Memorandum
Date: January 14, 2020
To: The Honorable Moke Simon, Chair, Lake County Board of Supervisors
From: Denise Pomeroy, Health Services Director
Subject: Adopt Resolution Approving the Application and Certification Statement for the State Department of Health Care Services, CMS Branch’s California Children’s Services (CCS) Administration Plan Renewal Grant for FY 2019-2020 and Authorize the Board Chair to Sign Said Certification Statement
Executive Summary:
Attached for your review is a Resolution authorizing the Board’s Chair to sign the Application Certification Statement required for the FY 2019-2020 renewal of the CMS Fiscal Plan and Budget. The CCS Administrative Program is part of a program that provides medical care for children with serious medical care needs and disabilities whose families meet specific income guidelines per year. It also has funds for diagnosis, treatment, and medications for children who are income eligible, and provides case management to link clients with medical care.
Should you have any questions, or require additional information, please contact myself or Carolyn Holladay, Public Health Nursing Director at 263-1090.
If not budgeted, fill in the blanks below only:
Estimated Cost: ________ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Consistency with Vision 2028 and/or Fiscal Crisis Management Plan (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Infrastructure ☐ Technology Upgrades
☐ Economic Development ☐ Disaster Recovery ☐ County Workforce ☐ Revenue Generation
☒ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake ☐ Cost Savings
If request for exemption from competitive bid in accordance with County Code Chapter 2 Sec. 2-38, fill in blanks below:
Which exemption is being requested?
How long has Agreement been in place?
When was purchase last rebid?
Reason for request to waive bid?
Recommended Action: Adopt Resolution Approving the Application and Certification Statement for the State Department of Health Care Services, CMS Branch’s California Children’s Services (CCS) Administration Plan Renewal Grant for FY 2019-2020 and Authorize the Board Chair to Sign Said Certification Statement