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File #: 19-1859    Version: 1
Type: Agenda Item Status: Approved
File created: 12/12/2019 In control: Board of Supervisors
On agenda: 1/7/2020 Final action: 1/7/2020
Title: Health and Human Services Agency (HHSA) recommending the Board: 1) Approve the Children’s Medical Services Program Budgets and Work Plans for the County of El Dorado for Fiscal Year 2019-2020 for the provision of required preventive and specialized health care services to children from birth to 21 years of age who are afflicted with life-threatening and/or severe life-altering chronic medical conditions, with an estimated maximum reimbursement amount of $1,351,570; 2) Delegate authority to the HHSA Director to execute the Certification Statements and any additional documents related to this funding, if any; and 3) Authorize the HHSA Director or the Chief Fiscal Officer to execute any required fiscal and programmatic reports. FUNDING: 59% Federal Children’s Medical Services Allocation, 31% State Children’s Medical Services Allocations, 6% Public Health Realignment Fund Match, 2% Social Services Realignment Fund Match, and 2% County General Fund Match.
Attachments: 1. A - FY 2019-20 CMS Plans, Budgets, Certifications, 01-07-2020, 2. B - FY 2019-20 Worksheet, 01-07-2020
Related files: 12-1479, 18-1841
Title
Health and Human Services Agency (HHSA) recommending the Board:
1) Approve the Children’s Medical Services Program Budgets and Work Plans for the County of El Dorado for Fiscal Year 2019-2020 for the provision of required preventive and specialized health care services to children from birth to 21 years of age who are afflicted with life-threatening and/or severe life-altering chronic medical conditions, with an estimated maximum reimbursement amount of $1,351,570;
2) Delegate authority to the HHSA Director to execute the Certification Statements and any additional documents related to this funding, if any; and
3) Authorize the HHSA Director or the Chief Fiscal Officer to execute any required fiscal and programmatic reports.

FUNDING: 59% Federal Children’s Medical Services Allocation, 31% State Children’s Medical Services Allocations, 6% Public Health Realignment Fund Match, 2% Social Services Realignment Fund Match, and 2% County General Fund Match.
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DISCUSSION / BACKGROUND:
The Children’s Medical Services Program consists of the Child Health and Disability Prevention (CHDP) Program and the California Children’s Services (CCS) Program. These are mandated safety net programs that target high risk and medically fragile children to ensure access to preventative and specialty medical care. These mandated programs are essential for preserving optimal health and wellness while minimizing morbidity and mortality in the County's pediatric population.

Funding for local CCS services is administered as a partnership between the County, California State Department of Health Care Services (DHCS) and the Federal Government. In accordance with Health and Safety Code Section 123940, the Board must annually allocate twenty-five percent (25%) of the annual program expenditure to a level at least equivalent to the actual FY 1990-91 contribution, and an additional 25% from the County Social Services Trust Account. The annual funding allocation for CHDP and CCS ...

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