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HomeMy WebLinkAboutSTATE Department of Health Care Services-Child Health Disability Prevention Program_A-23-553.pdf coU Hall of Records,Room 301 County of Fresno 2281 Tulare Street Fr California Board of Supervisors 93721-2198 0� �s9G 0 Telephone:(559)600-3529 Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us October 10, 2023 Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes, Supervisor Brian Pacheco,and Chairman Sal Quintero Agenda No. 55. Public Health File ID:23-0744 Re: Approve retroactive submission of the FY 2023-24 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 1,2023 to June 30,2024($1,132,109);and approve retroactive submission of the FY 2023-24 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 1,2023 to June 30,2024($2,387,854) APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero Agreement No.23-553,Agreement No.23-554 County of Fresno Page 57 co Board Agenda Item 55 DATE: October 10, 2023 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Retroactive FY 2023-24 California Department of Health Care Services Allocation Plans RECOMMENDED ACTION(S): 1. Approve retroactive submission of the FY 2023-24 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, 2023 to June 30,2024 ($1,132,109); and 2. Approve retroactive submission of the FY 2023-24 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, 2023 to June 30,2024 ($2,387,854). 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 actions, the Department would not have sufficient funds to offset these mandated program service costs. RETROACTIVE AGREEMENT: The Department received FY 2023-24 budget allocations from DHCS on July 3, 2023 for CHDP, HCPCFC, HCPCFC-CR, and PMM&O components. All four allocations are retroactive to July 1, 2023. The approved CHDP and HCPCFC allocation plan submission deadline was September 15, 2023, but the Department have been granted an extension due to the Board Agenda Item processing deadlines. FISCAL IMPACT: County of Fresno Page 1 File Number.23-0744 File Number.23-0744 There is no increase in Net County Cost associated with the recommended actions. DHCS approved a total non-competitive allocation of$3,519,963 for FY 2023-24. The State and Federal funding is broken down to the programs as followed: • $1,132,109- Child Health and Disability Prevention • $1,635,964- 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 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. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2023-24 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 2022-23, approximately 300 medical providers delivered services at 117 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 2022-23,there were approximately 2,900 children in foster care, 300 of which are on psychotropic medications and approximately 75 children who are on probation 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, 2023 and serves in lieu of an agreement. Historically,the DHCS allocation plan included a presentation of the California Children's Services (CCS) program, however, currently CCS receives their allocation letter and submits their budget workbooks separate from CHDP and HCPCFC. Once this item is 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:23-0744 File Number:23-0744 REFERENCE MATERIAL: BAI #48, October 25, 2022 BAI #47, November 16, 2021 BAI #12, November 24, 2020 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk- FY 2023-24 CHDP Plan and Budget On file with Clerk- FY 2023-24 HCPCFC Plan and Budget CAO ANALYST: Ron Alexander County of Fresno Page 3 File Number:23-0744 Agreement No. 23-553 NOW' CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES Michelle 6aass I Director J U LY 1, 2023 CHDP PROGRAM LETTER: 23-01 TO: CHILD HEALTH & DISABILITY PREVENTION PROGRAM DIRECTORS, DEPUTY