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TO: BOARD OF SUPERVISORS �'
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Costa
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FROM: Danna Fabella, Interim D' for
Employment and Human ervlces Department `stir_:_ '�A~�Y County
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DATE: March 1, 2006
SUBJECT: APPROVE Appropriations Adjustment for Employment and Human Services
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&13ACKGIZOLIND AND JUSTIFICATION
RFCMMFNDFD ACTION:
Fmpla)mlent and Human Services ((h: APPROVE Appropriations and Revenue Adjustment No. 5077
authorizing new revenue in the amount of$38,577 from State Adult Protective Service funds, and appropriating
it to fiend one (1) Clerical Supervisor position for seven (7) months for the Richmond Medi-Cal Unit.
FINANCIAL IMPACT:
The financial impact of this board order recognizes additional claimed expenses drawn against the Medi-Cal
revenues. The State will pay a portion of these costs from open-ended health funding with a match paid by the
County. This action requires $15, 431 in additional Medi-Cal funding and a County share. The calculated
County share of cost will be $23,146. Funding for the County share will come from unaccrued revenues
reallocated from State Adult Protective Services funding from the prior year. There are no additional County
General funds required.
RAC 'GROUND:
The Department requests that a Clerical Supervisor be assigned to the Medi-Cal Mail-in Unit in the Richmond
Medi-Cal office, formerly supervised by an Eligibility Work Supervisor I, who has relocated to provide services
at the new Medi-Cal Unit, Cavallo Road office. The Clerical Supervisor will supervise 6 clerks. Their task is to
mail out new application packets, handle all mailed Medi-Cal applications for the County, conduct program
clearances for existing program eligibility, register applications, assign intake packets to the District Eligibility
Workers to process, and register denials when timely client response is not forthcoming. No budgeted County
General funds are required.
CONSEQUENCES UENCES OF NEGATIVE. ACTION:
If this action is not approved, it could result in untimely denial or approval of Medi-Cal eligibility. If the
Department does not process 90% of its new applications on time, the State can now impose a sanction of 2%
funding reduction, which would amount to approximately$670,000. An additional revenue cut of 2% or
$670,000, can be taken by the State for untimely Medi-Cal client record correction in the State's database.
Atta ment: Appropriation Adjustment Documentation.
CONTINUED ON ATTACHMENT:_x_YF.S SIGNATURE: ,
COMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMFrTEF.
✓APPROVE OTHER
r
SIGNATURE(S):
ACTION OF BOA U O '/y�QJ,� D oZ�-y APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I 1 HEREBYCERTIFY 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.
ATTESTED
JOHN CULLEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact: DON CRUZE 3-1582
EHSD(CONTRACTS UNIT)-EB
COUNTY ADMINISTRATOR BY DEPUTY
AUDITOR-CONTROLLER
CONTRACTOR
AUDITOR-CONTROLLER USE ONLY
CONTRA COSTA COUNTY FINAL APPROVAL NEEDED BY:
APPROPRIATION ADJUSTMENT BOARD OF SUPERVISORS
T/C 27 ❑ COUNTY ADMINISTRATOR
BUDGET UNIT: EHSD DEPT.0503-ADULT&AGING SERVICES
ACCOUNT CODING
EXPENDITURE
ORGANIZATION SUB-ACCOUNT EXPENDITURE ACCOUNT DESCRIPTION <DECREASE> INCREASE
5290 1011 PERMANENT SALARIES 25,717 00
1042 FICA 1,928 00
1044 RETIREMENT EXPENSE 7,026 00
1060 EMPLOYEE GROUP INSURANCE 2,887 00
1063 UNEMPLOYMENT INSURANCE 52 00
1070 WORKERS COMPENSATION INS 967 00
0990 6301 RESERVE FOR CONTINGENCY 38,577 00
0990 6301 APPROPRIATE NEW REVENUE 38,577 00
38,5771001 77,154 00
AUDITOR-CONTROLLER:
'
BY: tfMAINISTRATOR:
DATE '? / TO INCREASE APPROPRIATION LEVELS FOR ONE CLERICAL
SUPERVISOR IN DEPT.0503 ADULT AND AGING MEDI-CAL PROGRAM-
RICHMOND DISTRICT FOR FY 05/06.
CO p3 U/)# I q q 6.lj- '
DATE CC i(l/�
BOARD OF SUPERVISORS: r
c
SUPERVISORS UILKEMA, PIEPHO, �,..-
YES: DESAULNIER AND GIOIA Jim Takahashi Fiscal Division Mgr. 1/4/2006
ABSENT: SUPERVISOR GLOVER SI NATURE TITLE DATE
NO: r0»C/
JOHN CULLEN,Cld of the Board�f 'l
BY:�� Del E � G APPROPRIATION APOO �y
Pervlsommi l E-oUntyfidmi ll�A� ADJ.JOURNAL NO.
(M129 Rev 2186)
CONTRA COSTA COUNTY
ESTIMATED REVENUE ADJUSTMENT
T/C 24
BUDGET UNIT:EHSD DEPT.0503-AGING AND ADULT SERVICES
ACCOUNT CODING
REVENUE
ORGANIZATION ACCOUNT REVENUE ACCOUNT DESCRIPTION INCREASE <DECREASE>
0503
5260 9244 ADMIN ST MCAL HEALTH CARE 23,146 00
5260 9435 MISCELLANEOUS STATE AID 15,431 00
TOTALS1 38,577 001 0 00
APPROVED EXPLANATION OF REQUEST
AUDITOR-CON TROLLER: /
BY: �i1. � DarE To recognize additional Medi-Cal Funds and reallocated
prior year revenue from State of CA Health & Human
Services to fund one Clerical Supervisor for Adult and Aging
COUNTY AD INISTRATOR: Bureau Medi-Cal Unit in Richmond District for FY 05106.
DA I E o�
1/
BOARD OF SUPERVISORS:
YES: SUPERVISORS UILKEMA, PIEPHO,
DESAULNIER AND GIOIA
NO: /f/,P 77 e--
ABSENT:
iABSENT: SUPERVISOR GLOVER
JOHN CULLEN,Cleric Of the Board Of Jim Takahashi Fiscal Division Mgr. 1/4/2006
SIGNA IRE TITLE DATE
Supeivis and County Administrator
BY: DATE�� L 0 REVENUE RA00y
JOURNAL NO.
(M 8134 Rev.2;86)