projected Expenditures
Number of individuals and estimated cost by service type
Mental Health Services Care Continuum Projected Expenditures Across All Behavioral Health Funding Sources
| Total (SFY 2026-2027) | ||
|---|---|---|
| Service Type | Projected Individuals Served | Estimated Costs |
| Primary Prevention Services | 0 | $0.00 |
| Early Intervention Services | 51,305 | $41,654,690.00 |
| Outpatient and Intensive Outpatient Services | 20,669 | $313,969,665.00 |
| Crisis Services | 4,724 | $46,913,830.00 |
| Residential Treatment Services | 856 | $10,931,223.00 |
| Hospital and Acute Services | 2,039 | $72,286,684.00 |
| Subacute and Long-Term Care Services | 317 | $41,389,148.00 |
| Total Mental Health Services Across All Services | 79,910 | $527,145,240.00 |
Substance Use Disorder (SUD) Treatment Services Care Continuum Projected Expenditures Across All Behavioral Health Funding Sources
| Total (SFY 2026-2027) | ||
|---|---|---|
| Service Type | Projected Individuals Served | Estimated Costs |
| Primary Prevention Services | 1,805 | $2,975,479.00 |
| Early Intervention Services | 0 | $0.00 |
| Outpatient Services | 5,073 | $30,865,492.00 |
| Intensive Outpatient Services | 0 | $0.00 |
| Crisis and Field-Based Services | 2,138 | $3,884,102.00 |
| Residential Treatment Services | 1,171 | $18,400,129.00 |
| Inpatient Services | 0 | $0.00 |
| Total Substance Use Disorder (SUD) Treatment Across All Services | 10,187 | $56,125,202.00 |
Housing Services Care Continuum Projected Expenditures Across All Behavioral Health Funding Sources
| Total (SFY 2026-2027) | ||
|---|---|---|
| Service Type | Projected Individuals Served | Estimated Costs |
| Housing | 13,381 | $93,607,818.00 |
Mental Health Services Care Continuum Projected Expenditures by Service Type
Projected Expenditures across all Behavioral Health Funding Sources for SFY 2026-2027
Substance Use Disorder (SUD) Treatment Services Care Continuum Projected Expenditures by Service Type
Projected Expenditures across all Behavioral Health Funding Sources for SFY 2026-2027