Title
Health Services Department recommending the Board authorize the Chair 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 $425,144, and California Children's Services (CCS) in the amount of $509,480 for a combined total of $934,624 to provide medical services to children from birth to twenty-one (21) years of age who are afflicted with life threatening and/or severe life altering chronic medical conditions.
FUNDING: Annual Federal and State Children's Medical Services allocation, Public Health Realignment Fund match, Social Services 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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$934,624 |
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Funding |
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CHDP |
$384,065 |
Federal and State allocation |
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$41,079 |
PH Realignment (VLF) match |
CCS |
$446,422 |
Federal and State allocation |
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$31,529 |
Social Services Realignment (sales tax) match |
Total Funding Available |
$31,529 |
General Fund match |
Change To Net County Cost |
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$0 |
Fiscal Impact/Change to Net County Cost: There is no increase in Net County Cost; there are sufficient appropriations for these programs included in the Department's FY 2010-11 budget. The Department budget estimated higher appropriations than the final CMS Plan budget due to late receipt of information from the State.
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 twenty-one (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 twenty-one (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 Centers, etc.
Retroactive Term: Department received final budget approval from the State in February and immediately processed documents for the next available Board date.
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.
Action to be taken following Board approval:
1) Chair 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 return six (6) signed certification statements to Department.
3) Department to submit signed certification statements and budget plan to the State.
Contact: Kathy Lang
Concurrences: None - as in prior years, County Counsel indicated that these documents did not require their review.