HomeMy WebLinkAboutMINUTES - 08072001 - C.60 TO: ` BOARD OF SUPERVISORS G Contra
FROM: Gary Villalba ,fc
County Veterans Service Officer Costa
�: - -�.- <
County
DATE: August 7, 2001 '`T cou'�
SUBJECT: FY 2001-2002 COUNTY SUBVENTION PROGRAM CERTIFICATE
OF COMPLIANCE AND MEDI-CAL COST AVOIDANCE PROGRAM
AGREEMENT
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)8 BACKGROUND AND JUSTIFICATION
Recommendation:
Authorize the Chair of the Board of Supervisors to sign the attached County Subvention
Program Certificate of Compliance and the Medi-Cal Cost Avoidance Program Agree-
ment as administered by the California Department of Veterans Affairs (CDVA). Copy
of CDVA bulletin attached for information.
Financial Impact:
The above agreements enhance the county general fund. CDVA estimates the FY 2001-
2002 Contra Costa County allocation for County Subvention to be approximately
$50,000.00 per sections 972 and 972.1 of the Military and Veterans Code of California.
The estimated allocation for Medi-Cal Cost Avoidance activity is approximately
$25,000.00 per section 972.5 of the Military and Veterans Code.
Background:
CDVA administers the above two revenue programs per California Code of Regulations,
Title 12, Subchapter 4. CDVA conducts annual audits of our operation to determine if
our workload is consistent with reported workload activity.
v
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
.G APPROVE OTHER
SIGNATURE (S):
ACTION OF BOARD APPROVED AS RECOMMENDED x OTHER
VOTE OF SUPERVISORS
/�� (' ,,,, Q I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS.(ABSENT / ���Y� ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THEA DATE S-HiOWN.
Contact: Gary Villalba 313-1481 �cj/u -'' "11a(�l
CC: County Administrator ATTESTED
County Auditor John Sweeten, CLERK OF THE BOARD OF
State of California SUPERVISORS AND COUNTY ADMINISTRATOR
County Veterans Serivice Officer
OIL
BY DEPUTY
M382 (10/88)
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CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS
SUBVENTION CERTIFICATE OF COMPLIANCE
2001/2002 Fiscal Year
Contra Costa COUNTY
SUBVENTION PROGRAM
Charge:
Contribution to counties toward compensation and expenses of their County Veterans Service
Office according to Military and Veterans Code Sections 972, and 972.1, a State General Funds
Expenditure, and 972.2, a Special Fund Expenditure.
County Certification:
I certify that Contra Costa County has appointed a veteran to serve as the
County Veterans Service Officer according to California Code of Regulations Title 12,
Subchapter 4. This County Veterans Service Officer will administer the aid provided for in
Military and Veterans Code Division 4, Chapter 5.
I further certify that the County Veteran Service Officer will assist every veteran of the United
States, as well as their dependents and survivors, in presenting and pursuing such claim as they
may have against the United States. The County Veterans Service Officer and all accredited
staff will also assist in establishing veterans, dependents and survivors' rights to any privilege,
preference, care or compensation provided for by the laws and regulations of the United States,
the State of California, or any local jurisdiction.
I also agree that this county, through the County Veterans Service Office, will maintain annual
records for audit. These records will be maintained until the final allocation of fiends for the
subject fiscal year is issued by the CDVA. We will also submit reports in accordance with the
procedures and timelines established by CDVA. The County Veterans Service Officer will
permit CDVA representatives to inspect all facilities and records.
I further authorize the County Veterans Service Officer to actively participate in the promotion
of the California Veterans License Plate program.
Chair, ounty Board A Supervisors Date
(or other County Official authorized
by the Board to act on their behalf)
(rev 6/01)
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS
MEDI-CAL CERTIFICATE OF COMPLIANCE
2001/2002 Fiscal Year
Contra Costa COUNTY
MEDI-CAL COST AVOIDANCE PROGRAM
I certify that Contra Costa -County has appointed a County Veterans Service
Officer (CVSO) in compliance with California Code of Regulations, Title 12,
Subchapter 4. Please consider this as our application to participate in the Medi-Cal Cost
Avoidance Program authorized by Military and Veterans Code Section 972.5.
