HomeMy WebLinkAboutSTATE Department of Health Care Services-FY 2025-26 Health Care Program for Children in Foster Care_D-25-653.pdf COtj County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
601 Board of Supervisors 93721-2198
O� 1$56 O Telephone: (559)600-3529
FRV,t' Minute Order Toll Free: 1-800-742-1011
www.fresnocountyca.gov
December 9, 2025
Present: 5- Vice Chairman Garry Bredefeld, Supervisor Luis Chavez, Supervisor Nathan Magsig,
Chairman Buddy Mendes, and Supervisor Brian Pacheco
Agenda No. 72. Public Health File ID: 25-0901
Re: Approve and authorize the Chairman to approve the retroactive submission of the FY 2025-26 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, 2025 to
June 30, 2026($2,604,503)
APPROVED AS RECOMMENDED
Ayes: 5- Bredefeld, Chavez, Magsig, Mendes, and Pacheco
County of Fresno Page 78
co
Board Agenda Item 72
O 1856 O
FRE`'�
DATE: December 9, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Retroactive FY 2025-26 California Department of Health Care Services Allocation
Plan
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to approve the retroactive submission of the FY 2025-26
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, 2025 to June 30, 2026($2,604,503).
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 offsets 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 action, the Department would not have
sufficient funds to offset these mandated program service costs.
RETROACTIVE AGREEMENT:
The Department received the FY 2025-26 allocation letter on July 1, 2025 for HCPCFC, HCPCFC-CR,
PMM&O, and the administrative component. All four allocations are retroactive to July 1, 2025. 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$2,458,391 for FY 2025-26. State and Federal funding is broken down to the
programs as follows:
• $1,374,675- Health Care Program for Children in Foster Care
County of Fresno page 1 File Number.25-0901
File Number:25-0901
• $219,512 - Psychotropic Medication Monitoring and Oversight
• $532,378 - Health Care Program for Children in Foster Care- Caseload Relief
• $331,826 -Administrative
DHCS also allows for an optional HCPCFC County-City/Federal Match, by completing the optional HCPCFC
budget, to fund staff working in support of children and youth in out-of-home placement or foster care. Local
County/City funds are matched with Federal funds (Title XIX)for this budget. County and Federal funds (Title
XIX) matching is broken down as follows:
• $56,953- County Funds
• $89,159- Federal Funds (Title XIX)
Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY 2025-26
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).
The HCPCFC program allocation decreased by 8.66% 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. Due to indirect costs and the State now being stricter starting with FY 2024-25 on allocations for
State and Federal Funding instead of blending sources together, the Department's current allocation plan
does not utilize the full allocation. However, the Department will work with DHCS to maximize revenue under
this program.
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, 2025. Historically, the DHCS allocation plan included a presentation with the California Children's
Services (CCS) program, however, currently CCS receives their own 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 #59, November 24, 2024
BAI #55, October 10, 2023
County of Fresno Page 2 File Number.25-0901
File Number:25-0901
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 2025-26 HCPCFC Plan and Budget
CAO ANALYST:
Ron Alexander
County of Fresno Page 3 File Number:25-0901
D-25-653
PWHCS
CALIFORNIA DEPARTMENT OF
HEALTH CARE SERVICES
Michelle Baass I Director
JULY 1, 2025
HCPCFC PROGRAM LETTER: 25-03
TO: HEALTH CARE PROGRAM FOR CHILDREN IN FOSTER CARE
ADMINISTRATORS
SUBJECT: HEALTH CARE PROGRAM FOR CHILDREN IN FOSTER CARE FISCAL
YEAR 2025-2026 ALLOCATION
The purpose of this letter is to provide each local Health Care Program for Children in
Foster Care (HCPCFC) with their Fiscal Year (FY) 2025-2026 allocation.
This letter serves as each local program's approved state HCPCFC budget and enables
each local program to use this letter to develop their budget. Budget approval letters will
not be issued. Detailed budget information may be found in the HCPCFC Financial
Policy and Procedure (FP&P) Manual.
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
and adhere to all applicable policies and procedures set forth by the California
Department of Social Services (CDSS) and 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. Findings of a federal audit exception and subsequent liability for repayment of
federal Medicaid funds related to the HCPCFC audit exception, are the exclusive and
sole responsibility of each local program.
Each local program remains responsible for overseeing and tracking its expenditures.
and will only be reimbursed up to the county's authorized allocation. 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 HCPCFC, and adherence to all applicable
policies and procedures set forth by CDSS and 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 45021 Phone(916)449-5000 I www.dhcs.ca.gov California Health and Human Services Agency
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 2 of 12
July 1, 2025
Local programs 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 1 or by request to HCPCFC(cr�dhcs.ca.gov. Questions regarding the ISCD
Budget Portal may be directed to ISCD Fiscal(cr_dhcs.ca.gov.
