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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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April 20, 2010
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BOARD MEETING DATE:
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May 11, 2010
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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
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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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 2009-10 CMS Plan was submitted to the State in November 2009, 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. Submission of the Certification Statements was delayed due to budget uncertainty at the State level, resulting in no approval letters issued from CMS Branch.
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The Resolution and Certification Statements have been reviewed and approved by County Counsel.
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Approval of the Certification Statements contributes to the Shared Vision 2025 outcome of Healthy Communities by providing a variety of health care services to San Mateo County youth. It is anticipated that 87% of children enrolled in California Children’s Services will have a primary care provider and that this will increase to 90% the following year. It is also anticipated that 85% of low-income children will be up-to-date on their immunizations at age 2, and that this will increase to 86% the following year.
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Performance Measures:
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Measure
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FY 2009-10
Estimate
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FY 2010-11
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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85%
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86%
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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 2009-10 Adopted Budget. The estimated Net County Cost for CHDP is $395,937 and for CCS is $1,136,706.
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