Memorandum
Date: October 17, 2024
To: The Honorable Lake County Board of Supervisors
From: Rachael Dillman Parsons, Social Services Director
Subject: Consideration of patch payment on a Public Guardian conservatee "BB" from general funds in an amount not to exceed $30,000 at $5,000 per month, continued from October 8, 2024, Board of Supervisors agenda, item 7.6
Executive Summary:
On October 8, 2024, we brought to your board a request for approval of a patch payment for BB, a conserved individual under our care as Public Guardian, for the County of Lake, at the recommendation of our Deputy Public Guardian, Lisa Walker-Kohlman. At the October 8, 2024, BOS meeting additional questions arose, necessitating continuation of this item. Those questions are addressed herein.
BB is currently held in Lake County Jail and has served his sentence. BB is a 290 registered sex offender. Releasing BB with IHSS provider support is not an option given his medical condition, he needs more support than IHSS can provide, which is why he is conserved.
BB will be enrolled in Medi-Cal via the CalAIM justice involved (JI) pre-release application process as soon as his release date is known. A release date is required for enrollment.
However, Medi-Cal coverage is not the barrier to BB's placement. We have contacted 15 facilities that take Medi-Cal and they are unwilling to take BB directly from jail due to the nature of his conviction. After exhausting facilities that accept Medi-Cal, we contacted 17 private-pay facilities.
We located one private-pay facility, Nazareth Classic Care, that is willing to take BB and is holding a place for him until 11/01/2024 pending the board's action on this issue. This facility, while willing to take BB, does not accept Medi-Cal or Medicare.
BB's placement at Nazareth Classic Care will ensure appropriate care and support for his unique needs. The patch payment will allow him to be placed in a facility that is well-suited for his medic...
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