HomeMy WebLinkAboutSTATE Department of Health Care Services-FY 2022-23 Child Health and Disability Prevention Program_A-22-499.pdf c°U�,�� Y Count of Fresno Hall of Records,Room 301
2281 Tulare Street
Fresno,California
Board of Supervisors 93721-2198
O 1s56 O Telephone:(559)600-3529
FRE`'� Minute Order Toll Free: 1-800-742-1011
www.co.fresno.ca.us
October 25, 2022
Present: 5- Supervisor Nathan Magsig, Supervisor Buddy Mendes, Chairman Brian Pacheco,Vice
Chairman Sal Quintero, and Supervisor Steve Brandau
Agenda No. 48. Public Health File ID: 22-0862
Re: Approve retroactive submission of the FY 2022-23 California Department of Health Care Services
allocation plan for child health services under the Child Health and Disability Prevention Program and
authorize the Chairman to execute Certification Statements as required by the California Department
of Health Care Services, effective July 1, 2022 to June 30,2023($1,132,109);and approve retroactive
submission of the FY 2022-23 California Department of Health Care Services allocation plan for child
health services under the Health Care Program and Children in Foster Care and authorize the
Chairman to execute the Certification Statements as required by the California Department of Health
Care Services, effective July 1, 2022 to June 30, 2023 ($2,273,160)
APPROVED AS RECOMMENDED
Ayes: 5- Magsig, Mendes, Pacheco, Quintero,and Brandau
Agreement No.22-499,Agreement No.22-500
County of Fresno Page 52
coU��
Board Agenda Item 48
0 1856 0
FRE`'�
DATE: October 25, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Retroactive FY 2022-23 California Department of Health Care Services Allocation
Plans
RECOMMENDED ACTION(S):
1. Approve retroactive submission of the FY 2022-23 California Department of Health Care
Services allocation plan for child health services under the Child Health and Disability
Prevention Program and authorize the Chairman to execute Certification Statements as
required by the California Department of Health Care Services, effective July 1, 2022 to
June 30, 2023($1,132,109); and
2. Approve retroactive submission of the FY 2022-23 California Department of Health Care
Services allocation plan for child health services under the Health Care Program and
Children in Foster Care and authorize the Chairman to execute the Certification Statements
as required by the California Department of Health Care Services,effective July 1,2022 to
June 30, 2023 ($2,273,160).
There is no additional Net County Cost associated with the recommended actions. Approval of the
recommended actions will allow the County to continue to receive non-competitive funding from the
California Department of Health Care Services (DHCS)for four mandated child health services programs:
Child Health and Disability Prevention (CHDP), Health Care Program for Children in Foster Care (HCPCFC),
Health Care Program for Children in Foster Care-Caseload Relief(HCPCFC-CR), and Psychotropic
Medication Monitoring and Oversight(PMM&O).The allocations offset the administrative costs of the four
programs and include full recovery of all indirect costs.The anticipated County match will be funded with
Health Realignment. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions as the County is mandated by DHCS to administer all four programs.
Should your Board not approve the recommended action, the Department would not have sufficient funds to
offset these mandated program service costs.
RETROACTIVE AGREEMENT:
The Department received FY 2022-23 budget allocations from DHCS on June 23, 2022 for CHDP,
HCPCFC, HCPCFC-CR, and PMM&O components. All four allocations are retroactive to July 1, 2022. The
approved CHDP and HCPCFC allocation plan submission deadline was September 1, 2022 however DHCS
has approved an extension deadline due to the Department's late receipt of the allocation notice.
FISCAL IMPACT:
County of Fresno page I File Number.22-0862
File Number.22-0862
There is no increase in Net County Cost associated with the recommended actions. DHCS approved a total
non-competitive allocation of$3,405,269 for FY 2022-23. The State and Federal funding broken down to the
programs is as followed:
• $1,132,109- Child Health and Disability Prevention
• $1,521,270- Health Care Program for Children in Foster Care
• $532,378- Health Care Program for Children in Foster Care-Caseload Relief
• $219,512-Psychotropic Medication Monitoring and Oversight(Foster Care)
The HCPCFC program allocation increased by 6.7% compared to last fiscal year's allocation. There is no
increase in allocation to the other programs. The total estimated FY 2022-23 DHCS Plan expenditures are
$2,515,509. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY
2022-23 Adopted Budget.
