Transcranial Magnetic Stimulation (TMS) - RFA MHTC/011

Sacramento County Department of Health Services (DHS), Division of Behavioral Health Services (BHS), is issuing this Request for Applications (RFA) to solicit qualified providers to deliver Transcranial Magnetic Stimulation (TMS) as part of the County’s specialty mental health service array for Medi‑Cal beneficiaries ages 15 and older with Serious Mental Illness (SMI). Sacramento County is one of the largest and most diverse counties in California, with an estimated population of 1.6 million residents, including more than 500,000 living in unincorporated areas. The County serves a multicultural community and supports seven threshold languages (Arabic, Cantonese, Farsi, Hmong, Russian, Spanish, and Vietnamese), requiring behavioral health services that are culturally responsive and linguistically accessible. As the Mental Health Plan (MHP) under California’s 1915(b) waiver, BHS is responsible for ensuring access to medically necessary specialty mental health services for more than 645,000 Medi‑Cal beneficiaries. The County’s behavioral health continuum includes prevention and early intervention, outpatient treatment, crisis services, intensive community‑based programs, acute residential care, and inpatient psychiatric hospitalization. These services support individuals across the lifespan, including those transitioning from or at risk of entering acute care settings. Through this RFA, Sacramento County seeks to expand access to evidence‑based psychiatrist services by integrating TMS into its specialty mental health service offerings for eligible beneficiaries ages 15 and up. TMS is an FDA‑approved, non‑invasive, neuroscience‑based treatment shown to reduce depressive symptoms and improve functioning for individuals with treatment‑resistant Major Depressive Disorder (MDD). Incorporating TMS into the County’s system of care is intended to increase treatment options, reduce reliance on higher‑level services, and support long‑term recovery and wellness. Applicants must demonstrate the organizational capacity, clinical expertise, and cultural and linguistic competence necessary to deliver TMS services consistent with Sacramento County BHS’ system of care.