DATE: October 6, 2026
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Retroactive FY 2026-27 California Department of Health Care Services Allocation Plan
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to approve the retroactive submission of the FY 2026-27 California Department of Health Care Services allocation plan for child health services under the Health Care Program and Children in Foster Care and authorize the Chairman to execute the Certification Statements as required by the California Department of Health Care Services, effective July 1, 2026 to June 30, 2027 ($2,449,216).
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will allow the County to continue to receive the non-competitive funding from California Department of Health Care Services (DHCS) for three mandated child health services programs: Health Care Program for Children in Foster Care - Base (HCPCFC-Base), Health Care Program for Children in Foster Care – Caseload Relief (HCPCFC-CR), and Psychotropic Medication Monitoring and Oversight (PMM&O). DHCS has granted the County a fourth allocation, Health Care Program for Children in Foster Care – Administrative (HCPCFC-Administrative), to fund administrative and fiscal support staff assisting the three mandated child health services programs. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions as the County is mandated by DHCS to administer all three programs. Should your Board not approve the recommended action, the Department would not have sufficient funds to offset these mandated program service costs.
RETROACTIVE AGREEMENT:
The Fresno County Department of Public Health (Department) received the fiscal year (FY) 2026-27 allocation letter on July 7, 2026 for HCPCFC-Base, HCPCFC-CR, PMM&O, and the HCPCFC-Administrative component. However, the Department did not re...
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