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Consent-Health & Human Services   # 23.
Board of Supervisors
Meeting Date:
10/11/2022
Brief Title
CHDP-HCPCFC Plan FY22-23
From:
Nolan Sullivan, Director, Health and Human Services Agency
Staff Contact:
Karleen Jakowski, Assistant Director, Health and Human Services Agency, x2978
Supervisorial District Impact:
Countywide

Subject

Approve the Child Health Disability and Prevention - Health Care Program for Children in Foster Care (CHDP-HCPCFC) Plan for 2022-2023. (No general fund impact) (Sullivan)

Recommended Action

  1. Approve and authorize the Chair to sign the CHDP-HCPCFC Plan for 2022-2023; and
     
  2. Authorize the Health and Human Services Agency Director or authorized designee to respond as necessary to any additional documents or budget revisions related to this agreement.

Strategic Plan Goal(s)

Thriving Residents
Safe Communities

Reason for Recommended Action/Background

The System of Care Division (SCD) of the California Department of Health Care Services (DHCS) is responsible for the administration and oversight of programs that focus on fragile children and adults with special health care needs including Children’s Medical Services (CMS) Programs comprised of the California Children’s Services (CCS) and Child Health Disability and Prevention (CHDP) Programs. The CHDP Program includes the Health Care Program for Children in Foster Care (HCPCFC). For the Fiscal Year 22-23, the DHCS requested County’s local CHDP and HCPCFC submit the Annual Plan separately from the CCS program. This separate submission is a change from previous years. The CHDP and HCPCFC programs will submit to the DHCS an Annual Plan that includes local CHDP and HCPCFC program budgets and staffing documents. Submission of the CHDP and HCPCFC Annual Plan is contingent on the release by DHCS of the program allocations and Plan and Fiscal Guidelines. For FY 22-23, this was provided by the DHCS on July 02, 2022.

The CHDP Program provides complete health assessments for the early detection and prevention of disease and disabilities in children and youth. The population eligible for CHDP services includes all Medi-Cal eligible children/youth under age 21 and low-income, non-Medi-Cal eligible children/youth under age 19 with family income at or below 200 percent of the federal poverty guidelines. The CHDP Program estimates there are 24,074 Yolo County children eligible for CHDP services. The CHDP program is responsible for resource and provider development to ensure that high-quality services are delivered to eligible children/youth. In addition, the program informs the target populations to increase their participation and community agencies and residents to increase the knowledge and acceptance of preventive services.

The Health Care Program for Children in Foster Care (HCPCFC) provides health care oversight of the physical, behavioral, dental and developmental needs of all Yolo County children in foster care/out-of-home placement. The caseload for HCPCFC in Fiscal Year 2021-22 was 377 children. The Public Health Nurse works with social workers or probation officers to ensure that children in out-of-home placement receive all needed health care services.
 
Board approval is needed so that CMS can continue providing effective and efficient comprehensive systems for vulnerable populations to improve their health care options and reduce health care costs. Only the Board of Supervisors can enter the County into a binding contract with the State. Therefore, the Chairman’s signature is required for the plan’s submission.

Collaborations (including Board advisory groups and external partner agencies)

The Yolo County CHDP program collaborates and coordinates with Partnership Health Care (PHC) to provide access to preventive healthcare via medical home for Medi-Cal eligible children. Yolo County CHDP works closely with Yolo County HHSA to assist families enrolled in Medi-Cal in obtaining health and dental assessment for their children. In addition, CHDP has Interagency Agreements with Yolo County Children’s Alliance and the Yolo County Head Start Program to coordinate outreach to families that may qualify for services. The HCPCFC Program works closely with Yolo County Child Welfare Services and Probation to ensure children in out-of-home placement have access to needed health care services.


Fiscal Impact

No Fiscal Impact

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    905,137
Amount budgeted for expenditure:
$    935,127
Additional expenditure authority needed:
$    0
One-time commitment:
Yes

Source of Funds for this Expenditure

General Fund
$0

Further explanation as needed:

No fiscal impact is related to approving this annual plan for fiscal year 2022-2023. The State and Federal grant funds, along with the related Social Services Realignment and general fund to be used as required match is already included in the adopted budget for FY 22-23. The amounts listed here in the plan are maximum amounts for the program during the fiscal year. The County adopted budget is based on estimated expenditures and may reflect different values than those listed in the annual plan documents.

Attachments

Form Review

Form Started By:
Jonathan Bartlett
Started On:
09/15/2022 11:10 AM
Final Approval Date:
09/28/2022