DISCUSSION:
The State began CHDP programs in 1972. Your Board's approval of the recommended DHCS allocation
plan will allow the County to continue receiving funds to administer these mandated programs, pursuant to
California Code of Regulations Title 22, Division 2, Subdivision 7.
The recommended CHDP allocation plan requires the County to provide CHDP case management health
care services for eligible children. The CHDP program oversees the provision of complete health
assessments for the early detection and prevention of disease and disability for eligible children. In FY
2021-22, approximately 300 medical providers delivered services at 120 sites enrolled in the CHDP program
throughout the County.
The CHDP program also encompasses the HCPCFC program whereby Public Health Nurses (PHN)
consult and collaborate with the County's Department of Social Services (DSS)-Child Welfare Service
Programs and the Probation Department to provide PHN expertise in meeting the medical, dental, mental,
and developmental needs of children and youth in foster care. The HCPCFC program coordinates health
care services for these children by:
• Collaborating with social workers, probation officers, and case managers;
• Assessing the health care status of children and promoting access to comprehensive preventive
health and specialty services;
• Attending multi-disciplinary Team Decision Meetings to explain the health needs of the child; and
• Acting as a liaison between Child Welfare Services and health care providers.
DSS funds four of the HCPCFC program's ten FTE (full-time equivalent) PHNs.
PMM&O funding, which started in FY 2016-17, is used exclusively to hire or augment existing PHN staff to
permit PHN monitoring and oversight of foster children and youth treated with psychotropic medications. In
FY 2021-22,there were approximately 2,900 children in foster care, 260 of which are on psychotropic
medications and approximately 75 children on probation that received services from the programs.
To finalize the allocation process, DHCS requires your Board to certify approval of the recommended CHDP
and HCPCFC allocation plan and sign certifications stating that the County will comply with applicable laws,
regulations, and policies related to the CHDP and HCPCFC program. The recommended CHDP and
HCPCFC allocation plan is retroactive to July 1, 2022 and serves in lieu of an agreement. Historically, the
DHCS allocation plan included the presentation of the California Children's Services (CCS) program,
however, CCS have not received their allocation letter from DHCS. Once approved by your Board, no
additional Board executed documents are required to receive the CHDP and HCPCFC funding.
County of Fresno page 2 File Number:22-0862
File Number:22-0862
REFERENCE MATERIAL:
BAI #47, November 16, 2021
BAI #12, November 24, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- FY 2022-23 CHDP Plan and Budget
On file with Clerk- FY 2022-23 HCPCFC Plan and Budget
CAO ANALYST:
Ron Alexander
County of Fresno Page 3 File Number:22-0862
Agreement No. 22-499
DHCS State of California—Health and Human Services Agency �..,.
Department of Health Care Services ► : '
MICHELLE SAASS GAVIN NEWSOM
DIRECTOR GOVERNOR
Child Health and Disability Prevention Program
Plan and Budget Reporting Checklist
County/City: Fresno Fiscal Year: 2022-23 Page Number
1. CHDP Plan and Budget Reporting Checklist 1
2. CHDP Certification Statement 2
3. CHDP Organizational Chart Retain Loc
4. CHDP New or Revise Memorandum of Understanding and
Inter-agency Agreements N/A
5. If Applicable:
a. Contractor Equipment Purchased with DHCS Funds Form
(DHCS1203) N/A
b. Inventory/Disposition of DHCS Funded Equipment Form
(DHCS1204) N/A
c. Property Survey Report Form (STD 152) N/A
6. CHDP Plan and Budget Reporting Spreadsheet
a. Agency Information Sheet 3
b. CHDP Memorandum of Understanding and Inter-agency
Agreement List 4
c. CHDP Incumbent List 5
d. CHDP Budget
i. CHDP Administrative Budget
— Summary and Worksheet 6 - 7
— Budget Narrative 8
ii. Optional County/City- Federal Match Budget
— Summary and Worksheet N/A
— Budget Narrative N/A
All items listed here should be submitted to the ISCD Budget Portal as one signed PDF
document. In addition, Excel worksheet components of this reporting package should
also be submitted as one document. Detailed instruction for each item listed can be
found in the Integrated Systems of Care Division Plan and Fiscal Guidelines.
