Memorandum
Date: June 9, 2026
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 the County of Lake and Hilltop Recovery Services, Inc. for ASAM Residential Levels 3.1 & 3.5 and Intensive Outpatient Levels of Care 1.0 & 2.1 for Fiscal Year 2025-2026 increasing the compensation by $700,000, for a revised not-to-exceed amount of $2,700,000 and Authorize Chair of the Board to Sign
Executive Summary:
Lake County Behavioral Health Services is requesting approval of Amendment No. 1 to the Agreement between the County of Lake and Hilltop Recovery Services, Inc. for American Society of Addiction Medicine (ASAM) Residential Levels 3.1 and 3.5 and Outpatient/Intensive Outpatient Levels of Care 1.0 and 2.1 services for Fiscal Year 2025-2026. The original agreement was effective July 1, 2025, with a not-to-exceed amount of $2,000,000. Amendment No. 1 increases the agreement compensation by $700,000, for a revised not-to-exceed amount of $2,700,000.
Hilltop Recovery Services, Inc. provides medically necessary substance use disorder treatment services as part of Lake County Behavioral Health Services' Drug Medi-Cal Organized Delivery System (DMC-ODS) continuum of care. These services include ASAM Level 1.0 outpatient treatment, ASAM Level 2.1 intensive outpatient treatment, and ASAM residential levels 3.1 and 3.5. These levels of care became increasingly important following Lake County's implementation of DMC-ODS on July 1, 2024, which expanded the County's responsibility to provide or arrange for a broader continuum of substance use disorder treatment services for eligible Medi-Cal beneficiaries.
The requested increase is due to higher-than-projected utilization of both residential and outpatient substance use disorder treatment services during Fiscal Year 2025-2026. Current invoiced and paid expenditures under the agreement total $1,990,422.27. Total pro...
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