September 21, 2026 CMH Finance Committee

The September 21, 2026 meeting of the Ottawa County Mental Health (miOttawa) Finance Committee focused extensively on financial management, contract approvals, and budget challenges related to Medicaid and millage funding. Key procurement-related discussions included the approval of a new contracting policy that sets a $100,000 threshold for board approval of contracts, allowing the CEO more flexibility for contracts below that amount. The committee reviewed numerous contract renewals, amendments, and extensions for service providers, including those related to crisis services, behavioral health, and community programs. The committee also discussed the award of a grant from SAMA to expand crisis services, including a pilot living room model for walk-in crisis intervention. Financial updates highlighted a significant Medicaid deficit projected to increase by $7 to $9 million, driven by increased service utilization and rate adjustments, with no anticipated revenue increases from the state. The committee emphasized the need for uniform utilization management guidelines across the regional entity to manage costs and advocated for increased state funding. Additionally, the committee reviewed purchasing card policies, payment authorization procedures, and provider scorecards to monitor contract compliance and service quality. Motions to approve contracting policies, contract renewals, and the Medicaid agreement were passed unanimously. Overall, the meeting underscored ongoing fiscal challenges, procurement oversight improvements, and strategic planning to sustain mental health services in the region.