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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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June 12, 2009
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BOARD MEETING DATE:
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July 7, 2009
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Jean S. Fraser, Chief, Health System
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Mary J. Hansell, Director, Family Health Services
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SUBJECT:
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Certification Statements for California Children Services and Child Health and Disability Prevention Program
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RECOMMENDATION:
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Adopt a Resolution authorizing the President of the Board to sign Certification Statements for California Children’s Services and Child Health and Disability Prevention Programs.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
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Goals 5 and 8: Residents have access to healthcare and preventive care; and help vulnerable people— the aged, disabled, mentally ill, at-risk youth and others— achieve a better quality of life.
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California Children’s Services and Child Health and Disability Prevention contribute to this commitment and these goals by providing a variety of health care services to San Mateo County youth.
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Performance Measures:
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Measure
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FY 2008-09
Estimate
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FY 2009-10
Target
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Percentage of children enrolled in California Children’s Services with a primary care provider
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87%
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90%
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Percentage of low-income children with up-to-date immunizations at age 2
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84%
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85%
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BACKGROUND:
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The California Department of Health Care Services, Children’s Medical Services (CMS) provides health care for children through preventive, diagnostic, treatment, rehabilitation, and follow-up services. CMS requires all cities and counties to submit an annual plan and budget, and provide Certification Statements signed by the local governing body chairperson to indicate approval of the plan and compliance with applicable sections of the State Health and Safety Code.
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In San Mateo County the three major programs addressed in the CMS Plan are California Children’s Services (CCS), Child Health and Disability Prevention (CHDP), and the Health Care Program for Children in Foster Care. CCS is a State program designed to treat children and youth with certain physically disabling medical conditions through case management, specialized medical treatment and rehabilitation. CHDP is a program that provides regular preventive health assessments to children and youth. Children with suspected health problems are referred for diagnosis and treatment. The Health Care Program for Children in Foster Care, through collaboration with the Human Services Agency, is a public health nursing program that provides expertise in meeting the medical, dental, mental and developmental needs of children and youth in foster care.
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DISCUSSION:
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The FY 2008-09 CMS Plan was submitted to the State in November 2008, with the understanding that the Certification Statements for CCS and CHDP would follow. Key features of the plan are: program accomplishments, job descriptions, performance measures and program budget. Signing the Certification statements certifies that the programs will comply with all applicable provisions, rules, and regulations from the California Health and Safety Code, Welfare and Institutions Code, Children’s Medical services Plan and Fiscal Guidelines Manual and Federal Title XIX of the Social Security Act and Title V of the Social Security Act. Due to budget uncertainty at the State, approval of county allocations was delayed, resulting in late submission of the Certification Statements.
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The Resolution and Certification Statements have been reviewed and approved by County Counsel.
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FISCAL IMPACT:
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There is no fiscal impact as a result of signing the Certification Statements. Budgets for CCS and CHDP have been included in Family Health Services FY 2008-09 Adopted Budget. The estimated Net County Cost for CHDP is $355,394 and for CCS is $998,657.
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