HomeMy WebLinkAboutAgreement A-25-422 FY 2025-26 CCS Administrative and CCS MO Budget.pdf Agreement No. 25-422
Plan and Budget Required Documents Checklist
MODIFIED FY 2025-26
County/City: Fresno Fiscal Year: 2025-26
Document Page Number
1. Checklist 1 - 2
2. Agency Information Sheet 3
3. Certification Statements 4
4. Agency Description
A. Brief Narrative 5
B. Organizational Charts Retain locally
C. CCS Staffing Standards Profile Retain locally
D. Incumbent Lists for CCS 6 - 10
E. Civil Service Classification Statements— Include if newly established, N/A
proposed, or revised
F. Duty Statements— Include if newly established, proposed, or revised N/A
5. Data Forms
A. CCS Caseload Summary 11
6. Memoranda of Understanding and Interagency Agreements List
A. MOU/IAA List N/A
B. New, Renewed, or Revised MOU or IAA N/A
7. Budgets
A. CCS Administrative Budget
1. Budget Worksheet 12 - 14
2. Budget Summary 15
3. Budget Justification Narrative 16
B. CCS Monitoring and Oversite Budget
1. Agency Information 17
2. Budget Worksheet 18
3. Budget Narrative 19
1
County/City: Fresno Fiscal Year: 2025-26
Document Page Number
4. Budget Summary 20
G.. Other Forms
1. County/City Capital Expenses Justification Form N/A
2. County/City Other Expenses Justification Form N/A
8. Management of Equipment Purchased with State Funds
1. Contractor Equipment Purchased with DHCS Funds Form N/A
(DHCS1203)
2. Inventory/Disposition of DHCS Funded Equipment Form N/A
(DHCS1204)
3. Property Survey Report Form (STD 152) N/A
2
Children's Medical Services Plan and Fiscal Guidelines
Agency Information Sheet
County/City: Fresno/Fresno Fiscal Year: 2025-26
Official Agency
Name: David Luchini, Director Address: 1221 Fulton Street
Fresno, CA 93721
Health Officer Dr. Rais Vohra, MD
(Interim)
Dr. Trinidad Solis, MD
(Deputy Health Officer)
CMS Director(if applicable)
Name: Address:
Phone:
Fax: E-Mail:
CCS Administrator
Name: Pilar Vasquez Address: 1221 Fulton Street
Division Manager Fresno, CA 93721
Phone: 559-600-6595
Fax: 559-455-4789 E-Mail: pvasguez(@_fresnocountyca.gov
Clerk of the Board of Supervisors or City Council
Name: Bernice Seidel Address: 2281 Tulare St, 31 Floor
Fresno, CA 93721
Phone: 559-600-3529
Fax: 559-600-1608 E-Mail: bseidel@ fresnocountyca.gov
Director of Social Services Agency
Name: Sanja Bugay Address: 200 W Pontiac Way, Bldg 3
Clovis, CA 93612
Phone: 559-600-2301
Fax: 559-600-2311 E-Mail: sbugay@ fresnocountyca.gov
Chief Probation Officer
Name: Kirk Haynes 3333 E American Ave, STE B
Fresno, CA 93725
Phone: 559-600-1298
Fax: 559-455-2412 E-Mail: khaynes@ fresnocountyca.gov
3
Children's Medical Services Plan and Fiscal Guidelines
Certification Statement-California Children's Services (CCS)
County/City: Fresno Fiscal Year: 2025-26
1 certify that the CCS Program will comply with all applicable provisions of Health and
Safety Code, Division 106, Part 2, Chapter 3, Article 5, (commencing with Section
123800) and Chapters 7 and 8 of the Welfare and Institutions Code (commencing with
Sections 14000-14200), and any applicable rules or regulations promulgated by DHCS
pursuant to this article and these Chapters. I further certify that this CCS Program will
comply with the Children's Medical Services Plan and Fiscal Guidelines Manual,
including but not limited to, Section 9 Federal Financial Participation. I further certify that
this CCS 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.) and recipients of funds
allotted to states for the Maternal and Child Health Services Block Grant pursuant to
Title V of the Social Security Act(42 U.S.C. Section 701 et seq.). I further agree that this
CCS Program may be subject to all sanctions or other remedies applicable if this CCS
Program violates any of the above laws, regulations and policies with which it has
certified it wi o ply.
Signat re of CCS Admini or D7(J-112
Signed
/ -7 uZf
ature o Dire or r Health Officer Date Signed
Signature and Title of Other—Optional Date Signed
I certify that this plan has been approved by the local governing body.
Signature of Local Govirning Body Chairperson Date Signed
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
By_ Deputy
4
CMS PLAN
Fiscal Year 2025-26
Agency Description
Fresno County's California Children's Services (CCS) program is housed in the
County of Fresno, Department of Public Health, under the Children's Medical
Services (CMS) Division.
The CMS Division Manager functions as the CCS Administrator and reports directly
to the Director of the Department of Public Health. CCS medical supervision is
provided by a CCS Medical Consultant, a board-certified pediatrician. In the event
that a board-certified pediatrician is not available, the CCS program defers to the
State for medical consultation needs.
5
Children's Medical Services Plan and Fiscal Guidelines
State of California - Health and Human Services Agency Department of Health Care Services - Children's Medical Services
Incumbent List— California Children's Services
For FY 2021-22, complete the table below for all personnel listed in the CCS budgets. Use the same job titles for both the budget
and the incumbent list. Total percent for an individual incumbent should not be over 100 percent.
