Memorandum
Date: October 20, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve Amendment No. 1 to Participation Agreement No. 3910-CMRCM-
2023-LC with the California Mental Health Services Authority (CalMHSA) to add Medi-Cal
Revenue Cycle Management Billing and Accounts Receivable Services through March 20,
2029, for a total additional cost of $194,870.13, and authorize the Chair to sign
Executive Summary:
Lake County Behavioral Health Services (LCBHS) requests approval of Amendment No. 1 to Participation Agreement No. 3910-CMRCM-2023-LC with the California Mental Health Services Authority (CalMHSA) to add Medi-Cal Revenue Cycle Management Billing and Accounts Receivable services through the remainder of the existing agreement term ending March 20, 2029, for a total additional cost not to exceed $194,870.13.
The County entered into the original Participation Agreement with CalMHSA in June 2023. The existing agreement provides State Reporting services on behalf of the County, including the preparation and submission of required California Department of Health Care Services (DHCS) reporting for mental health and substance use disorder programs. The original agreement remains in effect through March 20, 2029.
Amendment No. 1 expands the services provided under the existing Participation Agreement by adding Monthly Revenue Cycle Management – Billing and Accounts Receivable Cycle Support. These services are in addition to the State Reporting services already provided by CalMHSA and do not extend the term of the original agreement.
Under the expanded scope of services, CalMHSA will assist LCBHS with month-end billing and accounts receivable processes required by DHCS. Services include identification of pre-billing errors; coordination with County staff to resolve identified issues; generation of initial and supplemental claims; submission of Medicare and Medi-Cal claims; genera...
Click here for full text