The URL can be used to link to this page

Home My WebLink AboutSTATE DHCS-Health Care Program for Children in Foster Care_D-24-598.pdf COtj County of Fresno Hall of Records, Room 301 2281 Tulare Street Fresno,California 601 Board of Supervisors 93721-2198 O� 1$56 0 Telephone: (559)600-3529 FRV,t' Minute Order Toll Free: 1-800-742-1011 www.fresnocountyca.gov November 5, 2024 Present: 5- Supervisor Steve Brandau, Chairman Nathan Magsig,Vice Chairman Buddy Mendes, Supervisor Brian Pacheco, and Supervisor Sal Quintero Agenda No. 59. Public Health File ID: 24-1146 Re: Approve and authorize the Chairman to approve the retroactive submission of the FY 2024-25 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, 2024 to June 30, 2025($2,691,469) APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero County of Fresno Page 62 COZj��C Board Agenda Item 59 O 1856 O FRE`'� DATE: November 5, 2024 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Retroactive FY 2024-25 California Department of Health Care Services Allocation Plan RECOMMENDED ACTION(S): Approve and authorize the Chairman to approve the retroactive submission of the FY 2024-25 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, 2024 to June 30, 2025($2,691,469). There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will allow the County to continue to receive the non-competitive funding from California Department of Health Care Services (DHCS)for three mandated child health services programs: 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). DHCS has granted the County a fourth allocation, Administrative, to fund administrative and fiscal support staff assisting the three mandated child health services programs. The allocation offset the administrative costs of the three programs and include full recovery of all indirect costs. This item is countywide. ALTERNATIVE ACTION(S): There are no viable alternative actions as the County is mandated by DHCS to administer all three 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 the FY 2024-25 allocation letter on August 20, 2024 for HCPCFC, HCPCFC-CR, PMM&O, and the Administrative component. However, the Department did not receive the DHCS workbook until September 5, 2024. All four allocations are retroactive to July 1, 2024. Due to the time required to complete the DHCS workbook, the item is being brought to your Board in accordance with the agenda item processing deadlines. FISCAL IMPACT: There is no increase in Net County Cost associated with the recommended action. DHCS approved a total non-competitive allocation of$2,691,469 for FY 2024-25. The State and Federal funding is broken down to the programs as follows: County of Fresno page 1 File Number.24-1146 File Number:24-1146 • $1,584,779- 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 • $354,800 -Administrative The HCPCFC program allocation decreased by 3.13% compared to last fiscal year's allocation and we do not anticipate any major program impacts. There are no changes in the allocation of HCPCFC-CR and PMM&O. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2024-25 Adopted Budget. DISCUSSION: The HCPCFC programs are staffed with Public Health Nurses (PHN)that consult and collaborate with the County's Department of Social Services (DSS)- Child Welfare Service Programs 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 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 will be funding the remaining full-time equivalent (FTE) of the 11 PHNs and the Supervising Public Health Nurse (SPHN)to review cases and make recommendations in the areas of physical health, development, education, mental health, placement, and visitations. The PHNs will coordinate activities with DSS staff in Emergency Response (ER), Voluntary Family Maintenance (VFM), Caseload Relief(CR), PMM&O, Ongoing Child Welfare Case Management including Independent Living Program (ILP) and Non-Minor Dependent youths, and Transitional Shelter Care Facility (TrSCF). To finalize the allocation process, DHCS requires your Board to certify approval of the recommended DHCS workbook and sign the certification stating that the County will comply with applicable laws, regulations, and policies related to the HCPCFC programs. The recommended HCPCFC allocation plans are retroactive to July 1, 2024. 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 HCPCFC. Once this item is approved by your Board, no additional Board executed documents are required to receive the HCPCFC fundings. REFERENCE MATERIAL: BAI #55, October 10, 2023 BAI #48, October 25, 2022 BAI #47, November 16, 2021 BAI #12, November 4, 2020 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk- FY 2024-25 HCPCFC Plan and Budget CAO ANALYST: Ron Alexander County of Fresno page 2 File Number.24-1146 D-24-598 Prz C S CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES Michelle Baass I Director August 20, 2024 HCPCFC PROGRAM LETTER: 24-01 REVISED TO: HEALTHCARE PROGRAM FOR CHILDREN IN FOSTER CARE ADMINISTRATORS, MEDICAL CONSULTANTS, AND DEPARTMENT OF HEALTH CARE SERVICES STAFF SUBJECT: HEALTH CARE PROGRAM FOR CHILDREN IN FOSTER CARE FISCAL YEAR 2024-2025 ALLOCATION The purpose of this letter is to provide Health Care Programs for Children in Foster Care (HCPCFC)with their Fiscal Year(FY) 2024-2025 allocation. This letter serves as each local program's approved state HCPCFC 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 (PFGs), until the Department of Health Care Services (DHCS) releases the HCPCFC Financial Policy and Procedure. 