HomeMy WebLinkAboutMINUTES - 09282004 - C.78 TO: BOARD OF SUPERVISORS
ontr+
FROM: Gary Villalba — Costa
County Veterans Service Officer
`6
DATE: September 28, 2004 County
SUBJECT: FY 2004-2005 COUNTY SUBVENTION PROGRAM •"�
CERTIFICATE OF COMPLIANCE AND MEDT-CAL
COST AVOIDANCE PROGRAM AGREEMENT
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
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 Agreement as administered by the California Depart-
ment of Veterans Affairs (CDVA). Copy of CDVA bulletin attached for
information.
FISCAL IMPACT:
The above agreements enhance the county general fund. CDVA
estimates the FY 2004-2005 Contra Costa County allocation for County
Subvention to be approximately $58,000.00 per sections 972 and 972.1 of
the Military and Veterans Code of California. This amount is based on
seven full-time employees. The estimated allocation for Medi-Cal Cost
Avoidance is approximately $15,000.00 per section 972.5 of the Military
and Veterans Code.
BACKGROUND/REASON(S) FOR RECOMMENDATION(S):
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.
CONTINUED ON ATTACHMENT: _X—YES SIGNATURE:
-------:.—_------------------------_-_------------------------------------------------------------___----------------------------------------------
''ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
1- PROVE OTHER
SIGNATURE(S): I �-
--------------------- _ '` � �"' –-------------------------------------_--------------------_..-------------------------
ACTION OF BOA a f �,.k t_"APPROVE AS RECOMMENDED OTHER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
UNANIMOUS(ABSENT..•°` # �.'i l�' ) AND ENTERED ON THE MINUTES OP THE
BOARD OF SUPERVISORS ON THE DATE
AYES: NOES: SHOWN.
ABSENT: ABSTAIN:
ATTESTED ``. 'E '�C w: 1 A L € -
CONTACT: Gary Viilalba 313-1481 JOHNS
CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY
ADMINISTRATOR
CC: County Administrator
County Auditor
State of Califomla ,
County Veterans Service officer < "
BY '4 �"1 s,v _: DEPUTY
CALIFORNIA DEPARTMENT OF VETERANS AFFAIRS
SUBVENTION CERTIFICATE OF COMPLIANCE
FISCAL YEAR 2004/2005
Contra Costa COUNTY
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 funds 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
a
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.
Ch4r,r, County Board of Supervisors Date
(or other County Official authorized
by the Board to act on their behalf)
{rev 5/04}
CALIFORNIA DEPARTMENT OF ''VETERANS AFFAIRS
MEDI-CAL CERTIFICATE OF COMPLIANCE
FISCAL YEAR 2004/2005
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 CW-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 12, Subchapter 4.
C14air, County Board of Supervisors Date
(or other County Official authorized
by the Board to act on their behalf)
(rev 5/04)
CALIFORNIA DEPARTMENT OFVETERANS AFFAIRS
Y I Veterans Services Division
1.227 "0" street, P.O. Box 942895
Sacramento, CA 9581.4
(916) 653-2573 FAX (91.6) 653-2563
Veterans Services Division DATE: August 13,2004
BULLETINNUMBER: 04-05 TOTAL PAGES: 1
TO: ALL, CVSO's
SUBJECT: .Fiscal Forms Available On CDVA Web page
This is to inforrn you that all formas and agreements pertaining to fiscal year 2004/2005 are now
available on. our CDVA web page. You may download these forms at www.cdva.ca.w$A,,, and by
double clicking on Veterans Services, Fiscal Forms for CVSOs thea New! Forms for Fiscal. Year
2004/2005. There is no reason to modify these forms but .if you do, you will be prompted to either
cancel or save your changes under a different file name.
Although this office does not require counties to submit Forms DVS-19 (daily reports,) you are
reminded that you must maintain your DVS-19's :for future auditing purposes.
If you peruse through the; new forms on. CDVA web page, you'll notice the forms currently required
tinder the FY 04/05 title are the Certificates of Compliance and the trap portion of the DVS-30. All
others are not required until after December 31, 2004.
You may also download the newly revised Procedure Manual for Subvention., Medi-Cal Cost
Avoidance and the College Fee Waiver Programs 2004/2005 FY.
If you have any questions,please contact this office at(9.16) 653-2.573.
Jack.Kirwan, Chief
Veterans Services Division
cc: Thomas Johnson, Secretary
John Hanretty, Director of Operations
California Veterans ward
District Offices (Los Angeles, Oakland, Sara Diego)
This bulletin format will be used by the CDV!k.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 CVSe3. 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.