DIRECTORS, MEDICAL CONSULTANTS, AND DEPARTMENT OF HEALTH CARE SERVICES STAFF SUBJECT: CHILD HEALTH & DISABILITY PREVENTION PROGRAM FISCAL YEAR 2023-2024 ALLOCATION The purpose of this letter is to provide Child Health & Disability Prevention (CHDP) programs with their Fiscal Year (FY) 2023-2024 allocation. This letter serves as each local program's approved state CHDP budget and enables each local program to use this letter to develop its budget. Budget approval letters will not be issued. Detailed budget information may be found in the Integrated Systems of Care Division (ISCD) Plan and Fiscal Guidelines (PFG). Acceptance of funds constitutes an agreement that the receiving local program and its agency will comply with all federal and state requirements pertaining to the CHDP program and adhere to all applicable policies and procedures set forth by the Department of Health Care Services (DHCS). Periodically, the federal program responsible for oversight of the Medicaid program and related state administrative expenditures will conduct programmatic audits. Finding of a federal audit exception and subsequent liability for repayment of federal Medicaid funds related to the CHDP program audit exception, are the exclusive and sole responsibility of each local program. Each local program remains responsible for overseeing and tracking its expenditures. An audit file must be maintained. At a minimum this audit file should include: Documentation of required time studies, performed during one or more representative months of the fiscal quarter for each budgeted position claimed under Federal Financial Participation (FFP). Documentation in support of claimed expenditures. Documentation to demonstrate compliance with all federal and state requirements pertaining to the CHDP program, and adherence to all applicable policies and procedures set forth by DHCS. California Department of Health Care Services State of California Integrated Systems of Care Division Gavin Newsom,Governor 1501 Capitol Ave I Sacramento,CA 1 95899-7437 MS 4S02 I Phone(916)449-5005 I www,dlics.ca.gov California Health and Human Services Agency July 1, 2023 CHDP PROGRAM LETTER 23-01: FISCAL YEAR 2023-2024 ALLOCATION Page 2 of S The audit file must be retained in keeping with the requirements of 42 CFR § 433.32 - Fiscal Policies and Accountability,' applicable state and federal law, and local policy. The audit file must be produced to State and Federal entities within seven (7) calendar days of a request. Budget Reporting Instructions Utilize the CHDP Budget Workbook. Budget workbooks may be found in the Templates section of the ISCD Budget Portal' and by requested to CHDPprogram@dhcs.ca.gov. Questions regarding the ISCD Budget Portal may be directed to ISCDFiscal@dhcs.ca.gov. Sign electronically using Adobe Acrobat Pro DC Self-signed with Digital ID function or DocuSign.' If access to either of these options is not available, scanned signature will be accepted, with the original kept in the local audit file. Submit electronically to the ISCD Budget Portal. Submit only two documents to the ISCD Budget Portal: o One Excel version of the CHDP Budget Workbook and o One signed PDF version of the CHDP Budget Workbook >> Submit only the information requested in the CHDP Budget Workbook. Be prepared to provide ISCD with additional documentation to demonstrate compliance with program requirements, upon request. Submit by September 15, 2023. If all necessary signatures cannot be obtained by this date, submit completed excel workbooks by the deadline and contact CHDPprogram@dhcs.ca.gov to request an extension for submission of required signatures. CHDP Transition https://www ecfr gov/current/title-42/chapter-IV/subchapter-C/part-433/subpart-A/section-433 32#p- 433.32 a 2 https://iscdbudget.cloudapps.dhcs.ca.gov/ 3 https://helpx.adobe.com/acrobat/using/digital-ids.html