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 HCPCFC program and adhere to all applicable policies and procedures set forth by the California Department of Social Services (CDSS) and 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 HCPCFC 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. 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 45021 Phone(916)449-5000 1 www.dhcs.ca.gov California Health and Human Services Agency August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 2 of 12 Documentation to demonstrate compliance with all federal and state requirements pertaining to the HCPCFC program, and adherence to all applicable policies and procedures set forth by the CDSS and the DHCS. Counties should maintain and be prepared to produce the audit file to State and Federal entities within seven (7) calendar days of a request. Budget Reporting Instructions Utilize the HCPCFC Budget Workbook. Budget workbooks may be found in the Templates section of the ISCD Budget Portal' and by requested to HCPCFC(�dhcs.ca.gov. Questions regarding the ISCD Budget Portal may be directed to ISCDFiscal(a)dhcs.ca.gov. Sign electronically using Adobe Acrobat Pro DC Self-signed with Digital ID2 function or DocuSign.3 If access to either of these options is not available, scanned signature will be accepted, with the original kept in the local audit file. Electronic signature will be required in FY 2024-25. Submit electronically to the ISCD Budget Portal. Submit only two documents to the ISCD Budget Portal: o One Excel version of the HCPCFC Budget Workbook and o One signed PDF version of the HCPCFC Budget Workbook » Submit only the information requested in the HCPCFC Budget Workbook. Be prepared to provide ISCD with additional documentation to demonstrate compliance with program requirements, upon request. Submit by October 1, 2024. If all necessary signatures cannot be obtained by this date, submit completed excel workbooks by the deadline and contact HCPCFC(cDdhcs.ca.gov to request an extension for submission of required signatures. 1 ISCD Budget Portal 2 Manage Digital IDS in Adobe 3 Docusign. How to Sign a Document August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 3 of 12 Staffing Allowances DHCS will only allow specific staff classifications in the HCPCFC Administrative budget, they are as follows: • Supervising Public Health Nurse (PHN): Counties will receive 1 Supervising Public Health Nurse to supervise no more than 10 PHN. • Public Health Assistant (PHA): Counties will receive .25 Full Time Equivalent (FTE) PHA for every 10 PHNs within the county. If less than 10 PHNs they will receive .25 FTE. • Fiscal Support Staff: Counties will receive .25 FTE Fiscal Support staff for every 10 PHNs within the county. If less than 10 PHNs they will receive .25 FTE. • Administrative Support Staff: Counties will receive .25 FTE Administrative Support staff for every 10 PHNs within the county. If less than 10 PHNs they will receive .25 FTE. Senate Bill (SB) 108 amended SEC. 166. Item 4260-101-0001 of Section 2.00 of the Budget Act of 2024 to include provision 21 which allows the counties to deviate from the department's established allocation staffing methodology governing the use of the county HCPCFC administrative budget and California Children's Services Compliance Monitoring and Oversight (M&O) budget for purposes of extending flexibility to the counties regarding appropriate staffing necessary to implement and operationalize the HCPCFC program manual requirements and readiness activities for the CCS M&O. To be eligible for this flexibility, the county must submit the One-Time Flexibilities - SB 108 Administrative Support Budget workbook to DHCS no later than October 1, 2024. The budget must be approved through the county's Board of Supervisors and proof of their approval must be included with your budget submission to DHCS. The budget must describe the county's proposed use of funds to support HCPCFC and CCS M&O activities, including direct and indirect administrative costs. DHCS will send the One- Time Flexibilities - SB 108 Administrative Support Budget workbook and instructions to all counties via email. Fiscal questions may be directed to: ISCDFiscal(cbdhcs.ca.gov. All other questions may be directed to the central program inbox: HCPCFC(o)-dhcs.ca.gov. Sincerely, ORIGINAL SIGNED BY Cortney Maslyn, Chief Integrated Systems of Care Division Department of Health Care Services August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 4 of 12 Attachments: 1. FY 2024-2025 HCPCFC Allocation Tables A. Base Allocation B. Psychotropic Medication Monitoring & Oversight C. Caseload Relief D. Administrative Allocation August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 5 of 12 Attachment 1A: Health Care Program for Children in Foster Care Base Allocation (07/01/2024 through 06/30/2025) County/City State General Funds Federal Funds Total Funds Alameda $182,045 $546,134 $728,179 Alpine $3,000 $9,000 $12,000 Amador $8,677 $26,031 $34,708 Butte $68,375 $205,126 $273,501 Calaveras $12,148 $36,444 $48,592 Colusa $5,900 $17,701 $23,602 Contra Costa $100,307 $300,921 $401,227 Del Norte $16,313 $48,939 $65,252 El Dorado $21,346 $64,037 $85,382 Fresno $396,195 $1,188,584 $1,584,779 Glenn $8,330 $24,990 $33,320 Humboldt $51,889 $155,667 $207,555 Im erial $47,724 $143,172 $190,895 In o $3,000 $9,000 $12,000 Kern $312,027 $936,082 $1,248,109 Kin s $58,657 $175,971 $234,628 Lake $14,230 $42,691 $56,922 Lassen $9,371 $28,114 $37,485 Los Angeles $2,879,918 $8,639,753 $11,519,671 Madera $39,220 $117,661 $156,881 Marin $15,619 $46,856 $62,475 Mariposa $3,000 $9,000 $12,000 Mendocino $39,047 $117,140 $156,187 Merced $106,901 $320,704 $427,606 Modoc $2,950 $8,851 $11,801 Mono $3,000 $9,000 $12,000 Monterey $32,626 $97,877 $130,503 Na a $14,751 $44,253 $59,004 Nevada $7,636 $22,907 $30,543 Orange $409,384 $1,228,152 $1,637,536 Placer $27,940 $83,820 $111,761 Plumas $4,339 $13,016 $17,354 Riverside $570,951 $1,712,853 $2,283,803 Sacramento $236,363 $709,090 $945,453 San Benito $5,033 $15,098 $20,131 San Bernardino $880,549 $2,641,646 $3,522,194 August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 6 of 12 Attachment 1A: Health Care Program for Children in Foster Care Base Allocation (07/01/2024 through 06/30/2025) • State General Funds Federal Funds Total Fu= San Diego $320,878 $962,634 $1,283,511 San Francisco $113,670 $341,009 $454,678 San Joaquin $214,150 $642,450 $856,600 San Luis Obispo $47,550 $142,651 $190,201 San Mateo $21,346 $64,037 $85,382 Santa Barbara $68,375 $205,126 $273,501 Santa Clara $81,391 $244,173 $325,563 Santa Cruz $24,990 $74,970 $99,960 Shasta $69,764 $209,291 $279,054 Sierra $3,000 $9,000 $12,000 Siski ou $13,189 $39,567 $52,757 Solano $58,136 $174,409 $232,545 Sonoma $81,738 $245,214 $326,952 Stanislaus $92,150 $276,451 $368,602 Sutter $14,751 $44,253 $59,004 Tehama $21,172 $63,516 $84,688 Trinity $3,644 $10,933 $14,577 Tulare $153,411 $460,232 $613,642 Tuolumne $11,974 $35,923 $47,897 Ventura $74,796 $224,389 $299,185 Yolo $45,641 $136,924 $182,565 Yuba $29,849 $89,547 $119,396 City of Berkeley $6,247 $18,742 $24,990 $32,682,292 August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 7 of 12 Attachment 1 B: Health Care Program for Children in Foster Care Psychotropic Medication Monitoring and Oversight Allocation (07/01/2024 through 06/30/2025) Alameda $40,795 $122,386 $163,181 Alpine $3,659 $10,975 $14,634 Amador $3,659 $10,975 $14,634 Butte $18,293 $54,878 $73,171 Calaveras $3,659 $10,975 $14,634 Colusa $3,659 $10,975 $14,634 Contra Costa $36,585 $109,756 $146,341 Del Norte $3,659 $10,975 $14,634 El Dorado $10,976 $32,926 $43,902 Fresno $54,878 $164,634 $219,512 Glenn $3,659 $10,975 $14,634 Humboldt $7,317 $21,951 $29,268 Imperial $14,634 $43,903 $58,537 In o $3,659 $10,975 $14,634 Kern $40,244 $120,732 $160,976 Kings $7,317 $21,951 $29,268 Lake $7,317 $21,951 $29,268 Lassen $3,659 $10,975 $14,634 Los Angeles $526,829 $1,580,488 $2,107,317 Madera $3,659 $10,975 $14,634 Marin $3,659 $10,975 $14,634 Mariposa $3,659 $10,975 $14,634 Mendocino $10,976 $32,926 $43,902 Merced $10,976 $32,926 $43,902 Modoc $3,659 $10,975 $14,634 Mono $3,659 $10,975 $14,634 Monterey $14,634 $43,903 $58,537 Napa $3,659 $10,975 $14,634 Nevada $3,659 $10,975 $14,634 Orange $47,561 $142,683 $190,244 Placer $7,317 $21,951 $29,268 Plumas $3,659 $10,975 $14,634 Riverside $102,439 $307,317 $409,756 Sacramento $73,171 $219,512 $292,683 San Benito $3,659 $10,975 $14,634 San Bernardino $142,683 $428,049 $570,732 San Diego $80,488 $241,463 $321,951 August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 8 of 12 Attachment 1 B: Health Care Program for Children in Foster Care Psychotropic Medication Monitoring and Oversight Allocation (07/01/2024 through 06/30/2025) County/City San Francisco $25,610 $76,829 $102,439 San Joaquin $51,220 $153,658 $204,878 San Luis Obispo $14,634 $43,903 $58,537 San Mateo $10,976 $32,926 $43,902 Santa Barbara $14,634 $43,903 $58,537 Santa Clara $36,585 $109,756 $146,341 Santa Cruz $7,317 $21,951 $29,268 Shasta $14,634 $43,903 $58,537 Sierra $3,658 $10,976 $14,634 Siski ou $3,658 $10,976 $14,634 Solano $10,975 $32,927 $43,902 Sonoma $18,292 $54,879 $73,171 Stanislaus $29,267 $87,806 $117,073 Sutter $7,316 $21,952 $29,268 Tehama $3,658 $10,976 $14,634 Trinity $3,658 $10,976 $14,634 Tulare $21,951 $65,855 $87,806 Tuolumne $3,658 $10,977 $14,635 Ventura $25,609 $76,831 $102,440 Yolo $14,634 $43,904 $58,538 Yuba $7,316 $21,953 $29,269 City of Berkeley $3,107 1 $9,322 $12,429 August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 9 of 12 Attachment 1 C: Health Care Program for Children in Foster Care Caseload Relief Allocation (07/01/2024 through 06/30/2025) County/City State General Funds Federal Funds Total Funds Alameda $97,126 $291,374 $388,500 Alpine $0 $0 $0 Amador $3,996 $11,989 $15,985 Butte $36,351 $109,051 $145,402 Calaveras $5,836 $17,509 $23,345 Colusa $3,172 $9,516 $12,688 Contra Costa $67,880 $203,639 $271,519 Del Norte $4,821 $14,464 $19,285 El Dorado $19,095 $57,285 $76,380 Fresno $133,095 $399,283 $532,378 Glenn $5,075 $15,226 $20,301 Humboldt $23,346 $70,036 $93,382 Imperial $28,611 $85,832 $114,443 In o $1,161 $3,483 $4,644 Kern $109,940 $329,818 $439,758 Kings $24,171 $72,511 $96,682 Lake $10,341 $31,021 $41,362 Lassen $4,314 $12,942 $17,256 Los Angeles $1,389,880 $4,169,636 $5,559,516 Madera $21,125 $63,376 $84,501 Marin $5,963 $17,890 $23,853 Mariposa $1,903 $5,710 $7,613 Mendocino $17,318 $51,956 $69,274 Merced $33,495 $100,487 $133,982 Modoc $963 $2,889 $3,852 Mono $0 $0 $0 Monterey $27,659 $82,978 $110,637 Napa $8,310 $24,932 $33,242 Nevada $3,996 $11,989 $15,985 Orange $150,604 $451,810 $602,414 August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 10 of 12 Attachment 1 C: Health Care Program for Children in Foster Care Caseload Relief Allocation 07/01/2024 through 06/30/2025 7 • . . Placer $14,211 $42,632 $56,843 Plumas $3,172 $9,516 $12,688 Riverside $219,497 $658,493 $877,990 Sacramento $151,429 $454,285 $605,714 San Benito $3,679 $11,038 $14,717 San Bernardino $381,013 $1,143,039 $1,524,052 San Diego $173,441 $520,324 $693,765 San Francisco $57,856 $173,568 $231,424 San Joaquin $98,139 $294,419 $392,558 San Luis Obispo $26,328 $78,981 $105,309 San Mateo $18,206 $54,621 $72,827 Santa Barbara $28,357 $85,071 $113,428 Santa Clara $74,668 $224,002 $298,670 Santa Cruz $17,382 $52,147 $69,529 Shasta $28,166 $84,500 $112,666 Sierra $0 $0 $0 Siski ou $6,725 $20,174 $26,899 Solano $27,469 $82,407 $109,876 Sonoma $33,433 $100,297 $133,730 Stanislaus $48,214 $144,641 $192,855 Sutter $11,102 $33,305 $44,407 Tehama $13,830 $41,489 $55,319 Trinity $3,299 $9,896 $13,195 Tulare $67,371 $202,115 $269,486 Tuolumne $6,660 $19,983 $26,643 Ventura $53,606 $160,818 $214,424 Yolo $27,216 $81,647 $108,863 Yuba $13,701 $41,109 $54,810 City of Berkeley $2,283 1 $6,851 1 $9,134 Total000 $11,550,000 $15,400,000 August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 11 of 12 Attachment 1 D: Health Care Program for Children in Foster Care Administrative Ailocation4 (07/01/2024 through 06/30/2025) State General ds County/City Federal Funds Total Fun Alameda $179,986 $179,986 $359,972 Alpine $136,413 $136,413 $272,826 Amador $168,230 $168,230 $336,459 Butte $160,019 $160,019 $320,037 Calaveras $148,193 $148,193 $296,385 Colusa $168,815 $168,815 $337,630 Contra Costa $230,009 $230,009 $460,018 Del Norte $128,386 $128,386 $256,771 El Dorado $160,239 $160,239 $320,477 Fresno $177,400 $177,400 $354,800 Glenn $158,434 $158,434 $316,868 Humboldt $172,319 $172,319 $344,637 Imperial $151,222 $151,222 $302,444 Inyo $166,402 $166,402 $332,803 Kern $179,074 $179,074 $358,147 Kings $139,869 $139,869 $279,738 Lake $162,061 $162,061 $324,121 Lassen $125,143 $125,143 $250,286 Los Angeles $1,703,756 $1,703,756 $3,407,511 Madera $156,683 $156,683 $313,366 Marin $181,202 $181,202 $362,403 Mariposa $174,431 $174,431 $348,861 Mendocino $150,628 $150,628 $301,255 Merced $113,628 $113,628 $227,256 Modoc $92,890 $92,890 $185,780 Mono $162,199 $162,199 $324,398 Monterey $130,725 $130,725 $261,450 Napa $206,808 $206,808 $413,616 Nevada $153,604 $153,604 $307,208 Orange $213,870 $213,870 $427,739 4 DHCS reallocated the CHDP Program budget county allocation starting in FY 24-25 to the HCPCFC Administrative Budget and the California Children's Services(CCS) Monitoring and Oversight. Please refer to the CCS Monitoring and Oversight Allocation Letter for state's approved budget. August 20, 2024 HCPCFC PROGRAM LETTER 24-01 REVISED Page 12 of 12 Attachment 1 D: Health Care Program for Children in Foster Care Administrative Allocation• (07/01/2024 through 06/30/2025) State General Funds Placer $171,636 $171,636 $343,272 Plumas $139,854 $139,854 $279,707 Riverside $294,838 $294,838 $589,676 Sacramento $198,302 $198,302 $396,603 San Benito $138,303 $138,303 $276,606 San Bernardino $391,661 $391,661 $783,322 San Diego $170,810 $170,810 $341,620 San Francisco $249,473 $249,473 $498,946 San Joaquin $171,377 $171,377 $342,753 San Luis Obispo $188,360 $188,360 $376,719 San Mateo $227,028 $227,028 $454,056 Santa Barbara $185,801 $185,801 $371,602 Santa Clara $218,297 $218,297 $436,594 Santa Cruz $176,789 $176,789 $353,578 Shasta $158,163 $158,163 $316,326 Sierra $156,591 $156,591 $313,182 Siskiyou $143,143 $143,143 $286,286 Solano $182,239 $182,239 $364,477 Sonoma $200,722 $200,722 $401.444 Stanislaus $171,030 $171,030 $342,060 Sutter $163,154 $163,154 $326,308 Tehama $202,803 $202,803 $405,605 Trinity $147,140 $147,140 $294,280 Tulare $154,549 $154,549 $309,098 Tuolumne $155,903 $155,903 $311,805 Ventura $174,044 $174,044 $348,088 Yolo $185,730 $185,730 $371,459 Yuba $193,018 $193,018 $386,036 City of Berkeley $215,125 $215,125 $430,250 -11 CALIFORNIA DEPARTMENT OF P,zi H C S HEALTH CARE SERVICES Health Care Program for Children in Foster Care Agency Information County/City: Fiscal Year: Fresno 2024-25 Street Address: 1221 Fulton St Health Officer Name: Dr.Trinidad Solis City: Fresno HCPCFC Central Email CWSPHNs@fresnocountyc Zip Code: 93721 Addressj 1221 Fulton St., Fresno,C Authorized HCPCFC Representative Director of Social Services Agency Name,Title: Ankara Lee, Supervising PL Name: Sanja Bugay Phone: (559) 600-6591 Phone: (559) 600-2301 Email: alee@fresnocountyca.gov Email: sbugay@fresnocountyca.g Clerk of the Board of Supervisors Chief Probation Officer Name: Bernice Seidel Name: Kirk Haynes Phone: (559) 600-1601 Phone: (559) 600-1298 Email: bseidel@fresnocountyca.g Email: khaynes@fresnocountyca. List All HCPCFC Program Staff Name: Title: SupportStaff PHN Email: Ankara Lee _pervising Public Health Nui No Yes alee@fresnocountyca.gov Stacey Cunningham Public Health Nurse No Yes —iningham@fresnocountyca San'eevan Sidhu Public Health Nurse No Yesasidhu@fresnocountvca.go Stella Holliman Public Health Nurse No Yes olliman@fresnocount ca. Gursimran Deol Public Health Nurse No Yes deol@fresnocount ca. o Matthew Johnson Public Health Nurse No Yes t"ohnson@fresnocount ca. Nuchi Lee Public Health Nurse No Yes