Specify whether job duty statements or civil service classification statements have been revised or changed. Only submit job duty
statements and civil service classification statements that are new or have been revised. This includes (1) changes in job duties or
activities, (2) changes in percentage of time spent for each activity, and (3) changes in percentage of time spent for enhanced and
non-enhanced job duties or activities.
Identify Nurse Liaison positions using: MCMC for Medi-Cal Managed Care; HF for Healthy Families; IHO for In-Home Operations,
and; RC for Regional Center.
County: Fresno Fiscal Year: 2025-26
Have Job Has Civil
FTE % on Duties Service
Job Title Incumbent Name CCS Admin Changed? Classification
Budget (Yes or No) Changed?
(Yes or No)
Division Manager/Administrator Pilar Vasquez 45% No No
Rehabilitation Therapy Manager Harsharn Dhillon Wood 10% No No
Staff Analyst I Kristeena Bump 50% No No
Staff Analyst III Marissa Vogeler 15% No No
Administrative Assistant Victoria Verdugo 85% No No
Program Technician II Ana Gastelum Rivera 35% No No
6
Children's Medical Services Plan and Fiscal Guidelines
Have Job Has Civil
FTE % on Duties Service
Job Title Incumbent Name CCS Admin Changed? Classification
Budget (Yes or No) Changed?
(Yes or No)
Program Technician I Vacant 0% No No
Public Health Physician Dr. Rajeev Verma 40% No No
Public Health Physician Dr. Joseph Capell 40% No No
Supervising Public Health Nurse Heather Maraan 72% No No
Head Nurse Kelly Stevens 75% No No
Public Health Nurse 11 Noel Almaguer 85% No No
Public Health Nurse 11 Sandy Sue Arce 85% No No
Public Health Nurse II Hilary Davis 85% No No
Public Health Nurse II Ku Lee 85% No No
Public Health Nurse II Khamsay Vanhelsdingen 85% No No
Public Health Nurse II Lanette Ramirez 85% No No
Staff Nurse III Margaret Altamirano 85% No No
Staff Nurse III Joseph Burgess 85% No No
Staff Nurse III Quy Gip 85% No No
7
Children's Medical Services Plan and Fiscal Guidelines
Have Job Has Civil
FTE % on Duties Service
Job Title Incumbent Name CCS Admin Changed? Classification
Budget (Yes or No) Changed?
(Yes or No)
Staff Nurse III Maribeth Jensen 85% No No
Staff Nurse III Belinda Mayugba 85% No No
Staff Nurse III Veronica Reyna 85% No No
Staff Nurse III Shavonne Smith 85% No No
Staff Nurse III Vivien Tagoe 85% No No
Staff Nurse III Tim Yang 85% No No
Staff Nurse I Ashley Fisk 85% No No
Staff Nurse I Vacant polo No No
Staff Nurse III (Extra Help) Jing Yang 0% No No
Occupational Therapist III (Extra Renee Chien 0% No No
Help)
Medical Social Worker III Ariana Salazar 85% No No
Medical Social Worker II Alma Garcia 85% No No
Senior Administrative Case Worker Sonya Mendoza 75% No No
Senior Administrative Case Worker Michael Vue 75% No No
8
Children's Medical Services Plan and Fiscal Guidelines
Have Job Has Civil
FTE % on Duties Service
Job Title Incumbent Name CCS Admin Changed? Classification
Budget (Yes or No) Changed?
(Yes or No)
Administrative Case Worker II Luz Reyes 80% No No
Administrative Case Worker II Rudy Constantino 80% No No
Administrative Case Worker II Tiffany Acosta 80% No No
Administrative Case Worker II Yuidico Garza-Wayne 80% No No
Administrative Case Worker II Johana Flores Guzman 80% No No
Administrative Case Worker I Jessica Ramirez 80% No No
Administrative Case Worker 11 Rachel Xiong 80% No No
Administrative Case Worker 11 Jalen Swank 80% No No
Administrative Case Worker I Adalinn Vargas 80% No No
Administrative Case Worker I Tamaryn Norris 80% No No
Administrative Case Worker I Vacant 0% No No
Administrative Case Worker I Felisha Delgado 80% No No
Administrative Case Worker I Samantha Amescua 80% No No
Administrative Case Worker I Jose Cisneros 80% No No
Administrative Case Worker I Vacant 0% No No
9
Children's Medical Services Plan and Fiscal Guidelines
Have Job Has Civil
FTE % on Duties Service
Job Title Incumbent Name CCS Admin Changed? Classification
Budget (Yes or No) Changed?
