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FROM: Mark Finucane , Health Services Director Con
By : Elizabeth A. Spooner , Contracts Administrator
Costa
DATE . January 4, 1990
County
SUBJECT: Approval of County.' s Child Health and Disability Prevention
Program Annual Plan Update and Program Budget for FY 1989-90
SPECIFIC REQUESTS) 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 1989-90 for sub-
mission 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 1989-90 Budget is as follows :
Early, Periodic Screening , Diagnosis and Treatment Budget
(EPSDT) : Federal . . . . . . $382 , 866
State . . . . . . . 43 , 335
County ( Iri-Kind ) . 199 140
$ 625 , 341
Prenatal Care Guidance '
Federal . . . . . . $ 30, 785
State . . . . . 7 , 266
County (In-Kind ) 23 , 519
$ 61 , 570
EPSDT/Public Health Nursing :
Federal . . . . . . $_ 191 , 555
County ( In-Kind ) . 113 , 930
$ 305, 485
Child Health and Disability Prevention Budget
. (CHDP) : State ( 100%) . . . . $ 247 , 209
TOTAL PROGRAM $1 , 239, 605
The program total for FY 1988-89 was $1 , 016 , 979. ,
CONTINUED ON ATTACHMENT; X YES SIGNATURE;
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDAO OF BOARD COMMITTEE
APPROVE OTHER
SIGNATUREIS).
ACTION OF BOARD ON JAN 1A 1990 APPROVED AS RECOMMENDED X 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 130ARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: Health Services (Contracts) ATTESTED JAN' 16 1990_.___
Auditor-Controller (Claims) PHIL BATCHELOR, CLERK OF THE BOARD OF
State Department of Health Services SUPERVISORS AND COUNTY ADMINISTRATOR
M382/7-83 BY � �� ,DEPUTY
DG
r
CHDP Annual Plan Update
and Budget for FY 1989-90
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 .
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 examination 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 exa-
mination entry requirements .
CHDP works with a variety of community groups and county agen-
cies 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 .
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 Plan and Budget was reviewed and recommended for approval
by the Maternal , Child and Adolescent Health (MCAH) Advisory
Board on October 11 , 1989 .
The Board Chair 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.