HomeMy WebLinkAboutMINUTES - 12131988 - 1.7 (2) 1 -0 e o
TO: �. i
^'BOARD OF SUPERVISORS wz
FROM; Mark Finucane , Health Services Director ��}
By : Elizabeth A. Spooner , Contracts Administrator Contra
DATE; November 30, 1988 Cwa
County
SUBJECT; Approval of County ' s Child Health and Disability revention
Program Annual ' Plan Update and Program Budget for FY 1988-89
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
A. Approve thei Child Health and Disability Prevention Program
(CHDP) Annual Plan Update and Budget for FY 1988-89 for sub-
mission to the State Department of Health Services ; and
B. Authorize the Board Chairman to execute the certification
page on behalf of the County which certifies the County' s
compliance with certain State requirements .
II . FINANCIAL IMPACT :
This funding is included in the current Health Services
Department/ Public Health Division Budget . The funding source
breakdown of the FY 1988-89 Budget is as follows :
Early, Periodic Screening, Diagnosis and Treatment Budget
(EPSDT) : Federal . . . . . . $323 , 144
State . . . . . . . 40 , 786
County (In-Kind) . 140 ,636
$ 504 ,566
EPSDT Prenatal Care Guidance (New FY 88-89 )
Federal . . . . . . $ 14 , 484
State . . . . . . . 7 , 266
County (In-Kind) 6 ,528
$ 28 ,278
EPSDT/Public He'lalth Nursing:
Federal . . . . . . $2231405
County ( In-Kind ) . 11131440
$ 334 ,845
, Child Health and Disability Prevention Budget
(CHDP ) : State ( 100%) . . . . . . . . . . . . $ 149 , 290
TOTAL PROGRAM $ 1 ,016 ,979
The program total for FY 1987-88 was $925 ,906 .
CONTINUED ON ATTACHMENT; X YES SIGNATURE:
RECOMMENDATION OF COUNTY, ADMINISTRATOR RECOMMENDATONF BOARD CO ITTEE
A P P ROV E OTHER
SIGNATURE(S):
ACTION OF BOARD ON ZE C 1988 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN A
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON .THE DATE SHOWN,
cc: Health Services (Contracts) ATTESTED DEC 13 1988
Auditor-Controller (Claims) - - - - -------_—__-___
State Dept. of Health Services PHIL BATCHELOR, CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY- — ,DEPUTY
CHDP Annual Plan Update
and Budget for FY 1988-89
Board Order
Page 2
III . REASONS FOR RECOMMENDATIONS/BACKGROUND:
The County ' s Child Health and Disability Prevention Program is
mandated by California Health and Safety Code Section 320.5 and
complies with the Child Health and Disability Prevention Act
which implements the Early, Periodic , Screening , Diagnosis and
Treatment Program required by Title XIX of the Social Security
Act . The screening, diagnosis and treatment requirements are,
under the State CHDP regulations , the obligation of the local
CHDP program of the County Health Services Department .
The goals of the CHDP Program are ( 1 ) to convey full information
to all target population members and/or parents concerning
availability of, CHDP services ; and (2 ) to provide to the maximum
feasible percentage of the target population the actual services
of health and "dental screening with appropriate diagnosis and
follow-up treatment . The program is designed to reduce physi-
cal , emotional and mental disabilities by screening children to
identify conditions needing treatment as early as possible .
The EPSDT Program requires that all children and youth under the
age of 21 who are certified as eligible to the California
Medical Assistance Program (Medi-Cal ) must be informed of the
availability of periodic health examinations and dental exams
and must be encouraged to take advantage of services under the
program.
This year , the State has added another component , "Prenatal
Guidance" to the Annual CHDP/EPSDT Plan, providing additional
funding for this service activity. This new activity is
designed to locate "hard to .reach pregnant women" and assist
them in obtaining early prenatal care . EPSDT staff will con-
centrate their efforts on providing services , within specific
targeted census tracts , to women who do not seek prenatal care
or do so only in the third trimester of pregnancy. The expected
outcomes of this new activity are two-fold: ( 1 ) prevention of
complications of pregnancy which result in birth of infants who
are medically at risk, and ( 2 ) cost savings to the County medi-
cal health care system by the women' s early entry into prenatal
care .
This Plan and Budget was reviewed and recommended for approval
by the Maternal , Child and Adolescent Health (MCAH) Advisory
Board on September 10 , 1988 .
The Board Chairman should sign seven copies of the certification
page , six of which should then be returned to the Contracts and
Grants Unit for submission to the State Department of Health
Services .