(Yes or No)
Supervising Program Technician Angel Rodriguez g0% No No
Office Assistant II Briana Casey 85% No No
Office Assistant I Sean Garcia 85% No No
Office Assistant I Vacant 0% No No
Office Assistant I Vacant 0% No No
Account Clerk II Maricela Garcia 5% No No
Office Assistant II Ismene Hernandez 5% No No
10
Children's Medical Services Plan and Fiscal Guidelines
California Children's Services Caseload Summary Form
County: Fresno Fiscal Year: 2025-26
A B
25-26
CCs 23-24 %of 24-25 %of Estimated %of
Caseload 0 Actual Grand Actual Grand Caseload Grand
to 21 Years Caseload Total Caseload Total based on first Total
month
MEDI-CAL
Average of Total Open
(Active)Medi-Cal 6,342 84% 6,215 84% 6,102 84%
1 Children
Potential Case Medi-Cal 24 0.3% 26 0.4% 22 0.3%
2
TOTAL MEDI-CAL 6,366 85% 6,241 84% 6,124 84%
3 (Row 1 + Row 2)
NON MEDI-CAL
OTLICP
Average of Total Open
4 (Active)OTLICP 729 10% 767 10% 809 11%
Potential Cases 66 0. °
5 OTLICP 9% 3 0.04/ 3 0.04/Total OTLICP (Row 4 795 11% ° °
6 + Row 5) 770 10% 812 11/
Straight CCS
Average of Total Open
(Active)Straight CCS 282 4% 331 4% 273 4%
7 Children
Potential Cases Straight 71 0 9% ° °
g CCS Children 68 0.9/ 58 0.8/
Total Straight CCS 353 5% 399 5% 331 5%
9 (Row 7 + Row 8)
TOTAL NON MEDI-CAL 1,148 15% 1,169 16% 1,143 16%
10 (Row 6 + Row 9)
GRAND TOTAL
(Row 3 + Row 10) 7,514 100% 7,410 100% 7,267 100%
11
11
State of California-Health and Human Services Agency Department of Health Care Services-Integrated Systems of Care Division
Revised 3/6/24
Percent of
Actual Total CCS
CCS CASELOAD Caseload Caseload
STRAIGHT CCS- 322 4.36%
Pj;
Total Cases of Open(Active)Straight CCS Children CCS Administrative Budget Worksheet
OTLICP-
Total Cases of Open(Active)OTLICP Children 750 10.21% Fiscal Year: 2025-26
HC
MEDI-CAL- Total Cases of Open(Active)Medi-Cal 6272 85.40%
(non-OTLICP)Children County: Fresno County CALIFORNIA DEPARTMENT OF
TOTAL CCS CASELOAD 7344 100% HEALTH CARE SERVICES
Straight CCS Optional Targeted Low Income Medi-Cal(Non-OTLICP)
Children's Program(OTLICP)
Column 1 2 3 4A 4 5A 5 6A 6 7A 7 8A 8
Optional Targeted
Low Income Enhanced Non-Enhanced
Total Budget Straight CCS Non-
Annual Caseload Children's Medi-Cal Enhanced/ Medi-Cal Medi-Cal
Category/Line Item %FTE Salary (1 x 2 or Caseload/ CountylState % Program(OTLICP) Caseload% State/Federal FTE State/Federal Enh FTEd/ State/Federal
41 5+6) (50/50)
Co/State/Fed (25175) (50150)
(17.5117.5/65)
I.Personnel Expense
Program Administration
1.Pilar Vasquez,Administrator(Division Manager) 45.00% 148,686 66,909 4.38% 2,934 10.21% 6,833 85.40% 57,142 100.00% 57,142
2.Harsharn Dhillon-wood,Rehabilitative Therapy Manager 10.00% 148,686 14,869 4.38% 652 10.21% 1,518 85.40% 12,699 100.00% 12,699
3.Kristeena Bump,Staff Analyst l 50.00% 67,214 33,607 4.38% 1,474 10.21% 3,432 85.40% 28,701 100.00% 28,701
4.Marissa Vogeler,Staff Analyst 111 15.00% 87,114 13,067 4.38% 573 10.21% 1,334 85.40% 11,160 100.00% 11,160
5.Victoria Verdugo,Administrative Assistant l 85.00% 46,858 39,829 4.38% 1,746 10.21% 4,068 85.40% 34,015 100.00% 34,015
6.Ana Gastelum Rivera,Program Technician II 35.00% 53,267 18,643 4.38% 817 10.21% 1,904 85.40% 15,922 100.00% 115,922
7.Vacant,Program Technician 1 0.00% 42,302 0 4.38% 0 10.21% 0 85.40% 0 100.00% 0
Subtotal 594,126 186,924 8,196 19,089 159,639 1 159,639
Medical Case Management IM
1.Rajeev Verma,MD,Public Health Physician(Extra Help) 40.00% 198,671 79,468 4.38% 3,484 10.21% 8,116 85.40% 67,868 100.00% 67,868 0.00% 0
2.Joseph Capell,MD,Public Health Physician(Extra Help) 40.00% 198,671 79,468 4.38% 3,484 10.21% 8,116 85.40% 67,868 100.00% 67,868 0.00% 0
3.Heather Maman,Supervising Public Health Nurse 72.00% 158,750 114,300 4.38% 5,012 10.21% 11,673 85.40% 97,616 94.00% 91,759 6.00% 5,857
4.Kelly Stevens,Head Nurse 75.00% 136,241 102,181 4.38% 4,480 10.21% 10,435 85.40% 87,266 94.00% 82,030 6.00% 5,236
5.Noel Almaguer,Public Health Nurse II 85.00% 132,938 112,997 4.38% 4,954 10.21% 11,540 85.40% 96,503 94.00% 1 90,713 6.00% 5,790
6.Sandy Sue Arce,Public Health Nurse 11 85.00% 132,938 112,997 4.38% 4,954 10.21% 11,540 85.40% 96,503 94.00% 90,713 6.00% 5,790
7.Hilary Davis,Public Health Nurse 11 85.00% 132,938 112,997 4.38% 4,954 10.21% 11,540 85.40% 96,503 94.00% 90,713 6.00% 5,790