Sign with a wet signature OR electronically using Adobe Acrobat Pro DC Self-
signed with Digital ID 2 function or DocuSign. 3
If access to either of these programs is not available, scanned signature will be
accepted, with the original signature kept in the local audit file.
Submit the following electronically to the ISCD Budget Portal:
o Excel version of the HCPCFC Budget Workbook and,
o 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 September 1, 2025.
If all necessary signatures cannot be obtained by this date, submit completed
excel workbooks by the deadline and contact ISCDFiscal(a-_)dhcs.ca.gov to
request an extension for submission of required signatures.
Staffing Flexibilities
Flexibilities from FY 2024-2025 will be extended to FY 2025-2026 with the
understanding the allocation can only be utilized for administrative functions. DHCS
may ask counties clarifying questions on a case-by-case basis if unclear on how
positions funded under their administrative budget are supporting administrative
functions as outlined in the HCPCFC FP&P.
ISCD Budget Portal
2 Manage Digital IDS in Adobe
3 Docusign, How to Sign a Document
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 3 of 12
July 1, 2025
Fiscal questions may be directed to: ISCDFiscal(a-),dhcs.ca.gov. All other questions may
be directed to the central program inbox: HCPCFC(o)_dhcs.ca.gov.
Sincerely,
ORIGINAL SIGNED BY
Joseph Billingsley
Assistant Deputy Director
Health Care Delivery Systems
Department of Health Care Services
Attachments:
1. FY 2025-2026 HCPCFC Allocation Tables
A. Base Allocation
B. Psychotropic Medication Monitoring & Oversight
C. Caseload Relief
D. Administrative Allocation
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 4 of 12
July 1, 2025
Attachment 1 A:
Health Care Program for Children in Foster Care
Base Allocation
(07/01/2025 through 06/30/2026)
County/City State General Funds Federal Funds Total Funds
Alameda $196,920 $590,711 $787,631
Alpine $3,000 $9,000 $12,000
Amador $9,101 $27,299 $36,400
Butte $63,123 $189,353 $252,476
Calaveras $10,262 $30,784 $41,046
Colusa $6,002 $18,006 $24,008
Contra Costa $100,299 $300,873 $401,172
Del Norte $14,328 $42,982 $57,310
El Dorado $23,042 $69,120 $92,162
Fresno $343,690 $1,030,985 $1,374,675
Glenn $8,132 $24,395 $32,527
Humboldt $48,601 $145,790 $194,391
Imperial $47,632 $142,886 $190,518
Inyo $3,000 $9,000 $12,000
Kern $338,655 $1,015,883 $1,354,538
Kings $54,797 $164,377 $219,174
Lake $15,103 $45,305 $60,408
Lassen $9,294 $27,880 $37,174
Los Angeles $2,725,705 $8,176,438 $10,902,143
Madera $46,471 $139,401 $185,872
Marin $16,846 $50,533 $67,379
Mariposa $3,000 $9,000 $12,000
Mendocino $37,370 $112,101 $149,471
Merced $109,981 $329,915 $439,896
Modoc $4,453 $13,359 $17,812
Mono $3,000 $9,000 $12,000
Monterey $35,628 $106,874 $142,502
Napa $13,746 $41,239 $54,985
Nevada $7,551 $22,653 $30,204
Orange $419,398 $1,258,092 $1,677,490
Placer $33,691 $101,066 $134,757
Plumas $6,777 $20,329 $27,106
Riverside $641,683 $1,924,893 $2,566,576
Sacramento $237,775 $713,267 $951,042
San Benito $5,615 $16,844 $22,459
San Bernardino $924,574 $2,773,495 $3,698,069
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 5 of 12
July 1, 2025
Attachment 1 A:
Health Care Program for Children in Foster Care
Base Allocation
(07/01/2025 through 06/30/2026)
County/City State General Funds Federal Funds Total Funds
San Diego $303,028 $909,009 $1,212,037
San Francisco $120,243 $360,700 $480,943
San Joaquin $210,667 $631,950 $842,617
San Luis Obispo $47,439 $142,305 $189,744
San Mateo $21,686 $65,054 $86,740
Santa Barbara $82,098 $246,275 $328,373
Santa Clara $83,841 $251,502 $335,343
Santa Cruz $25,365 $76,090 $101,455
Shasta $76,483 $229,430 $305,913
Sierra $3,000 $9,000 $12,000
Siski ou $15,103 $45,305 $60,408
Solano $60,993 $182,964 $243,957
Sonoma $77,258 $231,754 $309,012
Stanislaus $85,003 $254,987 $339,990
Sutter $17,427 $52,275 $69,702
Tehama $23,429 $70,281 $93,710
Trinity $4,066 $12,198 $16,264
Tulare $166,133 $498,358 $664,491
Tuolumne $11,811 $35,431 $47,242
Ventura $79,968 $239,886 $319,854
Yolo $47,052 $141,143 $188,195
Yuba $34,079 $102,227 $136,306
City of Berkeley $6,583 $19,748 $26,331
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 6 of 12
July 1, 2025
Attachment 1 B:
Health Care Program for Children in Foster Care
Psychotropic Medication Monitoring and Oversight Allocation
(07/01/2025 through 06/30/2026)
