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HomeMy WebLinkAboutApproval of Agreement Funding App (AFA) - Public Health State of California—Health and Human Services Agency California Department of Public Health ry=e{ 9CDPH RON CHAPMAN,MD,MPH EDMUND G.BROWN JR. Director&State Health Officer Governor October 17, 2014 BUTIESOi1NTY ADMINISTRATION i 90oww. MAR 19 2015 Ann Dickman, MAR g 2 15. DROVILLE.CALIFORNIA MCAH Director Butte County WOVIU.F,0pJjFoRNlA 2941 Carmichael Dr., Suite # 400 Chico, CA, 95928 Dear Ms. Dickman: APPROVAL OF AGREEMENT FUNDING APPLICATION (AFA) FOR AGREEMENT#201404 — FISCAL YEAR 2014-15 The California Department of Public Health, Maternal, Child and Adolescent Health (CDPH/MCAH) Division approves your Agency's AFA, including the enclosed Scope(s) of Work (SOW) and Budget(s) for administration of MCAH related programs. To carry out the program(s) outlined in the enclosed SOW(s) and Budget(s), during the period of July 1, 2014 through June 30, 2015, the CDPH/MCAH Division will reimburse expenditures up to the following amounts: Maternal Child and Adolescent Health................$138,071 The availability of Title V funds and State General funds (BIH only) are based upon funds appropriated in the FY 2014-15 Budget Act. Reimbursement of invoices is subject to compliance with all federal and state requirements pertaining to the CDPH/MCAH related programs and adherence to all applicable regulations, policies and procedures. Your Agency agrees to invoice actual-and documented expenditures and to follow all the conditions of compliance stated in the current CDPH/MCAH Program and Fiscal Policies and Procedures manuals, including the ability to substantiate all funds claimed. The policies and procedures manuals can be accessed at: htt ://www.gd h.ca. ov/services/fundin /mcah/Pa es/FiscalPoliciesandProcedures Manual.aspx For agencies claiming Title XIX funds, you also agree to maintain secondary documentation that clearly substantiates time study activities as being non-program e 4" Maternal, Child and Adolescent Health Division[Center for Family Health MS 8300. P.O. Box 997420. Sacramento, CA 95899-7420 (9 16)650-0300 • (916)654-0305 FAX Intemet Address:www,cdph.ca.gov Ms. Dickman October 17, 2014 Page 2 related, unmatched, non-enhanced or enhanced. You also agree to use either: 1. the web-posted CDPH/MCAH, BIH, and'/orAFLP Base Medi-Cal Factor (MCF), 2. a Variable Base MCF for specific staff who serve a unique client population, and who verify and document 100% of their Medi-Cal enrolled and non-Medi-Cal enrolled clients during each time study period (MCAH Program only), and/or 3. the Lodestar generated' MCF (RFLP Program only). Please ensure that all necessary individuals within your Agency are notified of this approval and that the enclosed documents are-carefully reviewed. This approval letter constitutes a binding agreement. If any of the information contained in the enclosed SOW and Budget is, incorrect or different from that negotiated, please contact your Contract Manager, Edie Guthrie, at (916) 650-0347 or by e-mail at Ed ie.Guth rie@cd ph.gg_qov within 14 calendar days from the date of this letter. Non-response constitutes acceptance of the enclosed documents. i j cgrely, c r ddie Aguirre Acting Division Chief Enclosure(s) cc: Doug Teeter Chair Board of Supervisors Butte County 202 Mira Loma Drive Oroville, CA 95965 Edie Guthrie Contract Manager Arlene Silva, Program Consultant Central File G N C) 0 � V 0 C0 0 � E T i" W Cf) --i N (D -" su a) a) n� m W C a v m cD `n (D -1 roo 0 0 0 0 0 0 ° a (o o � — � - CO U' �' � -I (n CN 3 (D (D 0 (D = - 0 0 � ro C7 m CD Ca CD C!} (n - r --I -{ cn CD { CD caCT 0 =r -n (D o p) p DSJO o' (D (D (D (D rn Z3 ro 51 Cn v = coi W n ..- G7 O (o t � Q O a cn O =r p Cn - O O O 0 i 3 m 5 0 n (D 6 u, B L" rn ID 4 0 o Ci [D (D ro CD �- N Q m O C!7 (D 6 6CD C7 ro C (D �. rn — ro �, m a 3 rn � � D rn c 3 � v ry d� (n �, o ' ro 0 � Z o 3n 3ro EP o oco w or (D D M D Q O (Dof m ro (D O CD 4) C p v U) cQ v P 70 3 cn p — n m p (D O O a to -^ (�� (D �__ (7 � q - 0 � ro. (D p h N (D (D O CL D r« (n o to o cnm MQ <D03 v, " SCP. �. 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