https://support docusign com/s/articles/How-do-I-sign-a-DocuSign-document-Basic- Signinq?lanquage=en US&rsc 301 July 1, 2023 CHDP PROGRAM LETTER 23-01: FISCAL YEAR 2023-2024 ALLOCATION Page 3 of S As announced in CHDP Program Letter and Provider Notices 22-025 and 22-06,8 the CHDP program will be discontinued effective July 1, 2024. Information regarding the transition, including opportunities for stakeholder engagement, can be found on the CHDP Transition webpage.7 Alternative resources and further information regarding the transition of specific activities to existing delivery systems will be integrated into the CHDP Program webpage8 in the coming months. Contact Information Questions regarding the ISCD Budget Portal and expenditure invoicing may be directed to: ISCDFiscal@dhcs.ca.gov. All other questions and concerns may be directed to the central program inbox: CHDPprogram@dhcs.ca.gov. Sincerely, ORIGINAL SIGNED BY CORTNEY MASLYN Cortney Maslyn, Chief Integrated Systems of Care Division Department of Health Care Services Attachments: 1. FY 2023-24 CHDP Allocation Table s https://www dhcs ca gov/services/chdp/Documents/CHDP-Provider-Information-Notice-22-02.pdf 6 https://www dhcs.ca qov/services/chdp/Documents/CHDP-Provider-Info-Notice-22-06.pdf https://www.dhcs.ca.gov/services/chdp/Pages/CHDP-Transition.asp 8 https://www.dhcs.ca.gov/services/chdp July 1, 2023 CH DP PROGRAM LETTER 23-01: FISCAL YEAR 2023-2024 ALLOCATION Page 4 of 5 Attachment 1: Child Health & Disability Prevention Program Base Allocation _ (07/01/2023 through 06/30/2024) s • � k.n • •��eih • • • i J.. Alameda 356,482 638,755 995, 237 Alpine 22,138 34,431 56,568 Amador 50,133 75,058 125,192 Berkeley 84,043 188,852 272,895 Butte 160,164 268,742 428,907 Calaveras 46,823 64,630 111,453 Colusa 50,062 70,965 121,028 Contra Costa 224,037 586,607 810,644 Del Norte 48,642 93,928 142,570 El Dorado 105,091 155,721 260,811 Fresno 416,419 71.5,690 1,132,109 Glenn 68,369 107,344 175,713 Humboldt 144,049 282,736 426,785 Imperial 160,084 264,283 424,368 Inyo 31,061 55,528 86,589 Kern 402,303 671,570 1,073,873 Kings 143,923 240,757 384,680 Lake 93,497 146,113 239,610 Lassen 34,771 59,560 94,331 Long Beach 230,963 362,929 593,893 Los Angeles 1,709,068 4,037,778 5,746,845 Madera 142,851 222,634 365,485 Marin 106,915 173,170 280,085 Mariposa 28,884 50,997 79,881 Mendocino 109,686 159,157 268,843 Merced 242,877 433,703 676,580 Modoc 48,313 90,997 139,310 Mono 28,489 42,924 71,413 Monterey 206,155 440,968 647,123 Napa 70,432 109,122 179,554 July 1, 2023 CHDP PROGRAM LETTER 23-01: FISCAL YEAR 2023-2024 ALLOCATION Page 5 of 5 -OW I i �?� _nT r�� i I�(-�VDD)(r-�?1"a7a i I�i( (]P 1111�0 Nevada 69,508 104,436 173,944 Orange 727,925 1,219,355 1,947,280 Pasadena 111,163 220,282 331,446 Placer 127,543 185,612 313,155 Plumas 64,387 128,548 192,934 Riverside 445,805 651,635 1,097,440 Sacramento 422,165 790,207 1,212,372 San Benito 87,986 132,773 220,759 San Bernardino 569,983 955,645 1,525,628 San Diego 580,606 793,034 1,373,640 San Francisco 256,154 444,139 700,293 San Joaquin 278,991 590,280 869,271 San Luis Obispo 126,999 201,663 328,663 San Mateo 198,824 386,275 585,099 Santa Barbara 246,860 351,415 598,275 Santa Clara 338,654 734,790 1,073,444 Santa Cruz 141,389 237,525 378,915 Shasta 125,486 205,918 331,405 Sierra 28,146 57,296 85,441 Siskiyou 34,954 57,498 92,453 Solano 141,484 252,057 393,541 Sonoma 179,796 296,227 476,022 Stanislaus 255,699 449,962 705,660 Sutter 105,986 120,986 226,973 Tehama 89,440 117,603 207,043 Trinity 38,432 55,245 93,676 Tulare 237,940 400,022 637,961 Tuolumne 68,150 117,215 185,365 Ventura 303,401 504,683 808,085 Yolo 102,298 166,897 269,195 Yuba 42,371 71,876 114,247 IDHCS State of California—Health and Human Services Agency Department of Health Care Services1�_ti': ' o, 'At/I00.N ' MICHELLE BAASS