nlee@fresnocountyca.gov Shoua a Thao Public Health Nurse No Yes iothao@fresnocountyca.qc Vacant Public Health Nurse No Yes 10 Nestor Yalong Public Health Nurse No Yesvalonq@fresnocountvca.ac Me an Gunn Public Health Nurse No Yes unn@fresnocoun ca. o Vacant Public Health Nurse No Yes AI sia Bonner Supervising Office Assistan Yes No onner@fresnocount ca. 4 Pa Xiong Office Assistant Yes Noiaxionq@fresnocountyca,gi 75 Vanessa Chavez Office Assistant Yes Nochavez@fresnocountyca.qc 16 Madeleine Yakoub Program Technician Yes No akoub@fresnocount ca. 77— Vacant Health Education Assistant Yes No TF—Chashua Lor Staff Analyst I Yes I No chlor@fresnocount ca. o View additional rows by selecting the "+"to the left. HCSP4soe �s CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES Health Care Program for Children in Foster Care Certification Statement County/City: Fiscal Year: Fresno 2024-25 1 certify that the Health Care Program for Children in Foster Care (HCPCFC) will comply with all applicable state and federal and state laws and regulations, including all federal laws and regulations governing recipients of federal 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 certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities, including the HCPCFC Program Manual. I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates any of the above. Ankara Lee, Supervising Public Health Nurse 494f, z_aa_ 10/1/2024 HCPCFC/County Authorized Representative Signature Date Nathan Magsig i 1 /S/ZK Local Governing Body Chairperson Name, Signature Date ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,State of California By ��1Ci L),u.�... Deputy CALIFORN A DEPARTMENT OF haTHCS HEALTH ICARE SERVICES Health Care Program for Children in Foster Care Base Budget Worksheet County/City Name: Fiscal Year. Fresno 2024-25 Column 1A 18 1 2A 2 3A 3 I.Personnel Expenses Total Base Enhanced Enhanced Non- Non- FTE Annual Salary Total Budget FTE% Total Enhanced FTE Enhanced Name Title DSS PHN % Total 1 Ankara Lee Supervising Public Health No Yes 65% S155,469 S101,055 75% $75,791 25% $25,264 __L Stacey Cunnin ham Public Health Nurse No Yes 65% $129,407 S84,115 75% $63,086 25% $21,029 3 San'eevan Sidhu Public Health Nurse No Yes 65% $110,849 $72,052 75% $54,039 25% $18,013 4 Stella Holliman Public Health Nurse No Yes 65% $129,407 S84,115 75% $63,086 25% $21.029 5 Gursimran Deal Public Health Nurse No Yes 65% $102,106 $66,369 75% S49,777 25% $16,592 6 Matthew Johnson Public Health Nurse No Yes 65% $121,983 $79,289 75% S59.467 25% $19,822 7 Nuchi Lee Public Health Nurse No Yes 65% $92,797 $60,318 75% $45,239 25% $15,080 8 Shoua a Thao Public Health Nurse No Yes 0o/ SO $0 0% $0 1000/ $0 9 Vacant Public Health Nurse No Yes 40% $95,472 $38,189 75% $28.642 25% $9,547 10 NestorYalonq Public Health Nurse No Yes 0% SO SO 0% $0 100% $0 11 Megan Gunn Public Health Nurse No Yes 0% $0 $0 0% $0 1000/, $0 12 Vacant Public Health Nurse No Yes 00/ SO s0 0% $0 100% $0 13 AI sia Bonner Supervising Office Assistai Yes No 75% $62,658 $46,994 Oo/ $0 100% $46,994 14 Pa Xiang Office Assistant Yes No 75% $48,795 $36,596 0% $0 100% $36,596 15 Vanessa Chavez Office Assistant Yes No 75% S37,306 $27,980 Oo/ SO 100% $27,980 16 Madeleine Yakoub Program Technician Yes No 50% $46,350 $23,175 0% SO 100% $23,175 17 Vacant Health Education Assistan Yes No 75% $42575 $31,931 0°/ $5 100% $31,931 18 Chashua for Staff Anal st Yes No Oo/ $0 $0 0% $0 l00% $0 View additional rows by selecting the'-'to the left. Total Net Salaries and Wages S752,176 $439.125 f313,051 Staff Benefits(Specify%) 75.85774% $570,584 $333,110 S237,473 I.Total Personnel Expenses $1,322760 S772,235 $550,524 ll.Total Operating Expenses(List in Narrative) $13,565 - $10,174 $3,391 III.Total Capital Expenses(List in Narrative) $O $O IV.Indirect Expenses(List in Narrative) 1. Internal(Specify%) 18.5923% $248.454 $248,454 2. External(Specify%) 0°/ SO $0 IV.Total Indirect Expenses(List in Narrative) $248,454 $248,454 V.Total Other Expenses(List in Narrative) $0 $0 Budget Grand Total S7,584,779 5782409 5802,369 certify that the Health Care Program for Children in Foster Care(HCPCFC)will comply with all applicable state and federal and state laws and regulations,including all federal laws and regulations governing recipients of federal 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 certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals,scope,and activity requirements.I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates any of the above.HCPCFC staffing is limited to Public Health Nurses and their Direct Support Staff.By signing below,I certify that the listed individual's Civil Service Classification,Duty Statement,and all budgeted activities adhere to HCPCFC program scope and meet the definition of Public Health Nurse,as defined by California Code of Regulations Section 1305,or Directly Supporting Staff,as defined by Code of Federal Regulations Section 432.2.