Memorandum
Date: April 21, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Participation Agreement Amendment No. 3 between the County of Lake and the California Mental Health Services Authority (CalMHSA) for the Semi-Statewide Enterprise Health Record (EHR) Program, increasing the maximum funding amount by $121,183.44, for a total amount not to exceed $1,650,000.00, and authorize the Chair of the Board to sign
Executive Summary:
The Lake County Behavioral Health Department is requesting approval of Participation Agreement Amendment No. 3 with the California Mental Health Services Authority (CalMHSA) for the Semi-Statewide Enterprise Health Record (EHR) Program.
The County originally entered into this agreement on June 9, 2022, to participate in CalMHSA’s EHR program, which supports the implementation, operation, and ongoing enhancement of the County’s behavioral health electronic health record system. This system is critical for clinical documentation, billing, data reporting, and compliance with state and federal requirements.
Amendment No. 3 increases the total maximum funding by $121,183.44, bringing the revised contract amount to a not-to-exceed total of $1,650,000.00. This adjustment reflects the County’s need to continue expanding and maintaining system functionality to meet operational and regulatory demands.
The Amendment also includes $48,725.00 in additional component purchases, specifically for the SmartCare Lab Interface (Millennium reengagement), which includes both one-time implementation services and ongoing subscription services billed monthly. These enhancements will improve interoperability and support more efficient coordination of care through integration with laboratory systems.
In addition, the Amendment clarifies that Behavioral Health may utilize unallocated funds within the approved maximum funding amount for future EHR-related components, modules, and services, provided that such purchases are executed through an Order Form approved by the Behavioral Health Director. Any future increase to the total maximum funding will continue to require Board of Supervisors approval.
Approval of this Amendment ensures that Lake County Behavioral Health Services can maintain a functional, compliant, and modern electronic health record system that supports service delivery, enhances operational efficiency, and aligns with ongoing state requirements.
There is no impact to the County General Fund, as costs associated with this agreement are supported through existing Behavioral Health funding sources.
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Recommended Action: Approve Participation Agreement Amendment No. 3 between the County of Lake and the California Mental Health Services Authority (CalMHSA) for the Semi-Statewide Enterprise Health Record (EHR) Program, increasing the maximum funding amount by $121,183.44, for a total amount not to exceed $1,650,000.00, and authorize the Chair of the Board to sign.