In March 2020, at the beginning of the COVID-19 pandemic, state-funded community mental health service programs (CMHSP) in Michigan, organized into 10 regions known as a``Prepaid Inpatient Health Plan"( PIHP), grappled with the task of developing a modified plan of operations, while complying with mitigation and social distancing guidelines . With the premise that psychiatric care is essential healthcare, a panel of physician and non-physician leaders representing Region 5, met and developed recommendations, and feedback iteratively, using an adaptive modified Delphi methodology . This facilitated the development of a service and patient prioritization document to triage and to deliver behavioral health services in 21 counties which comprised Region 5 PIHP . Our procedures were organized around the principles of mitigation and contingency management, like physical health service delivery paradigms . The purpose of this manuscript is to share region 5 PIHP's response; a process which has allowed continuity of care during these unprecedented times.