County/City State General Funds Federal Funds Total Funds
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
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 7 of 12
July 1, 2025
Attachment 1 B:
Health Care Program for Children in Foster Care
Psychotropic Medication Monitoring and Oversight Allocation
(07/01/2025 through 06/30/2026)
L County/City State General Funds Federal Funds Total Funds
San Bernardino $142,683 $428,049 $570,732
San Diego $80,488 $241,463 $321,951
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
Siskiyou $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 $9,322 $12,429
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 8 of 12
July 1, 2025
Attachment 1 C:
Health Care Program for Children in Foster Care
Caseload Relief Allocation
(07/01/2025 through 06/30/2026)
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
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 9 of 12
July 1, 2025
Attachment 1 C:
Health Care Program for Children in Foster Care
Caseload Relief Allocation
07/01/2025 through 06/30/2026
County/City State General Funds Federal Funds Total Funds
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
Siskiyou $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 $6,851 $9,134
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 10 of 12
July 1, 2025
Attachment 1 D:
Health Care Program for Children in Foster Care
Administrative Allocation 4
(07/01/2025 through 06/30/2026)
County/City State General Federal Funds Total Funds
Funds
Alameda $185,202 $185,202 $370,404
Alpine $141,630 $141,630 $283,260
Amador $173,446 $173,446 $346,891
Butte $165,235 $165,235 $330,469
Calaveras $153,409 $153,409 $306,818
Colusa $174,031 $174,031 $348,062
Contra Costa $235,226 $235,226 $470,451
Del Norte $133,602 $133,602 $267,204
El Dorado $165,455 $165,455 $330,910
Fresno $165,913 $165,913 $331,826
Glenn $163,650 $163,650 $327,300
Humboldt $177,535 $177,535 $355,070
Imperial $156,439 $156,439 $312,877
Inyo $171,618 $171,618 $343,236
Kern $184,290 $184,290 $368,580
Kings $145,086 $145,086 $290,171
Lake $167,277 $167,277 $334,553
Lassen $130,359 $130,359 $260,718
Los Angeles $1,451,016 $1,451,016 $2,902,031
Madera $161,899 $161,899 $323,798
Marin $186,418 $186,418 $372,835
Mariposa $179,647 $179,647 $359,293
Mendocino $155,844 $155,844 $311,687
Merced $118,845 $118,845 $237,689
Modoc $98,106 $98,106 $196,212
Mono $167,416 $167,416 $334,831
Monterey $135,941 $135,941 $271,881
Napa $212,025 $212,025 $424,049
Nevada $158,820 $158,820 $317,640
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.
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 11 of 12
July 1, 2025
Attachment 1 D:
Health Care Program for Children in Foster Care
Administrative Allocation 4
(07/01/2025 through 06/30/2026)
County/City State General Federal Funds Total Funds
Funds
Orange $206,722 $206,722 $413,443
Placer $176,852 $176,852 $353,703
Plumas $145,069 $145,069 $290,138
Riverside $302,178 $302,178 $604,356
Sacramento $203,518 $203,518 $407,035
San Benito $143,519 $143,519 $287,037
San Bernardino $374,015 $374,015 $748,029
San Diego $176,027 $176,027 $352,053
San Francisco $254,689 $254,689 $509,378
San Joaquin $176,593 $176,593 $353,185
San Luis Obispo $193,576 $193,576 $387,152
San Mateo $232,245 $232,245 $464,489
Santa Barbara $191,018 $191,018 $382,035
Santa Clara $223,513 $223,513 $447,025
Santa Cruz $182,005 $182,005 $364,009
Shasta $163,380 $163,380 $326,759
Sierra $161,807 $161,807 $323,614
Siskiyou $148,359 $148,359 $296,718
Solano $187,455 $187,455 $374,910
Sonoma $205,938 $205,938 $411,875
Stanislaus $176,247 $176,247 $352,493
Sutter $168,371 $168,371 $336,741
Tehama $208,019 $208,019 $416,037
Trinity $152,356 $152,356 $304,712
Tulare $159,766 $159,766 $319,531
Tuolumne $161,118 $161,118 $322,236
Ventura $179,261 $179,261 $358,521
Yolo $190,946 $190,946 $381,891
Yuba $198,234 $198,234 $396,467
City of Berkeley $220,341 $220,341 $440,682
Total 00 $11,878,500 $23,757,000
HCPCFC PROGRAM LETTER 25-03: FISCAL YEAR 2025-2026 ALLOCATION
Page 12 of 12
July 1, 2025
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.
CALIFORNIA DEPARTMENT OF
PzA HC HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Budget Workbook Instructions
1. Detailed instructions for completion and submission of the Health Care Program for Children in Foster Care
(HCPCFC) budget can be found within this workbook, the yearly HCPCFC Allocation Letter, and the Plan &
Fiscal Guidelines.
