To: Board of Supervisors
From: DHHS: Public Health
Agenda Section: Consent
SUBJECT:
title
Annual Certification of Compliance for the Child Health Disability Prevention, Health Care Program for Children in Foster Care and California Children’s Services Programs for Fiscal Year 2022-2023
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Authorize the Chair of the Board to execute the attached certification statements for the Child Health and Disability Prevention, Health Care Program for Children in Foster Care and California Children’s Services Programs; and
2. Direct the Clerk of the Board to return the three (3) fully executed original copies of the attached certification statements to the Department of Health and Human Services - Public Health Administration for submission to the California Department of Health Care Services.
Body
SOURCE OF FUNDING:
Public Health Fund
DISCUSSION:
The Nursing Division of the Humboldt County Department of Health and Human Services - Public Health (“DHHS-PH”) has been administering the Child Health and Disability Prevention (“CHDP”) and California Children’s Services (“CCS”) programs locally since 1980 and the Health Care Program for Children in Foster Care (“HCPCFC”) since 2000.
CHDP is a preventive program that delivers periodic health assessments and services to low-income children and youth in California. CHDP provides care coordination to assist families with medical appointment scheduling, transportation and access to diagnostic and treatment services. Health assessments are provided by enrolled private physicians, community clinics, managed care plans and some local school districts.
HCPCFC is a program in which DHHS-PH, DHHS-Social Services and the Humboldt County Probation Department work together to provide public health nurse expertise in meeting the medical, dental, mental and developmental needs of children and youth in foster care.
CCS is a statewide program that authorizes diagnosis and treatment for financially eligible children with certain physical limitations and chronic health conditions or diseases. In addition, CCS authorizes the purchase of specific medical services and equipment and provides physical and occupational therapy through the Medical Therapy Program. Such services are provided at the Medical Therapy Unit located at the Glen Paul School site in Eureka.
The California Department of Health Care Services - Children’s Medical Services Branch (“CMS”) requires an annual application process within the state’s Integrated Systems of Care (“ISC”) for the provision of CHDP, HCPCFC and CCS services in Humboldt County with certification by the Humboldt County Board of Supervisors. By executing the attached certification statements, the County of Humboldt certifies that the CHDP, HCPCFC and CCS programs will comply with the ISC Plan and Fiscal Guidelines for fiscal year 2022-2023. The recommendations currently before the Board will allow CHDP, HCPCFC and CCS to continue to provide services to the community and receive quarterly reimbursement.
FINANCIAL IMPACT:
The CHDP, HCPCFC and CCS programs are funded by CMS each year through a combination of federal and state funds. The proposed budget for the CHDP program residing in budget unit 1175-418 - CHDP Administration has sufficient appropriations to cover the total allocation of Four Hundred Thirty-Six Thousand Eight Hundred Fourteen Dollars ($436,814.00) for fiscal year 2022-2023. The proposed budget for the HCPCFC program residing in budget unit 1175-418001 - Foster Care also has sufficient appropriations to cover the total allocation of Three Hundred Fifty-Five Thousand Six Hundred Sixty-Six Dollars ($355,676.00) for fiscal year 2022-2023.The proposed budget for the CCS program residing in budget unit 1175-493 - California Children’s Services also has sufficient appropriations to cover the estimated total allocation of Three Hundred Ninety-One Thousand Five Hundred Fifty-Six Dollars ($391,556.00) for fiscal year 2022-2023. If any of these proposed budgets change, an amended budget will be submitted. Execution of the attached certification statements, and submission of the ISC packet, for the CHDP, HCPCFC and CCS programs will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by protecting vulnerable populations, creating opportunities for improved safety and health and providing community-appropriate levels of services.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to execute the attached certification statements for the CHDP, HCPCFC and CCS programs. However, this alternative is not recommended since it would result in program elimination, as Board certification is required to complete the ISC annual services plan and receive quarterly reimbursement for services provided through the CHDP, HCPCFC and CCS programs.
ATTACHMENTS:
1. Child Health and Disability Prevention Program Certification Statement
2. Health Care Program for Children in Foster Care Certification Statement
3. California Children’s Services Programs Certification Statement
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-13, C-15
Meeting of: November 17, 2020, November 16, 2021
File No.: 20-1431, 21-1613