8.Ku Lee,Public Health Nurse II 85.00% 130,878 111,246 4.38% 4,878 10.21% 11,361 85.40% 95,007 94.00% 89,307 6.00% 5,700
9.Khamsay Vanhelsdingen,Public Health Nurse 11 85.00% 130,878 111,246 4.38% 4,878 10.21% 11,361 85.40% 95,007 94.00% 89,307 6.00% 5,700
10.Lanette Ramirez,Public Health Nurse II 85.00% 115,610 98,269 4.38% 1 4,309 10.21% 1 10,036 85.40% 83,925 94.00% 78,890 6.00% 5,035
11.Margaret Altamirano,Staff Nurse 111 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
12.Joseph Burgess,Staff Nurse 111 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
13.Quy Gip,Staff Nurse 111 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
14.Maribeth Jensen,Staff Nurse 111 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
15.Benilda Mayugba,Staff Nurse 111 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
16.Veronica Rayne,Staff Nurse 111 85.00% 123,578 105,041 4.38% 1 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
17.Shavonne Smith,Staff Nurse 111 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
18.Vivien Tagoe,Staff Nurse 111 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
19.Tim Yang,Staff Nurse III 85.00% 123,578 105,041 4.38% 4,606 10.21% 10,727 85.40% 89,708 94.00% 84,326 6.00% 5,382
20.Ashley Fisk,Staff Nurse 1 85.00% 80,546 68,464 4.38% 3,002 10.21% 6,992 85.40% 58,470 94.00% 54,962 6.00% 3,508
21.Vacant,Staff Nurse 1 0.00% 76,780 0 4.38% 0 10.21% 0 85.40% 0 0.00% 0 100.00% 0
22.Jing Yang,Staff Nurse III(Extra Help) 1 0.00% 1 79,880 0 1 4.38% 1 0 10.21% 0 1 85.40% 1 0 100.00% 0 1 0.00% 0
23.Renee Chien,Occupational Therapist(Extra Help) 0.00% 81,848 0 4.38% 0 10.21% 0 85.40% 0 100.00% 0 0.00% 0
Subtotal 21899,769 2,049,002 89,843 209,253 1,749,908 1,653,064 96,844
Other Health Care Professionals
1.Ariana Salazar,Medical Social Worker 111 85.00% 94,330 80,606 4.38% 3,534 10.21% 8,232 85.40% 68,840 1 0.00% 1 0 100.00% 68,840
12
Page 1 of 3
State of California-Health and Human Services Agency Department of Health Care Services-Integrated Systems of Care Division
Revised 3/6/24
Percent of
Actual Total CCS
CCS CASELOAD Caseload Caseload
STRAIGHT CCS- 322 4.3e%
Pj;
Total Cases of Open(Active)Straight CCS Children CCS Administrative Budget Worksheet
OTLICP-
Total Cases of Open(Active)OTLICP Children 750 10.21% Fiscal Year: 2025-26
HC
MEDI-CAL- Total Cases of Open(Active)Medi-Cal 6272 85.40%
(non-OTLICP)Children County: Fresno County CALIFORNIA DEPARTMENT OF
TOTAL CCS CASELOAD 7344 1 BB r HEALTH CARE SERVICES
Straight CCS Optional Targeted Low Income Medi-Cal(Non-OTLICP)
Children's Program(OTLICP)
Column 1 2 3 4A 4 5A 5 6A 6 7A 7 8A 8
Optional Targeted
Low Income Enhanced Non-Enhanced
Total Budget Straight CCS Non-
Annual Caseload Children's Medi-Cal Enhanced% Medi-Cal Medi-Cal
Category/Line Item %FTE Salary 11 x 2 or Caseload% Co(ntylState % Program(OTLICP) Caseload% State/Federal FTE State/Federal Enh FTEd/ State/Federal
4+5+6) (50150)
Co/State/Fed (25175) (50150)
(17.5117.5165)
2.Alma Garcia,Medical Social Worker II 85.00% 74,714 63,507 4.38% 2,784 10.21% 1 6,486 85.40% 54,237 1 0.00% 0 100.00% 54,237
Subtotal 169,544 144,113 6,318 14,718 123,077 0 123,077
Ancillary Support
1.Sonya Mendoza,Senior Administrative Case Worker 75.00% 69,340 52,005 4.38% 2,280 10.21% 5,311 85.40% 44,414 100.00% 44,414
2.Michael Vue,Senior Administrative Case Worker 75.00% 67,523 50,642 4.38% 2,220 10.21% 5,172 85.40% 43,250 100.00% 43,250
3.Luz Reyes,Administrative Case Worker II 80.00% 60,434 48,347 4.38% 2,120 10.21% 4,937 85.40% 41,290 100.00% 41,290
4.Rudy Constantino,Administrative Case Worker ll 80.00% 60,434 48,347 4.38% 2,120 10.21% 1 4,937 85.40% 1 41,290 100.00% 41,290
5.Tiffany Acosta,Administrative Case Worker II 80.00% 59,615 47,692 4.38% 2,091 10.21% 4,871 85.40% 40,730 100.00% 40,730
6.Yuklico Garza-Wayne,Administrative Case Worker 11 80.00% 55,725 44,580 4.38% 1,955 10.21% 4,553 85.40% 38,073 100.00% 38,073
7.Johan Flores Guzman,Administrative Case Worker II 80.00% 54,070 43,256 4.38% 1,897 10.21% 4,417 85.40% 36,942 100.00% 1 36,942
8.Jessica Ramirez,Administrative Case Worker 1 80.00% 51,374 41,099 4.38% 1,802 10.21% 4,197 85.40% 35,100 100.00% 35,100
9.Rachel)(long,Administrative Case Worker II 80.00% 47,682 38,146 4.38% 1,673 10.21% 3,896 85.40% 32,578 100.00% 32,578