�Y Ankara lee,Supervising Public Health Nurse NiI'li Lez 10/1/2024 Authorized HCPCFC Signor Name,Title Signature Date CALIFORNIA DEPARTMENT OF H C S HEALTH CARE SERVICES Health Care Program for Children in Foster Care Base Budget Narrative County/City Name12024-25 cal Year: Fresno I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses Salary and Benefits for 13 positions,total of 8.45 FTE. Benefits calculated with estimated total and benefits rate for the positions. Includes retirement, health insurance,OASDI, Unemployment Insurance,and Benefits Administration. II.Operating Expenses Identify and Explain All Operating Expense Line Items Private auto mileage reimburseemnt of at$0.67/mile for program staff to travel to complete program activities. Program vehicle,fuel,and associated garage/maintenance costs. Registration costs for PHNs to attend training and workshops to maintain professional competence and gain program specific skills. Also includes ancillary costs related to attending 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 24.43%of personnel costs approved for use by Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector.Reduced indirect costs rate to 18.5932%to External: V.Other Expenses Identify and Explain All Other Expense Line Items I certify that the Health Care Program for Children in Foster Care(HCPCFC)will comply with all applicable state and federal and state laws and regulations,including all federal laws and regulations governing recipients of federal 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 certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals, scope,and activity requirements.I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates any of the above. Ankara Lee,Supervising Public Health Nurse 1194L ,az 10/1/2024 Authorized HCPCFC Signor Name,Title Signature Date CALIFORNIA DEPARTMENT OF NPIPA H C S HEALTH CARE SERVICES Health Care Program for Children in Foster Care Prychotropic Medication Monitoring&Oversight Budget Worksheet County/City Name: Fiscal Year. Fresno 2024-25 Column 1A 18 1 2A 2 3A 3 I.Personnel Expenses Non- Non- TotalBase Annual Enhanced Enhanced FTE% Salary Total Budget FTE% Total Enhanced Enhanced a Name Title D55 PHN FTE% Total 1 Ankara Lee Supervising Public Health Nurse No I Yes 0% s0 s0 0% so lo0% s0 _L Stacey Cunningham Public Health Nurse No Yes 0% so $0 0% s0 1 100% s0 3 San Bevan Sidhu Public Health Nurse No Yes 0% S0 $0 0% s0 100% $0 4 Stella Holliman Public Health Nurse No Yes 0% So $0 0% SO 100% SO 5 Gursimran Deal Public Health Nurse No Yes 0% s0 $0 0% so 100% s0 6 lIvIalthew.lohnson Public Health Nurse No Yes 0% So so 0% s0 100% $0 7 Nuchi Lee Public Health Nurse No Yes 0% s0 so 0% so 100% $0 8 Shoua a Thao Public Health Nurse No Yes 85% $68,770 S75,455 75% $56,s91 25% $18,864 9 Vacant Public Health Nurse No Yes 25% $95,472 S23,868 75% $17,901 25% S5,967 10 NeslorYalong Public Health Nurse No Yes 0% s0 s0 0% s0 100% $0 11 Megan Gunn Public Health Nurse No Yes 0% s0 $0 0% SO 100% s0 12 Vacant Public Health Nurse No Yes 0% $0 so 0% SO 100% s0 13 Alysia Bonner Supervising Office Assistant Yes No 0% so So 0% s0 100% $0 14 Pa Xiong Office Assistant Yes No 0% s0 $0 0% $0 100% $0 15 Vanessa Chavez Office Assistant Yes fo 0% 50 $0 0% SO 100% s0 16 Madeleine Yakoub Program Technician Yes 0% s0 SO 0% $0 100% SO 17 Vacant Health Education Assistant Yes 0% SO SO 0% s0 100% $0 18 Chashua Lor Staff Analyst Yes 0% SO 50 0°6 $0 100% 50 View additional rows by selecting the to the left. Total Net Salaries and Wages $99,323 $74,492 $24.831 Staff Benefits(Specify%) 75.82116% 575,300 $56,481 SiB,827 I.Total Personnel Expenses $174.631 $130.973 S43,658 11.Total Operating Expenses(List in Narrative) $6,000 54,500 $1,500 Ill.Total Capital Expenses(List in Narrative) SO $0 IV.Indirect Expenses(List in Narrative) 7, Internal(Specify%) 21.53% $3B,BB7 53B,881 2. External(Specify%) 0% SO so IV.Total Indirect Expenses(List in Narrative) $38,B81 $38,881 V.Total Other Expenses(List in Narrative) s0 so Budget Grand Total $219,572 S13S,473 $84,039 1 certify that the Health Care Program for Children in Foster Care(HCPCFC)will comply with all applicable slate and federal and stale laws and regulations,including all federal laws and regulations governing recipients of federal funds granted to slates for medical assistance pursuant to Title XIX of the Social Security Act(42 U.S.C.Section 1396 et seq.).1 further certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals,scope,and activity requirements.I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates any of the above.HCPCFC staffing is limited to Public Health Nurses and their Direct Support Staff.By signing below.I certify that the listed individual's Civil Service Classification,Duty Statement,and all budgeted activities adhere to HCPCFC program scope and meet the definition of Public Health Nurse,as defined by California Code of Regulations Section 1305,or Directly Supporting Staff,as defined by Code of Federal Regulations Section 432.2. zc y Ankara Lee,Supervising Public Health Nurse H�/�i Z_I,(L 1 Ojl/2024 Authorized HCPCFC Signor Name,Title Signature Date Pz HCS CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES Health Care Program for Children in Foster Care Y Psychotropic Medication Monitoring&Oversight Budget Narrative County/City Name: Fiscal ear: Fresno 2024-25 I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses Salary and Benefits for 2 positions,total of 1.10 FTE PHN. Includes retirement, health insurance,OASDI, Unemployment Insurance,and Benefits Administration. II.Operating Expenses Identify and Explain All Operating Expense Line Items Private auto mileage reimburseemnt of at$0.67/mile for program staff to travel to complete program activities. Program vehicle,fuel,and associated garage/maintenance costs. Registration costs for PHNs