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Board approves Amendment No. 5 to Community Behavioral Health contract, shifts to 59% Medi‑Cal fee‑for‑service and raises cap to $24.6M

Lake County Board of Supervisors · February 12, 2026
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Summary

Lake County approved Amendment No. 5 to Community Behavioral Health’s contract, moving reimbursement to a fee‑for‑service model at 59% of DHCS Medi‑Cal published rates (effective 09/01/2025), increasing the contract cap by $9 million to $24.6 million; the measure passed 3–2 amid concerns about local funding impact and contractor classification.

The Lake County Board of Supervisors voted 3–2 to approve Amendment No. 5 to the agreement with Community Behavioral Health, transitioning compensation to a fee‑for‑service reimbursement model at 59% of Department of Health Care Services (DHCS) Medi‑Cal published rates and increasing the contract maximum by $9,000,000 to a new total not to exceed $24,600,000.

Deputy Director of Behavioral Health Christine Andres summarized the services covered by the contract as “all of our psychiatric services, including medications as well as therapy services,”…

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