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Health and Human Services Agency recommending the Board approve and authorize the Chair to sign a Budget Transfer Request, amending the Fiscal Year 2018-2019 Adopted Budget, increasing the General Fund contribution and appropriations for the California Children’s Services program in the amount of $100,000; and decreasing the General Fund contributions and appropriations to the County Medical Services Program and Emergency Medical Services programs by $100,000. (4/5 vote required)
FUNDING: General Fund.
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DISCUSSION / BACKGROUND:
The Health and Human Services Agency (HHSA), Public Health Division, is recommending the Board approve a Budget Transfer Request (BTR) for Fiscal Year 2018-19 to transfer identified General Fund (GF) savings within the Emergency Medical Services (EMS) and County Medical Services (CMSP) programs to the California Children’s Services (CCS) program. This request is to increase the GF revenues to the “Operating Transfers In” object for the CCS program in the amount of $100,000; and to decrease the GF contributions and appropriations to EMS by $56,508 and CMSP by $43,492 for a total of $100,000, due to higher than anticipated costs for one client.
The CCS program is a mandated state program for children under age 21 with certain diseases or health needs. The CCS program is administered as a partnership between the County Public Health Department and the California Department of Health Care Services (DHCS), with the County share of patient treatment being fifty percent (50%) of the overall cost.
The County share of cost is funded with equal amounts of Social Services realignment and general fund. Each year the County share of cost is budgeted based on historical usage; however, currently, the program is caring for a child who has a serious medical condition, and the County portion of cost for this fiscal year is significantly higher than in prior years.
This Budget Transfer Request is being recommended at this time ...
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