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Lake County approves $350,000 contract with SY Psychiatry for substance use disorder medical director

3420272 · May 21, 2025
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Summary

The Lake County Board of Supervisors approved a $350,000 agreement with SY Psychiatry LLC for medical director responsibilities for substance use disorder treatment for fiscal years 2025–26, citing it as a required element of the county’s Drug Medi-Cal organized delivery system plan and a large reduction from last year’s contract.

The Lake County Board of Supervisors on an uncontested vote approved an agreement with SY Psychiatry LLC for $350,000 to provide medical director responsibilities for substance use disorder treatment for fiscal year 2025–26.

Director Jones said the contract is “a required element of our drug Medi Cal organized delivery system plan,” and described the proposed amount as “a significant reduction for this service compared to last year.”

The agreement covers medical director duties for Lake County Behavioral Health Services. Director Jones told the board that “the majority of these services are reimbursed to us with, doctor Singh receiving 65% of our fee for service medical rate, which is our standardized pass through across all contracted providers.”

Supervisor Sabatier, who moved approval, said she had been concerned by last year’s larger contract with Dr. Singh and called the new amount a welcome reduction: “the decrease from what was concerning last year, which was approximately 1,800,000.0 to $350,000 is a a very welcome decrease.”

The chair opened the item for public comment; no members of the public spoke. Supervisor Sabatier moved to approve the agreement and asked that the chair be authorized to sign. A board member seconded the motion. The board voted unanimously; the chair announced, “Motion carries 5 0 0.”

The contract language as presented and the motion approved specify the $350,000 amount for fiscal year 2025–26 and authorization for the chair to sign the agreement. The board did not discuss contract identifiers, specific deliverables beyond the medical director role, or the vendor’s contract number during the public portion of the item.