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AI- 103150
Health & Human Services Dept.   15.E.
CC REGULAR AGENDA REGULAR MTG
Meeting Date:
04/28/2026
Submitted For:
Dairen Sarmiento
Submitted By:
Carlos Oliva
Department:
HEALTH & HUMAN SERVICES DEPT.

CAPTION

Requesting authorization to submit the revalidation application to continue enrollment in Medicare and requesting authorization for Dairen Sarmiento Rangel, Director of the Health and Human Services department to sign the application documents.

BACKGROUND


Fiscal Impact

CALENDAR YEAR:
ACCT. #:
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

No budgetary impact

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Melannie Rivera 04/17/2026 10:44 AM
Final Approval Monica Salinas 04/22/2026 04:54 PM
Form Started By:
Carlos Oliva
Started On:
04/15/2026 01:30 PM
Final Approval Date:
04/22/2026