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11.15.19 Email from Amy Schuman- CCS-CHDP Plan - New Scan Budget Section
Snyder, Ashley From: Schuman, Amy Sent: Friday, November 15, 2019 5:23 PM To: BOS Cc: Nicholas,Jodi; Kim, Sang; Ring, Brian; Nuzum, Danielle; York, Danette; Snyder, Ashley Subject: FW: CCS-CHDP Plan - New Scan Budget Section Attachments: PH.CCS-CHDPFY19-20AnnualPlan-BudgetSection.plan.pdf Good afternoon, Please see the attachment document and message below regarding item##3.17 (CCS-CHDP FY19-20 Plan)for the upcoming 11/19 Board meeting. Sincerely, A iI " „t Associate Clerk of the Board 2!5 Coe C;°int i!i;.DriiyeR uiit !!° yii�IIt,R,,CA 596 T: 530.552.3 305 I F: 530.538.7120 Twitter F::2 ce book Vau-rube initer:;t From: Nicholas,Jodi Sent: Friday, November 15, 2019 4:34 PM To:Snyder,Ashley<ansnyder@buttecounty.net>; Schuman, Amy<ASchuman@buttecounty.net>; Kim,Sang <skim@buttecounty.net>; Ring, Brian <bring@buttecounty.net> Cc: Nuzum, Danielle<DNuzum@buttecounty.net>; York, Danette<DYork@buttecounty.net> Subject: CCS-CHDP Plan - New Scan Budget Section Ashley, As discussed, attached are the new scans of the budget related materials for the CCS-CHDP Plan. I believe this version is much better. I have provided you some information below that you can forward to the Board of Supervisors with the document. If you need any additional information, please let me know. Jodi Board of Supervisors- Attached for your information and review is a new scan of the Budgets Section of the FY 2019-2020 CCS-CHDP Plan. The FY 2019-2020 CCS-CHDP Annual Plan is scheduled for approval at the November 19th Board of Supervisors meeting. Today, I was made aware that this section of the plan can be difficult to read in the format required by the State. To allow you to have a better look at the information, the budgets and budget narratives have been rescanned without the header and footer required by the State. There are a couple items to note: • This document does not include new information. These documents contain the same information that is in the complete FY 2019-2020 CCS-CHDP Annual Plan document that is being provided and is scheduled for approval. 1 • The budgets and narratives are provided in the same order as in the complete FY 2019-2020 CCS-CHDP Annual Plan document. For reference, page numbers have been written in that correspond to the documents location in the complete document. • The CCS Administrative Budget is not signed in this new scan. The original document was located in Chico and in order to get this information out in a timely manner, an unsigned version was used. The budgeted amounts are unchanged. I am hoping that this information will assist you in your review. If you have any questions or have a problem reading a number, please feel free to reach out. .,j• • • Fiscal Manager ............................................................................................................................................................................................................................ 202,....IMoir ....:::::a!l rn ....1"p!riiiv ........_0!r voiIIII : CA...9;52.2.. T: 530,552,38831 F: 530.538.2164 Pile se ln•te newphone number alll u ve„ FACEB00 Twill-TER COUNTY OF BUTTE E-MAIL DISCLAIMER:This e-mail and any attachment thereto may contain private,confidential,and privileged material for the sole use of the intended recipient.Any review,copying,or distribution of this e-mail(or any attachments thereto)by other than the County of Butte or the intended recipient is strictly prohibited.If you are NOT the intended recipient,please contact the sender immediately and permanently delete the original and any copies of this e-mail and any attachments thereto. 