2. Within each sheet of this reporting workbook are cells shaded in yellow. These cells will accept data. Rows
may be expanded as needed.
3. Within each sheet of this reporting workbook are cells shaded in grey. These cells will automatically pull
data from previously entered information.
4. Budget Submission Instructions
- Budgets should be submitted to the ISCD Budget Portal by the due date provided in the yearly HCPCFC
Allocation Letter.
- A budget submission must consist of two documents:
LOReporting Workbook in Excel Format
II. Reporting Workbook in Electronically Signed PDF Format
5. Documents submitted to DHCS should be signed by Adobe Acrobat Pro DC Self-signed with Digital ID
function or DocuSign. If access to either of these options is not available, please contact your DHCS
HCPCFC Liaison at HCPCFC@dhcs.ca.gov.
6. Submissions need only include the information requested in the attached HCPCFC Budget Reporting
Workbook. Programs should be prepared to provide ISCD with documentation to demonstrate compliance
with program requirements upon request.
7. Programs that are unable to obtain all necessary signatures by Tuesday, November 5th, 2024 are asked to
submit their budget in excel format by this date, and contact the program inbox to request an extension
for the submission of the required signatures.
8. Questions regarding access to the ISCD Budget Portal and expenditure invoicing may be directed to:
ISCDFiscal@dhcs.ca.gov. All other questions may be directed to: HCPCFC@dhcs.ca.gov.
Pr CALIFORNIA DEPARTMENT OF
., HCSHEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Agency Information County/City: Fiscal Year:
Fresno 2025-26
Street Address: 1221 Fulton St Health Officer Name: Dr.Trinidad Solis
City: Fresno HCPCFC Central Email CWSPHNs@fresnocountyca.gov
Zip Code: 93721 Address: 1221 Fulton St.,Fresno,CA 93721
Authorized HCPCFC Representative Director of Social Services Agency
Name,Title: Ankara Lee,Supervising Public Hea Name: Sanja Bugay
Phone: (559)600-6591 Phone: (559)600-2301
Email: alee@fresnocountyca.gov Email: sbugay@fresnocountyca.gov
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.gov Email: khaynes@fresnocountyca.gov
List All HCPCFC Program Staff
Name: Title: Support PHN Email:
Staff
Ankara Lee Supervising Public Health Nurse No Yes alee@fresnocountyca.gov
Stacey Cunningham Public Health Nurse No Yes scunningham@fresnocountyca.gov
San'eevan Sidhu Public Health Nurse No Yes sasidhu@fresnocountyca.gov
Stella Holliman Public Health Nurse No I Yes sholliman@fresnocountyca.gov
Gursimran Deol Public Health Nurse No Yes qdeol@fresnocountyca.gov
Matthew Johnson Public Health Nurse No Yes mattiohnson@fresnocountyca.gov
Nuchi Lee Public Health Nurse No Yes nlee@fresnocountyca.gov
Shoua a Thao Public Health Nurse No Yes shothao@fresnocountyca.gov
Vong Thao Public Health Nurse No Yes vothao@fresnocountyca.gov
10 Nestor Yalonq Public Health Nurse No Yes I nyalonq@fresnocountyca.gov
11 Megan Gunn Public Health Nurse No Yes mqunn@fresnocountyca.gov
77 Yuanhua Hu Public Health Nurse No Yes yuhu@fresnocountyca.gov
13 AI sia Bonner Supervising Office Assistant Yes No abonner@fresnocountyca.gov
Pa Xiong Office Assistant Yes No paaxionq@fresnocount ca. ov
Madeleine Yakoub Program Technician Yes No myakoub@fresnocountyca.gov
16 Chashua Lor Staff Analyst Yes No chlor@fresnocountyca.gov
17 Ge Vue MCAH Director Division Mana er No Yes evue@fresnocount ca. ov
CALIFORNIA DEPARTMENT OF
Pw H C HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Certification Statement County/City: Fiscal Year:
Fresno 2025-26
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
HCPCFC/County Authorized Representative ignature Dade
Ernest Buddy Mendes, Chairman of the Board
of Supervisors of the County of Fresno FA IZ/y/�
Local Governing Body Chairperson Name, Signature Date
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County
,of/Fresno,State of California
By Deputy
CALIFORNIA DEPARTMENT OF
ftloHCS
HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Base Budget Worksheet County/City Name: Fiscal Year:
Fresno 2025-26
Column 1A 1B 1 2A 2 3A 3
I.Personnel Expenses Total Base Enhanced Enhanced Non- Non-
# Name Title DSS PHN
FTE% Annual Salary Total Budget FTE% Total Enhanced FTE Enhanced
Total
1 Ankara Lee Supervisinq Public Health No Yes 65% $162,769 $105,800 95% $100,510 5% $5,290
2 Stacey Cunnin ham Public Health Nurse No Yes 1 65% $132,748 $86,286 95% $81,972 5% $4,314
3 San'eevan Sidhu Public Health Nurse No Yes 65% $119,911 $77,942 95% $74,045 5% $3,897
4 Stella Holliman Public Health Nurse No Yes 65% $132,748 $86,286 95% $81,972 5% $4,314
5 Gursimran Deal Public Health Nurse No Yes 65% $120,351 1 $78,228 95% $74,317 5% $3,911
6 Matthew Johnson Public Health Nurse No Yes 65% $131,961 $85,775 95% $81,486 5% $4,289
7 Nuchi Lee Public Health Nurse No Yes 65% $100,388 $65,252 95% $61,990 5% $3,263
8 Shouapa Thao Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
9 Vong Thao Public Health Nurse No Yes 1 40% $98,544 $39,418 95% $37,447 5% $1,971
10 NestorYalong Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
11 Megan Gunn Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
12 lYuanhua Hu Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
13 AI sia Bonner Supervising Office Assistai Yes No 0% $0 $0 0% $0 100% $0
14 Pa Xiong Office Assistant Yes No 0% $0 $0 0% $0 100% $0
15 Madeleine Yakoub I Program Technician Yes No 0% $0 $0 0% $0 100% $0
16 Chashua Lor Staff Analyst Yes No 0% $0 $0 0% $0 100% $0
17 GeVue MCAH Director/Division NJ No Yes 0% $177,803 $0 95% $0 5% $0
View additional rows by selecting the"+"to the left.
