Title
Health Services Department recommending the Board authorize the Chairman to sign the Certification Statements approving the Children's Medical Services (CMS) Programs Budget and Work Plan, comprised of Child Health and Disability Prevention (CHDP) in the amount of $424,579, and California Children's Services (CCS) in the amount of $478,872 for a combined total of $903,451 to provide medical services to children from birth to 21 years of aged afflicted with life threatening and/or severe life altering chronic medical conditions.
FUNDING: Annual Federal and State Children's Medical Services allocation, Health Services Department Public Health (PH) Division Realignment Fund match, and County General Fund match.
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BUDGET SUMMARY: |
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|
Total Estimated Cost |
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$903,451 |
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|
|
Funding |
|
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CHDP |
$398,552 |
Federal and State allocation |
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$ 26,027 |
PH Realignment (VLF) match |
CCS |
$414,036 |
Federal and State allocation |
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$ 32,418 |
PH Realignment (Sales Tax) match |
|
$ 32,418 |
General Fund match |
Total Funding Available |
$903,451 |
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Change To Net County Cost |
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$0 |
Fiscal Impact/Change to Net County Cost: No change to Net County Cost. Funding for this program is included in the Department's FY 2009-10 budget.
Background: A Children's Medical Services Plan is required to be presented to the Board of Supervisors annually outlining the service components and budgets of both the Child Health and Disability Prevention (CHDP) and California Children's Services (CCS) programs. Together CHDP and CCS are programs designed to facilitate access to and continuity of care for the pediatric population.
The mandate for CHDP as outlined in statute is to maximize the use of existing health care resources to promote access, coordination and maintenance of acute and preventative health care to all children from birth through 21 years of age with special emphasis on low income/disenfranchised children. Included in this service population are children in foster care who are case managed through the Health Care Program for Children in Foster Care (HCPCFC).
The mandate for CCS as outlined in statute is to provide diagnostic, treatment, medical case management, physical and occupational therapy services to children from birth to 21 years of age afflicted with acute catastrophic life threatening and/or severe life altering chronic medical conditions. All services are provided in partnership with multiple specialty health care delivery systems including but not limited to tertiary care centers, trauma centers, special education local planning area (SELPA), local and regional medical specialists, Federally Qualified Health Care Centers, etc.
Reason for Recommendation: CHDP and CCS are mandated safety net programs that target high risk and medically fragile children to ensure access to preventative and specialty medical care and are essential programs for preserving optimal health and wellness while minimizing morbidity and mortality in the County's pediatric population.
The approved budget documents were received at the end of November and upon receipt staff immediately prepared for the next available Board meeting.
Action to be taken following Board approval:
1. Board Chairman to sign three (3) original certification Statements for the CHDP Program and three (3) original certification Statements for the CCS Program.
2. Board Clerk's office to forward all six (6) original documents to the Health Services Department.
3. Health Services to submit signed documents, certifications and budget plan to State.
Contact: Kathy Lang
Concurrences: None - as in prior year, County Counsel indicated that these documents did not require their review.