I understand and will comply with the following:
1. All activities of the CVSO for which payment is made by the CDVA under this
agreement will reasonably benefit the Department of Health Services (DHS) or
realize cost avoidance to the Medi-Cal program. All County Eligibility Workers
who generate a Form CA-5 (Veterans Benefits Referral) will be instructed to
indicate the applicant's Welfare Aid Code on the face of the form.
2. All monies received under this agreement will be allocated to and spent on the
salaries and expenses of the CVSO.
3. This agreement is binding only if federal funds are available to the CDVA from the
DHS.
4. The CVSO is responsible for administering-this program according to the California
Code of Regulations, Title I2, Subchapter 4.
C
Chai County Bo of Supervisors Date
(or other County Official authorized
by the Board to act on their behalf)
(rev 6/01)
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS -
Veterans Services Division
1227 "O" Street, P.O. Box 942895
Sacramento, CA 95814
(9 16) 653-2573 FAX (916) 653-2563
Veterans Services Division DATE: June 15, 2001
BULLETIN
NUMBER: 01-07 TOT.aL, PAGES: 2
TO: COUNTY VETERANS SERVICE OFFICERS
SUBJECT: REQUIRED FORMS AND AGREEMENTS
- -
The enclosed forms are being provided for your convenience and information.
As usual, the Department must have the original copy of the agreements for both Subvention and Medi-
Cal completed and returned to this office before any payments can be authorized. The Department must
have the original Claim for Subvention Funds completed by your authorized County official along with a
copy of your county's Expenditures before payments can be authorized. It is also imperative that this
office receives your DVS-16 for tabulation of your workload for Subvention and vledi-Cal payments.
Please submit your DVS-16 and Claim for Subvention Funds by July 31, 2001. All other forms and
agreements are due as soon as possible.
Required forms to be submitted to the CDVA:
1. Subvention Certificate of Compliance for FY 2001/2002
2. Medi-Cal Certificate of Compliance for FY 2001/2002
3. Claim for Subvention Funds for FY 2000/2001 - 2nd installment (January 1 —June 30, 200 1)
4. DVS-16 for the period (January 1 —June 30, 2001-)
5. DVS-20 for the period (January 1- June 30, 2001)
6. DVS-20MC for the period (January 1 —June 30, 2001)
7. DVS-30 Budget/Expenditure Information Sheet.
Page 2
BULLETIN
June 15, 2001
When your current total budget becomes available, it is crucial that you specify this dollar amount in the
top portion of your DVS-30. You may attach any supporting documentation to this form. NO
substitutions will be accepted.
GLEN M. HALSEY, Chief
Veterans Services Division
Enclosures:
CC: Bruce Thiesen, Interim Secretary
Gerald Rucker, Undersecretary
California Veterans Board
District Offices (Oakland, Los Angeles, San Diego)
This bulletin format will be used by the CDVA Veterans Services Division as a standard way of communicating-na information to
County Veterans Service Officers. The objective is to provide a format that can be easily maintained by the cvsO. The first
two digits in number of each Bulletin will show the year of issue,the following number indicates the consecutive number of the
issue during the year.
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS
SUBVENTION CERTIFICATE OF COMPLIANCE
2001/2002 Fiscal Year
Contra Costa COUNTY
SUBVENTION PROGRAM
Charge:
Contribution to counties toward compensation and expenses of their County Veterans Service
Office according to Military and Veterans Code Sections 972, and 972.1, a State General Funds
Expenditure, and 972.2, a Special Fund Expenditure.
County Certification:
I certify that Contra Costa County has appointed a veteran to serve as the
County Veterans Service Officer according to California Code of Regulations Title 12,
Subchapter 4. This County Veterans Service Officer will administer the aid provided for in
Military and Veterans Code Division 4, Chapter 55.
I further certify that the County Veteran Service Officer will assist every veteran of the United
States, as well as their dependents and survivors, in presenting and pursuing such claim as they
may have against the United States. The County Veterans Service Officer and all accredited
staff will also assist in establishingveterans, dependents and survivors' rights to any privilege,
preference, care or compensation provided for by the laws and regulations of the United States,
the State of California, or any local jurisdiction.