to attend training and workshops to maintain professional competence and gain program specific skills. Also includes ancillary costs related to attending 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 24.43%of personnel costs approved for use by Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector. Reduced indirect costs rate to 21.525%to remain External: V.Other Expenses Identify and Explain All Other Expense Line Items I certify that the Health Care Program for Children in Foster Care(HCPCFC)will comply with all applicable state and federal and state laws and regulations, including all federal laws and regulations governing recipients of federal 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 certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals, scope,and activity requirements. I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates anv of the.ahnve. Ankara Lee,Supervising Public Health Nurse AtoL Z" 10/1/2024 Authorized HCPCFC Signor Name, Title Signature Date ,�HCS HEALTH CARE SERVICES HEALTH CARE SERVILES Health Care Program for Children in Foster Care Caseload Relief Budget Worksheet County/City Name: Fiscal Year. Fresno 2024.25 Column 1A 111 1 2A 2 3A 3 I.Personnel Expenses Non- Name Title DSS PHN FTE% Salary FTE% FTE% Total Base Annual Enhanced Non-Enhanced Total Budge[ Enhanced Total Enhanced # Total 1 Ankara Lee Supervising Public Health Nurse No Yes 0% So s0 0% $0 100% so 2 Stacey Cunningham Public Health Nurse No Yes 0% so so 0% $0 100% so 3 San'eevan Sidhu Public Health Nurse No Yes 0% 1 $0 so 0% $0 100% s0 4 Stella Holliman Public Health Nurse No Yes 0% So $0 0% so 100% SO 5 Gursimran Deal Public Health Nurse No Yes 0% so f0 0% s0 100% s0 6 Matthew Johnson Public Health Nurse No Yes 0% So SD 0% s0 100% $0 7 Nuchi Lee Public Health Nurse No Yes 0% so f0 0% $0 100% $0 8 Shoua a Thao Public Health Nurse No Yes 0% so s0 0% so 100% $0 9 Vacant Public Health Nurse No Yes 0% s0 s0 0% So 100% s0 10 NestarYalong Public Health Nurse No Yes 6s% $129,407 $84,115 75% S63,086 25% S21,029 11 Megan Gunn Public Health Nurse No Yes 65% S125,271 f81,426 75% S61,070 25% $20,357 12 Vacant Public Health Nurse No Yes 65% S95.472 S62,057 75% S46,543 25% 515.514 13 AI sia Bonner Supervising Office Assistant Yes No 25% S62658 $15,665 0% so 100% $15,665 14 Pa Xiang Office Assistant Yes No 25% S48,795 S12,199 0% s0 100% S72,199 15 Vanessa Chavez Office Assistant Yes No 0% so so 0% so 16 Madeleine Yakoub Program Technician Yes No 0% So s0 0% so 100% SO 17 Vacant Health Education Assistant Yes No 0% 50 $O 0% SO 100% SO 18 JChashua Lor Staff Analyst Yes No 0% View additional rows by selecting the"+'to the left Total PHN FTE% 195% 225% Total Direct Support Staff FTE% 50% 0% Total Net Salaries and Wages $255,461 $170,698 584,763.. Staff Benefits(Specify%) 70.23985% S179,435 J, $119.898 SS9,S37 I.Total Personnel Expenses $434,896 S290,596 $144,300 If.Total Operating Expenses(List in Narrative) $3,000 $2.25o $750 III.Total Capital Expenses(List in Narrative) SO SO IV.Indirect Expenses(List in Narrative) 1. Internal(Specify%) 21.58% S94,482 S94,482 2. External(Specify%) 0% SO SO IV.Total Indirect Ex rises(List in Narrative) $94,482 594,482 V.Total Other Ex enses(List in Narrative) $0 $0 Budget Grand Total $532,378 S292,846 5239,532 1 certify that the Health Care Program for Children in Faster Care(HCPCFC)will comply with all applicable state and federal and state laws and regulations,including all federal laws and regulations governing recipients of federal funds granted to stales for medical assistance pursuant to Title XIX of the Social Security Act(42 U.S.C.Section 1396 et see.).I further certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals,scope,and activity requirements.I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates any of the above.HCPCFC staffing is limited to Public Health Nurses and their Direct Support Staff.By signing below,I certify that the listed individual's Civil Service Classification,Duty Statement,and all budgeted activities adhere to HCPCFC program scope and meet the definition of Public Health Nurse,as defined by California Code of Regulations Section 1305,or Directly Supporting Staff,as defined by Code of Federal Regulations Section 432.2. .Cy Ankara Lee,Supervising Public Health Nurse 91/'fi Z" 10/1/2024 Authorized HCPCFC Signor Name,Title Signature Date PyH CS CALIFORNIA DEPARTMENT OF .oe HEALTH CARE SERVICES Health Care Program for Children in Foster Care Caseload Relief Budget Narrative County/City Name: Fiscal Year: Fresno 2024-25 I.Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses Salary and Benefits for 5 positions,total of 2.45 FTE. Includes retirement, health insurance,OASDI,Unemployment Insurance,and Benefits Administration. II.Operating Expenses Identify and Explain All Operating Expense Line Items Private auto mileage reimburseemnt of at$0.67/mile for program staff to travel to complete program activities. Program vehicle,fuel,and associated garage/maintenance costs. Registration costs for PHNs to attend training and workshops to maintain professional competence and gain program specific skills. Also includes ancillary costs related to attending 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 24.43%of personnel costs approved for use by Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector.Reduced indirect costs rate to 21.5763%to