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AI- 101785
Health & Human Services Dept.   10.A.
CC REGULAR AGENDA SPECIAL MTG
Meeting Date:
12/16/2025
Submitted For:
Dairen Sarmiento
Submitted By:
Carlos Oliva
Department:
HEALTH & HUMAN SERVICES DEPT.

CAPTION

Requesting approval of the Certification of Revenue by the County Auditor in the amount of $93,960.70 from the Medicaid Administrative Claiming program for the quarter of January to March 2025 and the appropriation of the same
 

BACKGROUND

10/28/2025 - AI-101119 - Appropriation of July to September and October to December 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 quarter of January to March 2025

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Veronica Ortiz 12/05/2025 03:13 PM
Final Approval Margaret Mungia 12/10/2025 04:53 PM
Form Started By:
Carlos Oliva
Started On:
12/05/2025 02:13 PM
Final Approval Date:
12/10/2025