Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Agreement No. 26.27.3 between the County of Lake and SY Psychiatry, LLC for Substance Use Disorder Medical Director and clinical consultation services for the term of July 1, 2026 through June 30, 2027, in an amount not to exceed $425,000, and authorize the Chair of the Board of Supervisors to sign the Agreement.
Executive Summary:
Lake County Behavioral Health Services (LCBHS) is responsible for providing or arranging substance use disorder services through the Drug Medi-Cal Organized Delivery System (DMC-ODS). As part of these responsibilities, the County requires qualified physician oversight to support clinical care, utilization management, quality assurance, regulatory compliance, and other medical-director functions.
The proposed Agreement with SY Psychiatry, LLC designates Hardeep Singh, MD as the County’s Substance Use Disorder Medical Director for Fiscal Year 2026-27. Services include physician-level medical oversight, development and implementation of DMC-ODS medical policies and standards, clinical consultation, review of medical necessity and ASAM level-of-care issues, medication and Medications for Addiction Treatment consultation, utilization management and service authorization review, quality assurance and quality improvement activities, credentialing and compliance support, and other authorized physician services.
The Agreement also authorizes Dr. Singh to provide clinical review and consultation for complex substance use disorder cases and County-contracted DMC-ODS providers when specifically authorized by the County. Unless expressly delegated in writing, utilization-management recommendations remain advisory and the County retains final authority for authorization, coverage, and member-notice decisions.
SY Psychiatry, LLC will be compensated at a rate of $200 per hour for au...
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