........ .....
Total Net Salaries and Wages $624,987 $593,738 $31,249
Staff Benefits(Specify%) 70% $436,776 $414,937 $21,839
I.Total Personnel Expenses $1,061,763 $1,008,675 $53,088
II.Total Operating Expenses(List in Narrative) $0 $0 $0
III.Total Capital Expenses(List in Narrative) $0 $0
.
IV.Indirect Expenses(List in Narrative)
1. Internal(Specify%) 12.24% $129,955 $129,955
2. External(Specify%) 0% $0 $0
IV.Total Indirect Expenses(List in Narrative) $129,955 $129,955
V.Total Other Expenses(List in Narrative) $0 $0
Budget Grand Total $1,191,718 $1,008,675 $183,043
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,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.
Ankara Lee,Supervising Public Health Nurse
Authorized HCPCFC Signor Name,Title Signature Date
CALIFORNIA DEPARTMENT OF
H C HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Base Budget Narrative County/City Name: Fiscal Year:
Fresno 2025-26
I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses
Salary and benefits for 8 positions,total of 4.95 FTE PHNs. 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 reimbursement at$0.70/mile for program staff to travel and complete program actitivities. Program
vehicle,fule, 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 relataed 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 24.472%of personnel costs approved for use by
Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector. Reduced indirect costs rate to 12.24%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 any of the above.
Ankara Lee, Supervising Public Health Nurse _N Y----ter k�1���
Authorized HCPCFC Signor Name, Title Signature Date
' H CS HEAL DEPARTMENT OF
HEALTHH C CARE SERVICES
Health Care Program for Children in Foster Care
Psychotropic Medication Monitoring&Oversight Budget Worksheet County/City Name: Fiscal Year:
Fresno 2025-26
Column 1A 1B 1 2A 2 3A 3
I.Personnel Expenses Total Base Annual Enhanced Enhanced Non- Non-
FTE% Salary Total Budget FTE% Total Enhanced Enhanced
# Name Title DSS PHN FTE% Total
1 Ankara Lee Supervising Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
2 Stacey Cunnin ham Public Health Nurse No Yes 1 0% $0 $0 0% $0 100% $0
3 San'eevan Sidhu Public Health Nurse No Yes 0% $0 $0 0% $0 100% 1 $0
4 Stella Holliman Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
5 Gursimran Deol Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
6 Matthew Johnson Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
7 Nuchi Lee Public Health Nurse No Yes 0% $0 1 $0 0% $0 100% $0
8 Shouapa Thao Public Health Nurse No Yes 85% $98,544 $83,762 95% $79,574 5% $4,188
9 Vong Thao Public Health Nurse No Yes 25% $98,544 $24,636 9S% $23,404 5% $1,232
10 Nestor Yalong Public Health Nurse No Yes 1 0% $0 $0 0% $0 100% $0
11 Megan Gunn Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
12 Yuanhua Hu Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
13 AI siaBonner Sulpervisinq Office Assistant Yes No 0% 1 $0 $0 0% $0 100% $0
14 Pa Xiong Office Assistant Yes No 0% $0 1 $0 0% $0 100% $0
15 Madeleine Yakoub Program Technician Yes No 0% $0 $0 0% $0 100% $0
16 Chashua Lor I Staff Analyst Yes No 0% $0 $0 0% $0 100% $0
17 Ge Vue IMCAH Director/Division Manager No I Yes 0% $0 $0 0% $0 100% $0
View additional rows by selecting the"+"to the left
Total Net Salaries and Wages $108,398 $102,978 $5,420
Staff Benefits(Specify%) 63% $68,062 $64,659 $3,403
I.Total Personnel Expenses $176,460 $167,637 $8,823
II.Total Operating Expenses(List in Narrative) $0 $0 $0
.
