Memorandum
Date: August 20, 2024
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Consideration of Resolution Authorizing the Behavioral Health Director to Sign the Standard Agreement and Contractor Certification Clause Between the County of Lake and the California Department of Health Care Services for Provision of Substance Use Disorder Treatment Organized Delivery System Services Under the 1115 Medicaid Demonstration Waiver.
Executive Summary:
Lake County Behavioral Health Services entered the Organized Delivery System (ODS) of Drug Medi-Cal (DMC) under the 1115 Demonstration Waiver as authorized by the Federal Centers for Medicare and Medicaid on July 1, 2024. As a DMC-ODS County Plan, we can now offer expanded coverage to Medi-Cal beneficiaries for Substance Use Disorder Treatment Services. Notably, all Medi-Cal beneficiaries are entitled to residential SUD services if they meet criteria.
The following rates have been established for Lake County for outpatient services. These are fee-for-service rates that are paid by provider type. We have agreed to pass-through 65% of this rate to our contracted service providers.
Hourly SUD Rates
SUD
Provider Type
Lake
Pass-Through
SUD
Physicians Assistant
$962.16
$625.41
SUD
Nurse Practitioner
$1,066.81
$693.43
SUD
RN
$871.40
$566.41
SUD
Pharmacist
$1,026.91
$667.49
SUD
MD (typically in SUD system of care)
$2,145.32
$1,394.46
SUD
Psychologist/Pre-licensed Psychologist
$862.78
$560.80
SUD
LPHA (MFT LCSW LPCC)/ Intern or Waivered LPHA (MFT LCSW LPCC)
$558.33
$362.91
SUD
Alcohol and Drug Counselor
$463.12
$301.03
SUD
Peer Recovery Specialist
$441.06
$286.69
Unfortunately, our rates for residential services are much lower. These has been raised as a global issue across California counties and both the California Behavioral Health Director's Association and the California Department of Health Care Services are aware. There is advocacy to...
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