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¢' ro: ' BOARD OF SUPERVISORS
Contra
FROM: Gary Villalba Costa
County Veterans Service Officer �* 'a Costa
x�. =:.,:, �--... .� County
DATE: October lO, 1995
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SUBJECT: FY 1995-96 COUNTY SUBVENTION PROGRAM CERTIFICATE
OF COMPLIANCE AND MEDI-CAL COST AVOIDANCE PROGRAM
AGREEMENT
SPECIFIC REOUEST(S)OR RECOMMENDATION(S)$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 Agreement 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 1995-96
Contra Costa County allocation for County Subvention to be $33,768. per section 972
of the Military and Veterans Code of California. The estimated allocation for Medi-Cal
Cost Avoidance activity is $28,275. 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 operations to determine
if our workload is consistent with reported workload activity. CDVA also performs
quality control review of work performed.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S): /
ACTION OF BOARD ON QC LI-1 101 1 2�9 S APPROVED AS RECOMMENDED __NC_ 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.
Contact: Gary Villalba 313-1481
CC: State of California ATTESTED La--a-P2e-ti
County Administrator PHIL BATCHELOR,CLERK OF THE BOARD OF
County Auditor SUPERVISORS AND COUNTY ADMINISTRATOR
County Veterans Service Officer
M382BY DEPUTY
(10/88)
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CERTIFICATE OF COMPLIANCE
CMffORNU DEPARTIVIM OF VETERANS AFFAIRS (CDVA)
Fiscal Year 1995-96 County Subvention Programs
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
Fund Expenditure, and 972.2, a Special Fund Expenditure.
County Certification
I Certify that contra costa Count, 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 administers 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 any war
of the United States and the dependents of every such deceased veteran in presenting and
pursuing such claim as the veteran may have against the United States, arising out of war
service, and in establishing the veteran's right to any privilege, preference, care or
compensation provided for by the laws of the United States or of this state.
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 CDVA. We will also submit reports in accordance
with the procedures established by the CDVA. The County Veterans Service Officer will
permit CDVA representatives to inspect all facilities and records.
I further authorize County Veterans Service Officer to actively participate in the promotion of
the California Veterans License Plate program I understand that fiords generated through the
Veterans License Plate program will be allocated to counties beginning January 1, 1996, and
that the continued success of this program lunges on active County Veterans Service Office
involvement.
I further Certify that Contra Costa County is an Equal Opportunity Employer.
/(J /Zr
county Board of Supervisors Date
(or other county official authorized
by the Board to act on their behalf)
PUTTING VETERANS FIRST
AGREEMENT
CALIFORNIA DEPART MU OF VETERANS AFFAIRS (CDVA)
AND Contra Costa CD=
1995/96 FISCAL YEAR
NMI-CAL COST AVOMANC.'E 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 applicants 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 only binding if federal funds are available to the
CDVA from the DHS.
4. The CVSO is responsible for administering this program according to
the Califomia Code of Regulations, Title 12, Subchapter 4.
Ib-IC)--IqG�
ftrBoard of SupervisorsDate
er County Official authorized
by the Board to act on their behalf)
PUTTING VETERANS FIRST
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Veterans Services DATE: --May-2k. 1995
NUMBER 95 -�_ :PAGES
BULLETIN
TO: COUNTY VETERAN SERVICE{'OFFICERS
SUBJECT: FISCAL YEAR 1995-96 AGREEMENTS AND INSTRUCTIONAL MANUAL
The County Subvention Programs Certificate of Compliance and lledi-
Cal Cost Avoidance Agreement are being provided to you prior to
the start of the fiscal year o allow ample time for you to
arrange signature. The signed originals of these forms are 'Co be
returned to :
California Department of Veterans Affair:
Veterans Services Division
1227 'O' Street, Room 101.
Sacramento, CA 95814
Please note that the signed originals must be received by the
Veterans Services Division by December. 31, 1995 in order for your
county to participate in these funding programs . This does not
mean that you should wait for the December Board meeting to
present them for signature . The earlier we receive the agreements
the sooner we can finalize your allocations .
For fiscal year 1995-96 we have printed enough of the
instructional manuals so that each of your staff may receive a
copy if you so desire. Please notify us of the number of copies
you will need.
If you have any questions, please feel free to call Mise Slater,
Ray Co s, or me at (916) 653-2573 .
GERALD RUCKER, Chief
Division of Veterans Services
Encls .
cc: Veterans Services Regional Offices
This bulletin format will be used by the CDVA Veterans Services Division as a standard way of
communicating information to County Veteran 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.