Memorandum
Date: July 16, 2024
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Lake County Behavioral Health Services
Subject: Presentation of Billing and Fiscal Data from Lake County Behavioral Health Services and status of repayment to short-term loan from the General Fund.
Executive Summary: Behavioral Health (BH) has experienced payment delays due to state budget timelines, delaying payments for all billing sent after May 20th until August-a standard practice. Despite these challenges, our financial outlook is improving:
• June MH Medical Payments: BH received $1,173,614.04 in Medi-Cal payments, consistent with pre-CalAIM payment reform and EHR issue levels.
• MH Expenditures: As of June 30th, BH has disbursed $20,090,576.37 for contracted services, salaries, and operating expenses.
• MH Revenue: Total revenue received through June 30th is $20,389,413.74. This includes grant funds, Medi-Cal payments, Client Payments, Private Insurance, Realignment monies, and MHSA funding.
• Future Payments: Estimated medical payments for MH services billed after May 20th amount to $6,241,433.04.
• SUDS Revenue: Total revenue received through June 30th is $10,213,724.38. This includes grant funds, Medi-Cal payments, Client Payments, Private Insurance, and Realignment monies
• SUDS Expenditures: As of June 30th, SUDS has disbursed $9,819,522.73 for contracted services, salaries, and operating expenses.
• Outlook: We anticipate returning to normal operations by August as financial issues stabilize post-budget approval.
Despite recent challenges, BH remains committed to financial stability and service continuity. We appreciate your ongoing support during this period.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☒ Not applicable
☐ Fully Article X. <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI>- and/or Consultant Selection Policy <http://lcnet.co.lake.ca.us/Assets/Intranet/Policy/Policies+$!26+Procedures+Manual/Ch4_2021v2.pdf>-Compliant (describe process undertaken in “Executive Summary”)
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☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 <http://www.lakecountyca.gov/Government/Directory/Administration/Visioning/Vision2028.htm> (check all that apply): ☐ Not applicable
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Recommended Action: No recommended action at this time.