III.Total Capital Expenses(List in Narrative) $0 ::. $0
IV.Indirect Expenses(List in Narrative) .............. ..... .............. ............. ......... . ..... .............
1. Internal(Specify%) 9.70% $17,115 $17,115
2. External(Specify%) 0% $0 $0
V.Total Indirect Expenses(List in Narrative) $17,115 $17,115
V.Total Other Expenses(List in Narrative) $0 $0
........ .....................
Budget Grand Total $193,575 $167,637 $25,938
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,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 Cade of Federal Regulations Section 432.2.
Ankara Lee Supervising Public Health Nurse 10I�I zo -?—
Authorized HCPCFC Signor Name,Title Signat re Dat
Pa�
CALIFORNIA DEPARTMENT OF
H CHEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Psychotropic Medication Monitoring &Oversight Budget Narrative County/City Name: Fiscal Year:
Fresno 2025-26
I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses
Salary and benefits for 2 positions,total of 1.10 FTE PHN. 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 reimbursement at$0.70/mile for program staff to travel and complete program actitivities. Program
vehicle,fule, 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 relataed 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 2.472%of personnel costs approved for use by
Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector. Reduced indirect costs rate to 9.70%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 remeriies if this HCPCFC violates anv of the ahove.
Ankara Lee, Supervising Public Health Nurse K I-- I ID I.2r~
Authorized HCPCFC Signor Name, Title Signature Date
laloHCS
HEALTH
C DEPARTMENT OF
HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Caseload Relief Budget Worksheet County/City Name. Fiscal Year:
Fresno 2025-26
Column to 1B 1 2A 2 3A 3
I.Personnel Expenses Non-
/
TotalBase Annual Enhanced Non-Enhanced
Total Budget o Enhanced Total Enhanced
# Name Title DSS PHN FTE% Salary FTE FTE% Total
1 Ankara Lee Supervising Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
2 Stacey Cunnin ham Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
3 San'eevan Sidhu Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
4 Stella Holliman Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
5 Gursimran Deol Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
6 Matthew Johnson Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
7 Nuchi Lee Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
8 Shouapa Thao Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
9 Vong Thao Public Health Nurse No Yes 0% 1 $0 $0 0% $0 100% $0
10 Nestor Yalong Public Health Nurse No Yes 65% $132,748 $86,286 95% $81,972 5% $4,314
11 Megan Gunn Public Health Nurse No Yes 65% $132,748 $86,286 95% 1 $81,972 5% $4,314
12 Yuanhua Hu Public Health Nurse No Yes 65% $96,172 $62,512 95% $59,386 5% $3,126
13 Alysia Bonner Supervising Office Assistant Yes No 0% $0 $0 0% $0 100% $0
14 Pa Xiong Office Assistant Yes No 0% $0 $0 0% $0 100% $0
15 Madeleine Yakoub Program Technician Yes No 0% $0 $0 0% $0 100% $0
16 Chashua Lor Staff Analyst Yes No 0% $0 $0 0% $0 100% $0
17 Ge Vue MCAH Director/Division Manager No Yes 0% 1 $0 $0 0% $0 100% $0
View additional rows by selecting the"+"to the left.
. .... . .
. ..... ...............
Total PHN FTE% 195% 285%
. .....
..... .. o
Total Direct Support Staff FTE% 0% 0/
Total Net Salaries and Wages $235,084 $223,330 $11,754
Staff Benefits(Specify%) 72% $169,634 $161,152 $8,482
I.Total Personnel Expenses $404,718 $384,482 $20,236
II.Total Operating Expenses(List in Narrative) $0 $0 $0
111.Total Capital Expenses(List in Narrative) $0 $0
................... .. ..................
IV.Indirect Expenses(List in Narrative) ...................... . ........ ......... .................... ..... .
1. Internal(Specify%) 13.27% $53,713 $53,713
2. External(Specify%) 0% $0 $0
IV.Total Indirect Expenses(List In Narrative) $53,713 $53,713
V.Total Other Expenses(List in Narrative) $0 $0
..................
Budget Grand Total $458,431 $384,482 $73,949
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,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.
Ankara Lee,Supervising Public Health Nurse N1 4
Authorized HCPCFC Signor Name,Title Signature Date
t
Pz HCS CALIFORNIA DEPARTMENT OF
HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
County/City Name: Fiscal Year:
Caseload Relief Budget Narrative
Fresno 2025-26
I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses
Salary and benefits for 3 positions,total of 1.95 FTE PHN. 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 reimbursement at$0.70/mile for program staff to travel and complete program actitivities. Program
vehicle,Pule,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 relataed 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 2.472%of personnel costs approved for use by
Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector. Reduced indirect costs rate to 13.27%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 any of the above.
