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AI- 101119
Health & Human Services Dept.   15.B.
CC REGULAR AGENDA SPECIAL MTG
Meeting Date:
10/28/2025
Submitted For:
Dairen Sarmiento
Submitted By:
Carlos Oliva
Department:
HEALTH & HUMAN SERVICES DEPT.

CAPTION

1. Requesting approval of the Certification of Revenue by the County Auditor in the amount of $198,144.35 from the Medicaid Administrative Claiming program for the quarter of July to September 2024 and the appropriation of the same
2. Requesting approval of the Certification of Revenue by the County Auditor in the amount of $150,954.05 from the Medicaid Administrative Claiming program for the quarter of October to December 2024 and the appropriation of the same

BACKGROUND

03/18/2025 - AI-98696 - Appropriation of April to June 2024

Fiscal Impact

CALENDAR YEAR:
2025
ACCT. #:
5-1293-441-00-340-059-0-XXX
FUNDS AVAILABLE Y/N?:
Y
MATCHING FUNDS Y/N?:
N

BUDGETARY IMPACT:

MAC Reimbursement for the quarters of July to September and October to December 2024.

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Veronica Ortiz 10/20/2025 08:07 AM
Final Approval Monica Salinas 10/22/2025 04:41 PM
Form Started By:
Carlos Oliva
Started On:
10/06/2025 01:51 PM
Final Approval Date:
10/22/2025