10.Jalen Swank,Administrative Case Worker II 80.00% 1 47,585 38,068 4.38% 1,669 1 10.21% 3,888 85.40% 32,511 100.00% 32,511
11.Adalinn Vargas,Administrative Case Worker 1 80.00% 46,951 37,561 4.38% 1,647 10.21% 3,836 85.40% 32,078 100.00% 32,078
12.Tamaryn Norris,Administrative Case Worker 1 80.00% 42,656 34,125 4.38% 1,496 10.21% 3,485 85.40% 29,144 100.00% 29,144
13.Vacant,Administrative Case Worker l 0.00% 41,186 0 4.38% 0 10.21% 0 85.40% 0 100.00% 0
14.Felisha Delgado,Adminstrative Case Worker 1 80.00% 41,186 32,949 4.38% 1,445 10.21% 3,365 85.40% 28,139 100.00% 28,139
15.Samantha Amescua,Administrative Case Worker l 80.00% 41,186 32,949 4.38% 1,445 10.21% 3,365 85.40% 28,139 100.00% 28,139
16.Jose Cisneros,Administrative Case Worker l 80.00% 41,186 32,949 4.38% 1,445 10.21% 3,365 85.40% 28,139 100.00% 28,139
17.Vacant,Administrative Case Worker l 0.00% 41,186 0 4.38% 0 10.21% 0 85.40% 0 100.00% 0
Subtotal 869,319 622,715 27,305 63,595 1 531,817 531,817
Clerical and Claims Support
1.Angel Rodriguez,Supervising Program Technician 60.00% 63,700 38,220 4.38% 1,676 10.21% 3,903 85.40% 32,641 0.00% 0 100.00% 32,641
2.Brian Casey,Office Assistant II 85.00% 47,435 40,320 4.38% 1,768 10.21% 4,118 85.40% 34,435 0.00% 0 100.00% 34,435
3.Sean Garcia,Office Assistant II 85.00% 42,400 36,040 4.38% 1,580 10.21% 3,681 85.40% 30,779 0.00% 0 100.00% 30,779
4.Vacant,Office Assistant 1 0.00% 38,078 0 4.38% 0 10.21% 0 85.40% 0 0.00% 0 100.00% 0
5.Vacant,Office Assistant 1 0.00% 38,078 0 4.38% 0 10.21% 0 85.40% 0 0.00% 0 100.00% 0
6.Maricela Garcia,Account Clerk ll 5.00% 56,160 2,808 4.38% 123 10.21% 287 85.40% 2,398 0.00% 0 100.00% 2,398
6.Ismene Hernandez,Office Assistant ll 5.00% 46,020 2,301 4.38% 101 10.21% 235 85.40% 1,965 0.00% 0 100.00% 1,965
Subtotal 331,871 119,689 5,248 12,224 102,218 0 102,218
Total Salaries and Wages 3,122,443 4.38% 136,904 10.21% 318,877 85.40% 2,666,659 61.99% 1,653,064 38.01% 1,013,595
Staff Benefits(Specify%) 70.00% 2,185,710 4.38% 95,833 10.21% 223,214 85.40% 1,866,663 1,157,146 709,517
I.Total Personnel Expense 5,308,153 4.38% 232,737 10.21% 1 542,091 1 85.40% 4,533,322 2,810,210 1,723,112
It.Operating Expense
1.Travel 600 4.38% 26 10.21% 61 85.40% 512 61.99% 317 38.01% 195
2.Training 500 4.38% 22 10.21% 51 85.40% 427 61.99% 265 38.01% 162
3.Office E)penses and Printing 12,909 4.38% 566 10.21% 1,318 85.40% 11,025 1 100.00% 1 11,025
13
Page 2 of 3
Slate of California—Health and Human Services Agency Department of Health Care Services—Integrated Systems of Care Division
Revised 3/624
Percent of
Actual Total CCS
CCS CASELOAD Caseload Caseload
STRAIGHT CCS- 6,
Total Cases of Open(Active)Straight CCS Children 322 4.38% CCS Administrative Budget Worksheet f )
TLICP-T 750 10.2t%
Total Cases of Open(Active)0TLICP Children Fiscal Year: 2025-26 HC
MEDI-CAL- Total Cases of Open(Active)Medi-Cal 6272 85.40%
(n on-0TLICP)Children County: Fresno County CALIFORNIA DEPARTMENT OF
TOTAL CCS CASELOAD 7344 100 i HEALTH CARE SERVICES
_i ht CCS Optional Targeted Low Income
g Children's Program(0TLICP) Medi-Cal(Non-0TLICP)
Column 1 2 3 4A 4 5A 5 6A 6 7A 7 8A 8
Optional Targeted
Total Budget Straight CCS Low Income Enhanced Non-Enhanced
Annual caseload Children's Medi-Cal Enhanced% Medi-Cal NOn. Medi-Cal
Category/Line Item %FTE Salary 11 x 2 or caseload Y. county/State % program(0TLICP) Caseload% State/Federal FTE State/Federal Enhanced N. SIM diederal
4+5+6 )(50150 Co/State/Fed (25175) FTE 150/50)
(17.5117.5/65)
4.Postage 13.000 4.38% 570 10.21% 1.328 85.40% 11,102 100.00% 11,102
5.Small Tools B Instruments 315 4.38% 14 10,21% 32 85.40% 1 269 100.00% 1 269
6.Household Expenses 12,600 4.38% 552 10.21% 1,287 85.40% 10,761 100.00% 10,761
7.Maintenance-Equipment 8Security Services 15,000 4.38% 658 10.21% 1,532 85.40% 12,810 100.00% 12,810
8.Facility Services and Utilities 85,000 4.38% 3,727 10.21% 8,681 85,40% 72,593 100.00% 72,593
9.Data Processing Services 60,000 4.38% 2,631 10.21% 6,127 85.40% 51,242 100.00% 51,242
10.Translation Services 3,000 4.36% 132 10.21% 1 306 85.40% 2,562 100.00% 2,562
It.Total Operating Expense 202,924 8,898 20,723 173,303 582 172,721
III.Capital Expense
1. 4.38% 0 10.21% 0 85.40% 1 0 0
2. 4.38% 0 10.21% 0 85,40% 0 0
3. 4.38% 0 10.21% 0 85.40% 0 0
