Memorandum
Date: June 10, 2025
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Amendment No.1 to the Agreement Between County of Lake and Fremont Hospital, for Acute Inpatient Psychiatric Hospital Services and Professional Services Associated with Acute Inpatient Psychiatric Hospitalization for Fiscal Year 2024-25 to increase total compensation by $100,000 for a new contact maximum of $200,000 and authorize the Chair to sign
Executive Summary:
Background:
Lake County Behavioral Health Services (LCBHS), acting as the designated Mental Health Plan (MHP) under California's Medi-Cal Specialty Mental Health Services (SMHS) program, is obligated to ensure access to medically necessary acute inpatient psychiatric hospital services for eligible Medi-Cal beneficiaries, in compliance with Title 42, Code of Federal Regulations (CFR) ?438.206(c)(1), California Code of Regulations (CCR), Title 9, Section 1810.345, and Welfare and Institutions Code (W&I Code) ?5600.4 and ?5600.9. Due to the absence of an acute psychiatric hospital within Lake County, LCBHS must contract with out-of-county providers to meet its network adequacy standards (CCR, Title 9, ?1810.435) and ensure timely care under federal and state Medicaid managed care requirements (42 CFR ?438.68 and 42 CFR ?438.207).
Original Agreement (March 31, 2025):
The Board of Supervisors approved an agreement (24.25.47) with BHC Fremont Hospital for the provision of acute inpatient psychiatric hospital services and associated professional services for Lake County Medi-Cal beneficiaries, with a not-to-exceed amount of $100,000 for FY 2024-2025. This agreement was structured to comply with federal and state regulations, including:
* Title 9, CCR, Sections 1810.380 and 1810.385, regarding oversight and audit requirements;
* 42 CFR Part 438, Subpart E, for program integrity and compliance;
* The Deficit Reduction Act of 2005, False Claims Act, a...
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