GAVIN NEWSOM DIRECTOR GOVERNOR Child Health and Disability Prevention Program Plan and Budget Reporting Checklist County/City: Fresno Fiscal Year: 2023-24 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 N/A (DHCS1204) 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 - Budget Narrative 7 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 J3HC,S State of California—Health and Human Services Agency Department of Health Care Services MICHELLE BAASS GAVIN NEWSOM DIRECTOR GOVERNOR Child Health and Disability Prevention Program Certification Statement County/City: Fresno Fiscal Year: 2023-24 1 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. Laz 7/28/23 Signa7,/r, of C�HDP Director/Dep Director Date Signed G 7/28/23 S' ature and Title Other—Optional Date Signed I certify that this plan has been approved by the local governing body. /0 b ,23 SOur f Lo I Governing Body Chairperson Date tigned ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,State of California By Deputy Systems of Care Division 1515 K Street,Suite 400,Sacramento,CA 95814 P.O.Box997413,MS 8100 Sacramento,CA 95899-7413 (916)327-1400 Internet Address:www.dhcs.ca.gov DHCS State of California—Health and Human Services Agency w Department of Health Care Services Child Health and Disability Prevention \�^=� IIIp�J MICHELLESAASS Agency Information GAVINNEWSOM DIRECTOR GOVERNOR County/City: jFresno Fiscal Year: 2023-24 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 § ] k a »IE / / / / C) / / in 0 / 7 j 2 G a C / \ § / a � � \ -c-- 41 z \ / h � g 2 / k k ° / / ƒ E § 2 2 t ¢ E Cn @ E CI- \ pcu y >, k / Cl) 2 § k \ § E o \ y 2 lu 7 2 m @ 2 » 2 £ z 6 = CZ > c n � 2 © o = c ) a) ) \ k 2 o c a 4- 0 M o \ 3 \ / \ 2 § 0 § e o 0 E 0 7 G k % \ \ / \ 7 ® co 2 ) k § � \ ƒ 7 \: ° / � / u \ ci , g \ co U � � / � 0 # r c » m e J SATE of fn LAl ;� Ly Z LLI > H •..dy .`�.� Q O .0 ����NL.'• C7 ." 3 E f`4 0 Oi o 0 p O O N Q Li- u CDO CV C CL 00 CC IA = U 0 L a) > O U U U C En 0CD cu � d 0 N O N a a7 C 0 U .L' C o a C U C O O 7 (L) � a) C a " a`�'i Ud CO fn A- > 1 w c c� C °- d (D m E cv ' co d vi @) C c C (D C o a 4— CU r o ca m E co ca a.3 +� fU C t @ cB "—' N Rf ca to 2 c6 ro F `t--�— z o U — — M = w Uj CD ai m m a cn Un O n = cu ,N J a b m ai C cv O N E C � Z c`o � o UCD b C6 ai C U V O cu w c- CV M U•i CO I-- 00F Im � v „� m en o 00000 0 0 000 0 0 i m' 0 F- 0 a m o 0 0 0 0 0 0 v a O .a N 7 (� lA tiT b4 FfJ f!!to !o ffJ to fR Wi If? 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U a`ci v g w 0 (7 m co > > ti [n m O] in ai is .Q A 'II c W t 1O ai E `ai C N fn - G o U H C H = F acn R o J O 6. xL r N c•� V LL'J O t` O O � O y N �I"' O ~ IDHCS State of California—Health and Human Services Agency1;0M Department of Health Care Services Child Health and Disability Prevention MICHELLE BAASS Budget Narrative GAVIN NEWSOM DIRECTOR GOVERNOR State/Federal Funding Source: Base County/City Name Fresno IFiscal Year 2023-24 I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses Salary and Benefits for 5 positions,total of 4.25 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$0.655/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 18.314%of personnel costs Internal: approved for use by Fresno County's Auditor Controller/Treasurer-Tax Collector. External: V. Other Expenses Identify and Explain All Other Expense Line Items Chashua Lol 0 45135 Prepared By: Sign Print Title Date Email Ac Z" Ankara Lee 0 45135 Authorized CHDP Program Representative: Sign Print Title Date Email \ � _ $ saa � \ & ®� / i } � $ . \ ° 4 «® � S } � \ $ $ \oo CD % ® t 00 to % kk ct « \ $ /\ \ ƒ\ƒ\ƒ\\ & \ - m $ t\ 3 Agreement Between the County of Fresno and California Department of Health Care Services Agreement Name: Child Health & Disability Prevention Program FY 2023-24 Fund/Subclass: 0001/10000 Organization: 56201611 Revenue Account #: 4380, 3541