I also agree that this county, through the County Veterans Service Office, will maintain annual
records for audit. These records will be maintained until the final allocation of hinds for the
subject fiscal year is issued by the CDVA. We will also submit reports in accordance with the
procedures and timelines established by CDVA. The County Veterans Service Officer will
permit CDVA representatives to inspect all facilities and records.
I further authorize the County Veterans Service Officer to actively participate in the promotion
of the California Veterans License Plate program.
Chair, e0unty Boar of Supervisors Date
(or other County Official authorized
by the Board to act on their behalf)
(rev 6/0 l)
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS
MEDI-CAL CERTIFICATE OF COMPLIANCE
2001/2002 Fiscal Year
Contra Costa COUNTY
MEDI-CAL COST AVOIDANCE PROGRAM
I certify that Contra Costa -County has appointed a County Veterans Service
Officer(CVSO) in compliance with California Code of Regulations, Title 12,
Subchapter 4. Please consider this as our-application to participate in the Medi-Cal Cost
Avoidance Program authorized by Military and Veterans Code Section 972.5.
I understand and will comply with the following:
1. All activities of the CVSO for which payment is made by the CDVA under this
agreement will reasonably benefit the Department of Health Services (DHS) or
realize cost avoidance to the Medi-Cal program. All County Eligibility Workers
who generate a Form CA-5 (Veterans Benefits Referral) will be instructed to
indicate the applicant's Welfare Aid Code on the face of the form.
2. All monies received under this agreement will be allocated to and spent on the
salaries and expenses of the CVSO.
3. This agreement is binding only if federal funds are available to the CDVA from the
DHS.
4. The CVSO is responsible for administering-this program according to the California
Code of Regulations, Title I2, Subchapter 4.
Chair, untyBo of Supervisors Date
(or other County Official authorized
by the Board to act on their behalf)
(rev 6/01)
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS -
Veterans Services Division
1227 "O" Street, P.O. Box 942895
Sacramento, CA 95814
(916) 653-2573 FAX (916) 653-2563
Veterans Services Division DATE: June 15,2001
BULLETIN
M.ry1BER: 01-07 TOTAL PAGES: 2
TO: COUNTY VETERANS SERVICE OFFICERS
lb
SUBJECT: REQUIRED FORMS ANTI) AGREEMENTS
The enclosed forms are being provided for your convenience and information.
As usual, the Department must have the original copy of the agreements for both Subvention and Medi-
Cal completed and returned to this office before any payments can be authorized. The Department must
have the original Claim for Subvention Funds completed by your authorized County official along with a
copy of your county's Expenditures before payments can be authorized. It is also imperative that this
office receives your DVS-16 for tabulation of your workload for Subvention and Medi-Cal payments.
Please submit your DVS-16 and Claim for Subvention Funds by July 31, 2001. All other forms and
agreements are due as soon as possible.
Required forms to be submitted to the CDVA:
1. Subvention Certificate of Compliance for FY 2001/2002
2. N1edi-Cal Certificate of Compliance for FY 2001/2002
3. Claim for Subvention Funds for FY 2000/2001 - 2nd installment (January 1 —June 30, 2001)
4. DVS-16 for the period(January 1 —June 30, 200 p)
5. DVS-20 for the period (January 1- June 30, 200 1)
6. DVS-20MC for the period (January 1 —June 30, 200 1)
7. DVS-30 Budget/Expenditure Information Sheet.
Page 2
BULLETIN
June 15, 2001
When your current total budget becomes available, it is crucial that you specify this dollar amount in the
top portion of your DVS-30. You may attach any supporting documentation to this form. NO
substitutions will be accepted.
GLEN M. HAL.SEY, Chief
Veterans Services Division
Enclosures:
CC: Bruce Thiesen, Interim Secretary
Gerald Rucker, Undersecretary
California Veterans Board
District Offices (Oakland, Los Angeles, San Diego)
This bulletin format will be used by the CDVA Veterans Services Division as a standard way of communicating information to
County Veterans Service Officers. The objective is to provide a format that can be easily maintained by the CVSO. The fust
two digits in number of each Bulletin will show the year of issue,the following number indicates the consecutive number of the
issue during the year.