Memorandum
Date: May 6, 2025
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Consideration of Amendment No.1 to the Agreement Between County of Lake and Hilltop Recovery Services for ASAM Level 1.0, 2.0, 3.1 & 3.5 Services for FY 2024-25 in the Amount of $1,963,200.
Executive Summary:
The County previously entered into an Agreement with the Contractor effective July 1, 2024, to provide specialized services. Due to higher-than-anticipated utilization of these services, actual costs have exceeded original projections. As a result, the County and the Contractor wish to amend the Agreement to increase the maximum compensation by $300,000, bringing the total not-to-exceed amount to $1,963,200. Additionally, the amendment will incorporate CPT codes to support accurate billing for Peer Support Specialist services.
FY 23-24 DMC State Plan
• Hilltop did not have any outpatient services operating.
• 42 Residential Treatment Admissions
o County paid for beds (5) out of SUBG funding.
• Unable to bill for Care Coordination Services or Peer Support Services.
o Only paid for Residential Bed Days and Room and Board
FY24-25 DMC-ODS Plan
• Outpatient and Intensive Outpatient Program is operating.
o Served 43 Individuals
o Able to bill for Care Coordination and Peer Support Services
• 95 Residential Treatment admissions
o County does not pay for beds, provider places at discretion and bed availability.
• Expanded Billing Codes such as Care Coordination services, Recovery Services and Peer support Services.
• Higher fee for service reimbursement rates based upon License/Credential
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: _$1,663,200_______ Additional Requested: _$300,000__ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
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Consistency with Vision 2028 <http://www.lakecountyca.gov/Government/Directory/Administration/Visioning/Vision2028.htm> (check all that apply): ☐ Not applicable
☐ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve Amendment No.1 to the Agreement Between County of Lake and Hilltop Recovery Services for ASAM Level 1.0, 2.0, 3.1 & 3.5 Services for FY 2024-25 in the Amount of $1,963,200 and Authorize the Board Chair to Sign.