External: V.Other Expenses Identify and Explain All Other Expense Line Items I certify that the Health Care Program for Children in Foster Care(HCPCFC)will comply with all applicable state and federal and state laws and regulations,including all federal laws and regulations governing recipients of federal 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 certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals,scope,and activity requirements.I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates any of the above. Ankara Lee,Supervising Public Health Nurse 494t, Z-az 10/1/2024 Authorized HCPCFC Signor Name,Title Signature Date ftw H C S HEALTH C DEPARTMENT OF HEALTH CARE SERVICES Health Care Program for Children in Foster Care Administrative Budget Worksheet County/City Name: Fiscal Year. Fresno 2024-25 Column lA 18 1 2A 2 3A 3 I.Personnel Expenses Total Base Annual Enhanced Enhanced Non- Non- Total Budget Enhanced Enhanced 4 Name Title DSS pHN FTE% Salary FfE% Total FTE% Total 1 Ankara Lee Supervising Public Health Nurse No Yes 0% so s0 0% $0 2 Stacey Cunningham Public Health Nurse No Yes 0% so s0 0% 50 3 San eevan Sidhu Public Health Nurse No Yes 0% so so 0% $D 4 Stella Holliman Public Health Nurse No Yes 0% so so 0% so 5 Gursim ran Deol Public Health Nurse No Yes 0% so so 0% $0 6 Matthewlohnson Public Health Nurse No Yes 0% So so 0% So 7 Nuchi Lee Public Health Nurse No Yes 0% s0 s0 _ 0% s0 8 Shoua a Thao Public Health Nurse No Yes 0% s0 s0 0% so 9 Vacant Public Health Nurse No Yes 0% s0 s0 0% so 10 Nestor Yalong Public Health Nurse No Yes U% So $0 0% $0 11 Megan Gunn Public Health Nurse No Yes 0% so so _ _ 100% $0 lZ Vacant Public Health Nurse No Yes 0% s0 $0 0% so 100% so 13 Alysia Bonner Supervising Office Assistant Yes No 0% s0 so 0% s0 100% $0 14 Pa Xiong Office Assistant Yes No 0% so $0 0% So 100% $0 15 Vanessa Chavez Office Assistant Yes No 25% s37,306 S9,327 0% so 100% $9,327 16 Madeleine Yakoub Pro ram Technician Yes No 0% So so 0% $0 100% so 17 Vacant Health Education Assistant Yes No 25% S42.575 S1Q644 0% so 100% $10,644 18 IChashua Lot Staff Analyst Yes No 25% S75,536 S18,884 0% $o 100% S1B•884 View additional roses by selecting the'+'to the left. Total Net Salaries and Wages $38,854 $38,854 Staff Benefits(Specify%) 76.930659% - - S29,691 - $29,891 I.Total Personnel Expenses $68,745 S6B,745 11.Total Operating Expenses(List in Narrative) $0 III.Total Capital Expenses(List in Narrative) $0 so IV.Indirect Expenses(List in Narrative) - 1. Inlernal(Specify%1 24.43% $16,794 - - S16,794 Z. External(Specify%) 0% so SO IV.Total Indirect Expenses(List in Narrative) 576,794 $16,794 V.Total Other Expenses(List in Narrative) s0 so Budget Grand Talal S85,539 s0 7 $85,539 1 certify that the Health Care Program for Children in Foster Care(HCPCFC)will comply with ail applicable state and federal and state laws and regulations,including all federal laws and regulations governing recipients of federal funds granted to states for medical assistance pursuant to Title XIX of the Social Security Act(42 U.S.C.Section 1396 el seq.).I further certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals,scope,and activity requirements.I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates any of the above.HCPCFC staffing is limited to a Public Health Nurse Supervisor,Public Health Assistant,Fiscal Support Staff,and Administrative Support Staff. Ankara Lee.Supervising Public Health Nurse � y Lez 10/1/2024 Authorized HCPCFC Signor Name,Title Signature Date H CSCALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES Health Care Program for Children in Foster Care Administrative Budget Narrative County/City Name: Fiscal Year: Fresno 2024-25 I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses Salary and Benefits for 3 positions,total of.75 FTE. Includes retirement, health insurance, OASDI, Unemployment Insurance,and Benefits Administration. II.Operating Expenses Identify and Explain All Operating Expense Line Items 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 24.43%of personnel costs approved for use by Internal: Fresno County's Auditor Control I er/Treasu rer-Tax Collector. External: V.Other Expenses Identify and Explain All Other Expense Line Items I certify that the Health Care Program for Children in Foster Care(HCPCFC)will comply with all applicable state and federal and state laws and regulations, including all federal laws and regulations governing recipients of federal 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 certify that the HCPCFC will comply with all rules promulgated by DHCS pursuant to these authorities,and that all listed expenses adhere to program goals,scope,and activity requirements. I further agree that this HCPCFC may be subject to sanctions or other remedies if this HCPCFC violates anv of the above. Ankara Lee,Supervising Public Health Nurse ,Aye ,ez 10/1/2024 Authorized HCPCFC Signor Name,Title Signature Date &n > \ ( \ $ Lu .......... .. ...... ... ...... Lu 43 C6 Ic } ° ......... .. \\\S. F 0 ■ 0 LL. L- .u 40 MO CL � \ \ 7 � lw C\ �2 C6 C,; C: \ ( \ C: z z cl 12 � ` \� 12 12 0 iG Funding Allocation from the California Department of Health Care Services Allocation Name: CDHCS Health Care Program for Children in Foster Care Fiscal Year 2024-2025 Allocation (Program Letter 24-01) Fund/Subclass: 0001/10000 Organization #: 56201613, 56201618 Revenue Account #: 4380, 3530