HomeMy WebLinkAboutMINUTES - 12041990 - 1.66 /0
To BOARD OF SUPERVISORS n!
FROM: Park: Finucane, Health Services Director Contra
Elizabeth A. Spooner, Contracts Administrator
DATE: November 20, 1990 C.X
XM
SUBJECT: Approval of County's Child Health and Disability Prevention Program Annual
Plan Update and Budget for FY 1990-91
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
A. Approve the Child Health and Disability Prevention Program (CHDP)
Annual Plan Update and Budget for FY 1990-91 for submission to
the State Department of Health Services; and
B. Authorize the Board Chair 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 1990-91 Budget is as follows:
Early, Periodic Screening Diagnosis and Treatment Budget (EPSDT) •
Federal . . . . . . $463 , 343
State . . . 45, 847
County (In-Kind) . 228 , 881, $ 738, 077
Prenatal Care Guidance:
Federal . . . . . . $ 97 , 228
State . . .
County (In-Kind) 63 , 922 $ 168, 416
EPSDT/Public Health Nursing:
Federal . . . . . . $357 , 501
County . . . . . . 183 , 217 $ 540, 718
Child Health and Disability Prevention (CHDP) •
State (100%) . . . $165, 795
Prop 99 (200% Program):
State (100%) . $ 90 , 912 $ 256 , 707
Total $1, 703 , 918
The program total for FY 1989-90 was $1, 239, 605.
CONTINUED ON ATTACHMENT: X YES SIGNATURE.
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAON F BOARD COMMITTEE
APPROVE OTHER
SIGNATURE S :
ACTION OF BOARD ON APPROVED AS RECOMMENDED _ OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
CC* Health Services (.-Contracts)_ ATTESTED _
DEC 4 1990
Auditor-Controller ('Claims),' PHIL BATCHELOR, CLERK OF THE BOARD OF
State P,ept. of health Services SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY Q/� ,DEPUTY
CHDP Annual Plan Update
and Budget for FY 1990-91
Board Order Page 2
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The County's Child Health and Disability Prevention (CHDP) 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
(EPSDT) 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 CHDP Program is also responsible for working closely with the
county to assure compliance with Prop 99/AB75 Access to Health
Services including outreach, tracking, provider recruitment and case
management for certain health problems.
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 physical, emotional and mental
disabilities by screening children to identify conditions needing
treatment as early as possible.
To reduce the incidence of health problems in newborn infants, CHDP is
responsible for outreach activities to assure that high-risk pregnant
women enter into an early, ongoing prenatal care system.
The program is responsible for informing all foster parents of the
need for physical and dental examinations of children placed in their
homes. CHDP Program staff is responsible for case management of
treatment for foster children's identified health problems.
CHDP is responsible for working with all county school districts to
assure compliance with State-mandated first grade health examination
entry requirements.
CHDP works with a variety of community groups and county agencies to
assure that services are offered in a coordinated fashion and that
duplication, if any, will be minimized. CHDP also works with
community groups and agencies to encourage the cessation of tobacco
use as part of the Prop 99 requirement.
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. In order to assure
that the above requirements are met, CHDP/EPSDT staff coordinate all
activities with the Department of Social Services and conduct an
extensive outreach program. A network of medical and dental providers
is recruited and ongoing communications and technical assistance is
provided.
This plan and budget were reviewed and recommended for approval by the
Maternal, Child and Adolescent Health (MCAH) Advisory Board.
The Chair of the Board of Supervisors should sign seven copies of the
certification page, six of which should then be returned to the
Contract and Grants Unit for submission to the State Department of
Health Services.
Blmm 9/26/90 B4\brdord.90