Memorandum
Date: August 25, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Adopt a Resolution amending Resolution No. 2025-118, as previously amended, to amend the FY 2025-26 Adopted Budget for Fund 145 (Mental Health), Budget Unit 4014, by increasing revenues and appropriations by $4,861,792 to finalize fiscal year-end obligations.
Executive Summary:
As part of the fiscal year-end closing process, Lake County Behavioral Health Services reviewed the remaining appropriations and outstanding obligations in Fund 145 (Mental Health), Budget Unit 4014. The review identified that additional budget authority is required to process contracted provider services, supplies and services, and client placement costs before year-end close.
Known unprocessed obligations in accounts 740.23-80, 740.28-30, and 740.40-70 total approximately $6.34 million, compared with approximately $3.45 million in remaining budget authority. The resulting minimum appropriation shortfall is approximately $2.88 million.
To ensure sufficient authority to finalize year-end and cover additional invoices that may be received during the closing process, the Department requests a total appropriation increase of $4,861,792. This includes $2,311,792 for contracted Specialty Mental Health Services (SMHS) billable provider services, $850,000 for supplies and services, and $1,700,000 for client placements. The requested increase provides approximately $1.98 million above the currently identified minimum shortfall for additional valid year-end obligations.
The corresponding revenue increase, recorded in account 452.53-60, includes $829,280 for SMHS administrative claims submitted to the California Department of Health Care Services for reimbursement and $4,032,512 in additional SMHS Medi-Cal revenue. The Medi-Cal projection is based on $4,157,229.12 in billed but not yet paid SMHS Medi-Cal claims, reduced by the Department's 3...
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