Ill.Total Capital Expense 0 0 0 0
0
IV.Indirect Expense
1.Indirect Cost Rate 24.47% 1,298,905 4.38% 56,951 10.21% 132.650 85.40% 1,109,304 100.00% 1,109,304
0 14.38% 0 10.21% 0 85.40% 0 1100.00% 0
IV.Total Indirect Expense 1,298,905 56,951 132,650 11,109,304
1,109,304
V.Other Expense
1.Maintenance 8 Transportation 5,000 4.38% 1 219 10.21% 511 85.40% 4,270 100.00% 4,270
2.CRISS Council Membership 6,700 4.38% 294 10.21% 6B4 85.40% 5,722 100.00% 5,722
V.Total Other Expense 11,700 513 1,195 9,992 9,992
Budget Grand Total 6,821,682 299,099 696,659 5,825,921 2,810,792 3,015,129
1.l Vw•�A/ Kristeena Bump Staff Analyst 711/2025 (559)600-6521
Prepared By IS' to Prepared By(Printed Name) Date Prepared Phone Number
I I�lzoz�
C Pilar Vasquez Division Manager (559)600-6595
CCS Administrator(Signature) CCS Administrator(Printed Name) Date Signed Phone Number
14
Page 3 of 3
Slate of California—Health and Human Services Agency Department of Health Care Services—Integrated Systems of Care Division
Revised 316124
Percent of Total CCS ,�H CS
CCS CASELOAD Actual Caseload Caseload
CALIFORNIA DEPARTMENT OF
STRAIGHT CCS- HEALTH CARE SERVICES
Total Cases of Open(Active)Straight CCS Children 322 4.38% CCS Administrative Budget Summary
OTLICP- 750 10.z1 i
Total Cases of Open(Active)OTLICP Children Fiscal Year: 2025-26
MEDI-CAL- 6272 85.40%
Total Cases of Open(Active)Medi-Cal non-OTLICP)Children County: Fresno County
TOTAL CCS CASELOAD 7344 100%
Col 1=Col 2+3+4 Straight CCS OTLICP Medi-Cal(non-OTLICP)(Column 4=Columns 5+6)
Column 1 1 2 3 4 1 5 1 6
Optional Targeted Low
Straight CCS Income Children's Enhadi-Cal Non-Enhanced Medi-
Category/Line Item Total Budget County/State Program(OTLICP) Medi-Cal State/Federal State/Federalnced Me dl-Cal) Cal StatelFederal
(50/60) County/State/Fed (50150)
(17.5117.5165)
I. Total Personnel Expense 5,308.153 232,737 542,091 4,533.322 2,810,210 1,723,112
If.Total Operating Expense 2D2,924 8.898 20,723 173,303 582 172,721
Ill.Total Capital Expense 0 0 0 0 0
IV.Total Indirect Expense 1,298,905 66.951 132.650 1,109,304 1,109.304
V.Total Other Expense 11,700 513 1,195 9.992 9,992
Budget Grand Total 6,821,682 299.099 696,659 5,825,921 2,810,792 3,015,129
Col 1=Col 2+3+4 Straight CCS OTLICP Medi-Cal(non-OTLICP)(Column 4=Columns 5+6)
Column 1 1 2 3 4 1 5 1 6
Optional Targeted Low
Straight CCS Income Chi I'
Non-Enhanced Medi-
Source of Funds Total Budget County/State Program(OTLICP) Medi-Cal State/Federal Enhanced Medi-Cal Cal StatelFederal
(50150) County/State/Fed State/Federal(25/75)
(SOISD)
(17.5/17.5165)
Straight CCS
State 149,549 149,549
County 149,550 149,550
OTLICP
State 121,915 121,915
County 121,915 121,915
Federal(Title XXI) 452,829 452,829
Medi-Cal
State 2,210,263 2.210,263 702,698 1,507,565
Federal(Title XIX) 3,615,658 3,615,658 2,108,094kAX 1,507,564
. p1JJAA) Kristeena Bump Staff Analyst kbumD aa)fresnocountyca aov
Prepared B Signa re) Prepared By(Printed Name) Email Address
Pilar Vasquez Division Manager PvasquezCcDfresnocountyca.qov
CCS Administrator(Signature) CCS Administrator(Printed Name) Email Address
15
Page 1 of 1
Budget Justification Narrative
Integrated Systems of Care Division
County
Budget Narrative
Fiscal Year 2025-2026
I.PERSONNEL EXPENSES Identify and explain any changes in Personnel including FTE percentage
changes.
Salaries remain relatively the same as previous FY,with a 0.002%increase.
Total Salaries: $3,122,443 Salaries include actual annual salaries with cost of living adjustments however,FTEs
were lowered in all classifications to meet the allocation.
Total Benefits: $2,185,710 Staff benefits remain the same as previous FY.This estimate was reached by using
an average of the actual County benefts budgeted for this fiscal year.
Total Personnel Expenses: $5,308,153
To meet allocation,FTEs were reduced by 2%from previous FY.A total of 1.8 FTE of Program Administration were moved to the M&O budget to
Program Administration perform M&O activities.
Medical Case Management To meet allocation,FTEs of Physicians and Nurses were reduced by 9%from previous FY.
Other Health Care Professionals To meet allocation,FTEs were reduced by 4%from previous FY.
Ancillary Support With vacant positions filled,FTEs were increased by 24%from previous FY.