Systems of Care Division 1515 K Street, Suite 400, Sacramento, CA 95814
P.O. Box 997413, MS 8100 Sacramento, CA 95899-7413
(916)327-1400
Internet Address:www.dhcs.ca.gov
DHCS State of California—Health and Human Services Agency -�,
Department of Health Care Services ►
f
MICHELLE BAASS GAVIN NEWSOM
DIRECTOR GOVERNOR
Child Health and Disability Prevention Program
Certification Statement
County/City: Fresno Fiscal Year: 2022-23
I certify that the CHDP Program will comply with all applicable provisions of Health and
Safety Code, Division 106, Part 2, Chapter 3, Article 6 (commencing with Section
124025), Welfare and Institutions Code, Division 9, Part 3, Chapters 7 and 8
(commencing with Section 14000 and 14200), Welfare and Institutions Code Section
16970, and any applicable rules or regulations promulgated by DHCS pursuant to that
Article, those Chapters, and that section. I further certify that this CHDP Program
will comply with the Integrated Systems of Care Plan and Fiscal Guidelines Manual,
including but not limited to, Section 9 Federal Financial Participation. I further certify that
this CHDP Program will comply with all federal laws and regulations governing and
regulating recipients of funds granted to states for medical assistance pursuant to Title
XIX of the Social Security Act (42 U.S.C. Section 1396 et seq.). I further agree that
this CHDP Program may be subject to all sanctions or other remedies applicable if
this CHDP Program violates any of the above laws, regulations and policies with which it
has certified it will comply.
Signature of CHDP Director/Deputy Director Date Signed
gnature and Titl j Mier—Optional Date Signed
I cerkify that this plan has been approved by the local governing body.
L4_
Signature of Local Goveming Body Chairperson Date 5lgned
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
Cou.nty of Fresno,.State of California
By Deputy
Systems of Care Division 1515 K Street,Suite 400, Sacramento, CA 95814
P.O. Box 997413,MS 8100 Sacramento, CA 95899-7413
(916)327-1400
Internet Address:www.dhcs.ca.gov
�HCS State of California—Health and Human Services Agency ......
Department of Health Care Services
Child Health and Disability Prevention
MICHELLE BAASS Agency Information GAVIN NEWSOM
DIRECTOR GOVERNOR
County/City: jFresno Fiscal Year: 2022-23
Official Agency
Street Address:1221 Fulton Street Health Officer; Dr. Rais Vohra (Interim)
City: Fresno Local CHDP
Zip Code: 93721 Central Inbox:
CMS Director(if applicable)
Name: Street Address:
Phone: City:
Email: Zip Code:
CHDP Director
Name: Trinidad Solis, MD Street Address: 1221 Fulton Street
Phone: 559-600-6412 City: Fresno
Email: tsolis@fresnocountyca.gov Zip Code: 93619
CHDP Deputy Director
Name: Ankara Lee Street Address: 380 W Ashlan Ave
Phone: 559-600-6591 City: Clovis
Email: alee@fresnocountyca.gov Zip Code: 93612
Clerk of the Board of Supervisors or City Council
Name: Bernice Seidel Street Address: 2281 Tulare St., 3rd Floor
Phone: 559-600-3529 City: Fresno
Email: bseidel@fresnocountyca.gov Zip Code: 93721
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DHCS State of California—Health and Human Services Agency
Alliffith, Department of Health Care Services
Child Health and Disability Prevention
�M
MICHELLE BAASS Budget Narrative GAVIN NEWSOM
DIRECTOR GOVERNOR
State/Federal Funding Source: Base
County/City Name Fresno IFiscal Year 2022-23
I. Personnel Expenses
Identify and Explain Any Changes in Personnel/Personnel Expenses
Salary and Benefits for 7 positions,total of 6.60 FTE. Benefits rate calculated with estimated average of
total benefits for the positions. Includes retirement, health insurance, Unemployment Insurance, and
Benefits Administration.
II. Operating Expenses
Identify and Explain All Operating Expense Line Items
Private mileage reimbursement at$0.625/mile and costs for usage of County cars
Travel: associated with provider visits and travel to State-sponsored meetings and conferences.
Cost of tuition and registration fees for program staff to attend State-sponsored training
Training: and other trainings to enhance knowledge and skills.
III. Capital Expenses
Identify and Explain All Capital Expense Line Items
IV. Indirect Expenses
Identify and Explain All Indirect Expense Line Items
Fresno County Department of Public Health's indirect rate is 18.816% of personnel costs
Internal: approved reviewed for metholody, accounting standards, and data used by Fresno
External:
V. Other Expenses
Identify and Explain All Other Expense Line Items
0 0 0
Prepared By: Sign Print Title Date Email
0 0 0
Authorized CHDP Program Representative: Sign Print Title Date Email