Ankara Lee, Supervising Public Health Nurse (br��
Authorized HCPCFC Signor Name,Title Signature bate
hoo
H C S
HEALTH
C DEPARTMENT OF
HEALTH DARE SERVICES
Health Care Program for Children in Foster Care
County-City Match Budget Worksheet County/City Name: Fiscal Year:
Fresno 2025-26
Column 1A 1B 1 2A 2 3A 3
I.Personnel Expenses Total Base Enhanced Enhanced Non- Non-
# Name Title DSS PHN Annual Salary Total Budget Enhanced FTE Enhanced
FTE% FTE% Total
% Total
1 Ankara Lee Supervising Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
2 Stacey Cunningham Public Health Nurse No Yes 1 0% $0 1 $0 0% $0 100% $0
3 San eevan Sidhu Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
4 Stella Holliman Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
5 Gursimran Deal Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
6 Matthew Johnson Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
7 Nuchi Lee Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
8 Shouapa Thao Public Health Nurse No Yes 0% $0 $0 0% 1 $0 100% $0
9 Vong Thao Public Health Nurse No Yes 1 0% $0 $0 0% $0 100% $0
10 Nestor Yalong Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
11 Megan Gunn Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
12 Yuanhua Hu Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
13 AI sia Bonner Supervising Office Assistant Yes No 0% $0 $0 0% $0 100% $0
14 Pa Xiang Office Assistant Yes No 100% $52,791 $52,791 1 70% $36,954 30% $15,837
15 Madeleine Yakoub Program Technician Yes No 30% $48,514 1 $14,554 0% $0 100% $14,554
16 Chashua Lor Staff Analyst Yes No 0% $0 $0 0% $0 100% $0
17 Ge Vue MCAH Director/Division Manager No Yes 0% $0 $0 0% $0 100% $0
View additional rows by selecting the"+"to the left.
Total Net Salaries and Wages $67,345 $36,954 $30,392
Staff Benefits(Specify%) 74% $50,040 $27,458 $22,583
I.Total Personnel Expenses $117,385 $64,412 $52,975
II.Total Operating Expenses(List in Narrative) $0 $0
III.Total Capital Expenses(List in Narrative) $0 $0
IV.Indirect Expenses(List in Narrative) .. ............. .....
... .. ..... ......................... .......... ... . .
1. Internal(Specify%) 24% $28,724 $28,724
2. External(Specify%) 0% $0 $0
IV.Total Indirect Expenses(List in Narrative) $28,724 $28,724
V.Total Other Expenses(List in Narrative) $0 $0
... ..
........ .. .................. .
Budget Grand Total $146,109 $64,412 $81,699
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.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.
Ankara Lee,Supervising Public Health Nurse ' \ t--- t013� y'?.l-
Authorized HCPCFC Signor Name,Title Signature Date
P.,-, H CS CALIFORNIA DEPARTMENT OF
HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
County/City Name: Fiscal Year:
Administrative Budget Narrative
Fresno 2025-26
I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses
Salary and benefits for 2 positions,total of 1.30 FTE DSS. 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 reimbursement at$0.70/mile for program staff to travel and complete program actitivities. Program
vehicle,fule,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 relataed to attending training
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 24.472%of personnel costs approved for use by
Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector. Reduced indirect costs rate to 24%.
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 A('�--� f 101 r—
Authorized HCPCFC Signor Name,Title Signature Date
Palo H CS HEALTH
DEPARTMENT OF
HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Administrative Budget Worksheet County/City Name: Fiscal Year:
Fresno 2025-26
Column 1A 1B 1 2A 2 3A 3
I.Personnel Expenses Total Base Annual Enhanced Enhanced Non- Non-
FTE% Salary FTE% Total Total Budget Enhanced Enhanced
# Name Title DSS PHN FTE% Total
.............. .. .. .
1 Ankara Lee Supervising Public Health Nurse No Yes 0% $162,769 $0 0% $0
2 Stacey Cunningham Public Health Nurse No Yes 0% $0 $0 0% $0
3 San'eevan Sidhu Public Health Nurse No Yes 0% $0 $0 0% $0
4 Stella Holliman Public Health Nurse No Yes 0% $0 $0 0% $0
5 Gursimran Deol Public Health Nurse No Yes 0% $0 $0 0% $0
6 Matthew Johnson Public Health Nurse No Yes 0% $0 $0 0% $0
7 Nuchi Lee Public Health Nurse No Yes 0% $0 $0 0% $0
8 Shouapa Thao Public Health Nurse No Yes 0% $0 $0 0% $0
9 Vong Thao Public Health Nurse No Yes 0% $0 $0 0% $0
10 Nestor Yalong Public Health Nurse No Yes 0% $0 $0 0% $0
11 Megan Gunn Public Health Nurse No Yes 1 0% $0 $0 100% $0
.......... ............