Clerical and Claims Support To meet allocation,FTEs were reduced by 34%from previous FY.
II.OPERATING EXPENSES List all Operating Expense line items.Identify and explain any increase,
decrease,or newly listed line item.
Travel $600 Travel expenses are reduced by 40%from previous FY.
Training $500 There is no change to training expense from previous FY.
Office Expense and Printing $12,909 To meet allocation,office expenses and printing expenses are reduced by 22%from
previous FY.
Postage $13,000 To meet allocation,postage expenses are reduced by 21%from previous FY.
Small Tools&Instruments $315 Small tools expenses are reduced by 79%from previous FY.
Household Expenses $12,600 There is no change to household expenses from previous FY.
Maintenance-Equipment&Security Services $15,000 To meet allocation,maintenance-equipment and security services expenses are
reduced by 28%from previous FY.
Facility Services and Utilities $85,000 To meet allocation,facility services and utilities expensesare reduced by 12%from
previous FY.
Data Processing Services $60,000 To meet allocation,data processing services expenses are reduced by 12%from
previous FY.
Translation Services $3,000 There is no change to translation services expenses from previous FY.
Total Operating Expenses: $202,924
III.CAPITAL EXPENSES List all Capital Expense line items.Identify and explain any newly listed
Capital Expense.Include County/City Capital Expenses Justification Form.
Total Capital Expenses: 0 None
IV.INDIRECT EXPENSES
A.Internal @ 24.43% $1,298,905 Fresno County approved indirect cost rate for 2024-25 is 24.47%.This is a 0.03%
from previous FY.
B.External
Total Indirect Expenses: $1,298,905
List all Other Expense line items.Identify and explain increased,decreased,or
V.OTHER EXPENSES newly listed line items.Include County/City Other Expenses Justification
Form.
Maintenance and Transportation $5,000 There is no change to maintenance and transportation expenses from previous FY.
Student Internship $6,700 There is no change on the budget for CRISS Membership from previous FY.
Total Other Expenses: $11,700
Bud et Grand Total $6,821,682
16
CALIFORNIA DEPARTMENT OF
huHCS HEALTH CARE SERVICES
California Children's Services(CCS)Monitoring&Oversight(M&O)
Agency Information
County: Fiscal Year:
Fresno 2025-26
Street Address: 1221 Fulton Street
City: Fresno Central Email Address: ccs@fresnocountyca.gov
Zip Code: 93721
Director Deputy Director
Name,Title: David Luchini, Director Name: Joe Prado,Assistant Director
Phone: 559 600-6401 Phone: 559 600-6402
Email: d1uchini@fresnocountyca.gov Email: jprado@fresnocountyca.gov
List All Program Staff(CCS M&O)
Name: Position/Classification: Email:
Pilar Vasquez Division Manager pvasquez@fresnocountyca.gov
Harsharn Dhillon-Wood Rehabilitative Therapy Manager hdhillon@fresnocountyca.gov
Marissa Vo eler Staff Analyst III mvogeler@fresnocountvca.gov
Kristeena Bump Staff Analyst I kbump@fresnocountyca gov
Angel Rodriguez Supervising Program Technician rodriguezang@fresnocountvca.gov
Ana Gastelum Rivera Program Technician II Ana Rivera1@fresnocountyca.gov
Additional rows may be added above this line.
Authorized Direct :David Luchini,RN,Pubfc Health Signature and Date:
Director 1/ J
Zbv
17
CALIFORNIA DEPARTMENT OF
RoHCS HEALTH CARE SERVICES
California Children's Services (CCS) Monitoring &Oversight(M&O)
Budget Worksheet
County/City Name: Fiscal Year:
Fresno 2025-26
I. Personnel Expenses Total FTE % Annual Salary Total Budget
# Name Position Classification
1 Pilar Vasquez Division Manager 25% $148,686 $37,172
2 Harsharn Dhillon-Wood Rehabilitative Therapy Manager 10% $148,685 $14,869
3 Marissa Vo eler Staff Analyst III 75% $87,114 $65,336
4 Kristeena Bump Staff Analyst 1 20% $67,214 $13,443
5 An el Rodri uez Supervising Program Technician 20% $63,700 $12,740
6 Ana Gastelum Rivera Program Technician II 50% $53,267 $26,634
7 0 0 0% $0 $0
8 0 0 0% $0 $0
9 0 0 0% $0 $0
100 10 1 0% $0 $0
(insert additional rows above this line as needed)
Total Support Staff FTE % 2.00
Total Net Salaries and Wages $170,192
Staff Benefits(Specify%) 70% $119,134
I.Total Personnel Expenses $289,326
11. Total Operating Expenses (Provide Details in Narrative) $2,672
III.Total Capital Expenses (Provide Details in Narrative) $0
IV. Indirect Expenses (Provide Details in Narrative)
1. Internal (Specify%) 24% $70,798
2. External (Specify%) 0% $0
IV.Total Indirect Expenses (Provide Details in Narrative) $70,798
V.Total Other Expenses (Provide Details in Narrative) $0
Budget Grand Total $362,796
1 certify under penalty of perjury under the laws of the State of California that the forgoing information is,to the best of my knowledge,
information and/or belief,that the information submitted is true, accurate,and complete, and that the corresponding documents and
records are available and accessible to the California Department of Health Care Services(DHCS)upon request. In addition, that the
county California Children's Services(CCS)program will comply with all applicable federal and state laws and regulations, including
those governing recipients of federal funds granted to states for medical assistance.Additionally, county CCS program will adhere to all
rules set forth by DHCS under these authorities, including the Integrated Systems of Care Division's Plan and Fiscal Guidelines
Manual. I understand and acknowledge that submitting false information may subject the county to civil and/or criminal penalties under
the California False Claims Act(Government Code§ 12650)if it fai o co ply with the a ve requirements.