12 Yuanhua Hu Public Health Nurse No Yes 0% $0 $0 0% $0 100% $0
13 AI sia Bonner Supervising Office Assistant Yes No 100% $65,611 $65,611 1 0% $0 100% $65,611
14 Pa Acing Office Assistant Yes No 0% $52,791 $0 0% $0 100% $0
15 Madeleine Yakoub Program Technician Yes No 30% $48,514 $14,554 0% $0 100% $14,554
16 Chashua Lor Staff Analyst Yes No 25% $95,331 $23,833 0% $0 100% $23,833
17 1 Ge Vue IMCAH Director/Division Manager No Yes 25% 1 $177,803 $44,451 0% $0 100% W,451
View additional rows by selecting the"+"to the left.
Total Net Salaries and Wages $148,449 $148,449
Staff Benefits(Specify%) 73% $108,010 $108,010
I.Total Personnel Expenses $256,459 $256,459
II.Total Operating Expenses(List in Narrative) $0 $0
II.Total Capital Expenses(List in Narrative) $0 $0
IV.Indirect Expenses(List in Narrative) ..... .............
1. Internal(Specify%) 24% $62,756 $62,756
2. External(Specify%) 0% $0 $0
IV.Total Indirect Expenses(List in Narrative) $62,756 $62,756
V.Total Other Expenses(List in Narrative) $0 $0
Budget Grand Total
9 $319,215 $0.... $319,215
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,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 �0
Authorized HCPCFC Signor Name,Title Signature Date
Pz� H C CALIFORNIA DEPARTMENT OF
HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
Administrative Budget Narrative County/City Name: Fiscal Year:
Fresno 2025-26
I. Personnel Expenses Identify and Explain Any Changes in Personnel/Personnel Expenses
Salary and benefits for 4 positions,total of 1.80 FTE(DSS and Program's Division Manager(who oversee's the Program's
SPHN)). 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 reimbursement at$0.70/mile for program staff to travel and complete program actitivities. Program
vehicle,fule,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 relataed 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 24.472%of personnel costs approved for use by
Internal: Fresno County's Auditor Controller/Treasurer-Tax Collector. Reduced indirect costs rate to 24%.
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 shove.
Ankara Lee, Supervising Public Health Nurse k, ---, t131 L Lfl�—
Authorized HCPCFC Signor Name,Title Signature Date
hioHCS
HEALCALIFORNIA DEPARTMENT OF
HEALTH CARE SERVICES
Health Care Program for Children in Foster Care
County/City: Fiscal Year,
Budget Summary
Fresno 2025-26
Funding Source: Base PMM&O Caseload Relief County/City-Federal Administrative
A B C D B C D B C D B C D B C D
Category/Line Item Total Budget Enhanced Non-Enhanced Total Budget Enhanced Non-Enhanced Total Budget Enhanced Non-Enhanced Total Budget Enhanced Non-Enhanced Total Budget Enhanced Non-Enhanced
I. Total Personnel Expenses $1,061,763 $1,008,675 $53,088 $176,460 $167,637 $8,823 $404,718 $384,482 $20,236 $117,385 $64,412 $52,975 $256,459 $256,459
II Total Operating Expenses $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
III.Total Capital Expenses $0 $0 $0 $0 $0 $0 $0
$0 $a $o
...........
IV Total Indirect Expenses $129,955 $129,955 $17,115 $17,115 $53,713 $53,713 $28,724 $28,724 $62,756 $62,756
V. Total Other Expenses $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
Budget Grand Total $1,191,718 $1,008,675 $183,043 $193,575 $167,637 $25,938 $458,431 $394,482 $73,949 $146,109 $64,412 $81,699 $319,215 $319,215
E F G H F G H F G H F G H F G H
Source of Funds: Total Funds Enhanced Non-Enhanced Total Funds Enhanced Non-Enhanced Total Funds Enhanced Non-Enhanced Total Funds Enhanced Non-Enhanced Total Funds Enhanced Non-Enhanced
State/County Funds $343,690 $252,169 $91,522 $54,878 $41,909 $12,969 $133,095 $96,121 $36,975 $56,953 $16,103 $40,850 $159,608 $159,608
Federal Funds(Title XIX) $848,028 $756,506 $91,522 $138,697 $125,728 $12,969 $325,336 $288,362 $36,975 $89,159 $48,309 $40,850 $159,608 $159,608
Budget Grand Total $1,191,718 $1,008,675 $183,043 $193,575 $167,637 $25,938 $458,431 $384,482 $73,949 $146,111 $64,412 $81,699 $319,215 $319,215
Ankara Lee,Supervising Public Health Nurse i.✓ �� 1/"'��
Authorized HCPCFC Signor Name,Title Siqnature Date
Funding Allocation from the California Department of Health Care Services
Allocation Name: CDHCS Health Care Program for Children in Foster Care Fiscal Year
2025-2026 Allocation (Program Letter 25-03)
Fund/Subclass: 0001/10000
Organization #: 56201613, 56201618
Revenue Account #: 4380, 3530