A11A A -7 A?
Authorized Director: David Luchini, RN, Public a rid a
Health Director
18
CALIFORNIA DEPARTMENT OF
141wHCS HEALTH CARE SERVICES
State of California—Health and Human Services Agency Department of Health Care Services
California Children Servies(CCS)Monitoring&Oversight(M&O)
Budget Narrative
County/City Name: Fiscal Year:
Fresno �2025-26
I.Personnel Expenses:Identify Personnel Expenses, specifying roles and M&O activities, time allocations, and costs
supporting M&O activities.
1. Pilar Vasquez-Division Manager:As CCS Administrator and designated Deputy Director for the M&O activities, she will
be the lead in identiying the needs for the program to implement the Monitoring and Oversight(M&O)reporting; monitors
status of all activities related to M&O activities and M&O implementation;and reviews and approves all developed and
revised program workflows, PPGs and all related fiscal deliverables.
2. Harsharn Dhillon-Wood-Rehabilitative Therapy Manager:Assist CCS Administrator is establishng new and revised
workflows to conform with the M&O requirements.
3. Marissa Vogeler-Staff Analyst III:Assist CCS Administrator in monitoring and tracking the progress of M&O activities
and expenditures;assist in establishing new processes; prepares needed PPGs and reviews and makes recommendations
on all fiscal related deliverables
4. Kristeena Bump-Staff Analyst I:Assist CCS Administrator in monitoring and tracking the progress of M&O activities and
expenditures;assist in establishing new processes;prepares needed PPGs and reviews and makes recommendations on
all fiscal related deliverables. Prepare and organize required M&O documents for submission to DHCS.
5.Angel Rodriguez-Supervising Program Technician:Takes lead on data gathering, preparation of new logs and
templates in relation to new PPGs and assist in establishing new workflows and guidances.
6.Ana Gastelum Rivera-Program Technician II: Exporting reports, gathering data,entering necessary M&O data in new
logs and templates in preparation for submission to DHCS.
II.Operating Expenses: Identify and explain all expenses included in the"Operating Expenses"line item of the Budget
Worksheet.
There will be a$2,672 expense for incurred Data Processing expenditures during the M&O activities.
III.Capital Expenses: Identify and explain all expenses included in the in the "Capital Expenses"line item of the Budget
Worksheet.
No Capital Expenses will be incurred under the M&O allocation.
IV.Indirect Expenses: Identify and explain all expenses included in the"Indirect Expenses"line items(Internal and
External)of the Budget Worksheet.
An Indirect Cost Rate(ICR)OF 24.47%wil be applied to the Total Personnel Expenses under the M&O
Internal: allocation. The FY 2025-26 CDPH's approved County ICR is 24.47%.
External:
V.Other Expenses: Identify and explain all expenses included in the"Other Expenses"line item of the Budget Worksheet.
No other expenses will be incurred under the M&O allocation.
I certify under penalty of perjury under the laws of the State of California that the forgoing information is,to the best of my knowledge,information
and/or belief,that the information submitted is true,accurate,and complete,and that the corresponding documents and records are available and
accessible to the California Department of Health Care Services(DHCS)upon request.In addition,that the county California Children's Services
(CCS)program will comply with all applicable federal and state laws and regulations,including those governing recipients of federal funds granted
to states for medical assistance.Additionally,county CCS program will adhere to all rules set forth by DHCS under these authorities,including the
Integrated Systems of Care Division's Plan and Fiscal Guidelines Manual.I understand and acknowledge that submitting false information may
subject the county to civil and/or criminal penalties under the California False Claims Act(Government Code§12650)if it fails to comply with the
above requirements.
Authorized Director: David Luchini, RN, Public Health Signature:
Director
Vf
19
CALIFORNIA DEPARTMENT OF
H C SHEALTH CARE SERVICES
State of California—Health and Human Services Agency Department of Health Care Services
California Children Servies (CCS) Monitoring & Oversight(M&O)
Budget Summary
County Name Fiscal Year
Fresno 2025-26
Category/Line Item Total Budget
I. Total Personnel Expenses $289,326
II. Total Operating Expenses $2,672
III. Total Capital Expenses $0
IV. Total Indirect Expenses $70,798
V. Total Other Expenses $0
Budget Grand Total $362,796
I certify under penalty of perjury under the laws of the State of California that the forgoing information is, to the
best of my knowledge, information and/or belief, that the information submitted is true, accurate, and complete,
and that the corresponding documents and records are available and accessible to the California Department of
Health Care Services (DHCS) upon request. In addition, that the county California Children's Services (CCS)
program will comply with all applicable federal and state laws and regulations, including those governing recipients
of federal funds granted to states for medical assistance. Additionally, county CCS program will adhere to all rules
set forth by DHCS under these authorities, including the Integrated Systems of Care Division's Plan and Fiscal
Guidelines Manual. I understand and acknowledge that submitting false information may subject the county to civil
and/or criminal penalties under the California False Claims Act(Government Code§ 12650) if it fails to comply
with the above requirements.
Authorized Director: David Luchini, RN, Public Health Signatu e d Dat
Director
20
FY 2025-26 Retroactive California Department of Health Care Services Allocation
for Fresno County California Children's Services (CCS) Program
Allocation: FY 2025-26 CMS Plan and Budget for CCS
FY 2025-26 CCS Monitoring and Oversight Budget
Fund/Subclass: 0001/10000
Organization: 56201600
Revenue Account No.: 3505, 4380
21