2 Systems of Care Division Plan and Fiscal Guidelines BUDGETS FY 2019 - 2020 Section 8 122 Butte County State of California—Health and Human Services Agency Department of Health Care Services—Integrated Systems of Care Division CHDP Administrative Budget Summary for FY 2019-20 No County/City Match County/City Name:Butte County Column 1 2 3 4 5 .... Total Medi-Cal Enhanced Nonenhanced Total Budget Total Category/Line Item (2+3) CHDP Budget Budget State/Federal State/Federal (4+5) (25/75) (50/50) I Total Personnel Expenses $305,331 $0 $305,331 $126,310 $179,021 II. Total Operating Expenses $47,617 $0 $47,617 $0 $47,617 III.Total Capital Expenses $0 $0 $0 0668,63811,1 $0 ,;...,. Ii,ii„ , ,0,g IV.Total Indirect Expenses $30,533 $0 $30,533 ilpnonnuntiikii $30,533 iiiiiiimikiAlili V. Total Other Expenses $0 $0 $0 111101111411110809g $0 Budget Grand Total $383,481 $0 $383,481 $126,310 $257,171 Column 1 2 F---- 3 4 5 Total CHOP Total Medi-Cal Enhanced Nonenhanced Source of Funds Total Funds Budget Budget State/Federal State/Federal State General Funds $0 alimescommiciaz!!..rovoins,711Frosia," Medi-Cal Funds: $383,481 Miliilhillr lirIZIL $383,481 Limp;iviRiiiiiika4,4410514,10' State $160,164 111020IEN $223,317 111,00411133M $160,164 $31,578 $128,586 Federal(Title XIX) $223,317 $94,732 $128,585 10-(s--(1 (530)552-4004 kbrown.buttecount net Prepared By(Signature) Date Prepared Phone Number Email Address (530)552-3898 koray•buttecount net CHDP Direciior or Deputy Date Phone Number Email Address Director(Signature) J State of California-Health and Human Services Agency Department et Health Care Services-Integrated Systems of Care Division CHOP Administrative Budget Worksheet for FY 2019-20 No County/City Match State and State/Federal County/City Name:Butte County I 'Celumn" I lA I in I i 1 2A 'I 2 3A I 3 4A 1 I SA I 5 ..1 Total Budget% CHOP Tl CHOP Total Total Medi-Cal y or Enhanced %or Nonenhanced or ota Category/Line Item Fre Annual Salary (1A x 1B or A M - a -edi C I Budget ° State/Federal State/Federal 2+3) (4+5) I or FTE Budget FTE eefrei, FTE (50/60) % Personnel Expenseslialur,111 legmg„!„„!,!,q,przemgm,:qi:i:MOM,MAIREMINIMINIMMUN 9111 ,111L11111111PIR 111111111114 iiiiiingliellikelle 1.Administrative Assistant-Smith 60% $34.700 $20,820 SO 100 A $20,820 0 2.Public Health Education Spetialist Sr,.,Myles 100% $32,874 $32674 $0 100% $32.874 0% $9 100% $32,874 3.Sui)ervisor.Public Health Nursing,Gray 85% $93,500 $79,475 $0 100% $79,475 65% S51,659 35% $27,816 4..Public Health Nurse-Jones. 100% $42,848 $42,848 $0 100% $42,848 90% $38,563 10% $4,285 5. SO 190.0% 642.078 0% SO 100% S42.078 Public Health Assistant,Senior-Snyder 100% S42.078 $42.078 Total Salaries and Wages Plann,i N,,i NT" $218,095 1011111111NON NO "'NUN NNI $218 095 PIKIAIR $90.222 11111111100ME $127.873 Less Salary Savings I 1119.0 Yraffaiili)lint .............. so .0110010 110010. II kill '44011 II MINNI .1 V MORO Ili III........ Net swarm see wages 0/13/13 Wri 77-I,1! $218.09111.1.01.111111111110 SO 100% 5218,095 419' ',39O222.... 59% $127.873 Staff Benefits(Specify%)40,00%1111111111=11111111111,,,.0,,,11,,,ii,1,iti.p.,,,,"MhInagE:1111116 11111100011113 ,INILMAp S87.236 irall11.1MINERIBEI. Hal III $51.146 a'INTNIIINNINNIU,NI 0 OK NIA NI 79,021 I..Total Personnel Expenses N In MINNA Nail ailliplomuN INN N1q.,,IIIIINIIKNN Nam ,,..I.,,,,,., ,miniriarrnMq ' ''''''''''''''"I'IWOMENE II.Operating Expenses a N e li is ft sat Nam Matatis,:allaarat IMIMBININatain,,,,Bh EMBNINNINONNI:ames amatem el)a mila massGT 1.Travel H•-^'44. . .$0 NM 17,Vejell oniprint 1 MOM 01.11 Itind kff.1111111113Mis Lou Fa)4,..: ..0,,,,,,...innumnit .,,,,,, .............. 2.Training fill 11101 MI,Und Pe.1111111111 PINNER OIL NI 0 ON 50 ham 011111111I NA mu() 01,000 a communise:bus IV 4111111111111111111 M111131151011111,01ill IR UMIIIIIIIIIIIIS°1^i:.':11.'lisli IIIIIIIII1111111111111113111111Y0 Mil WINVONONINN fit BE 4.Provider Training Expenses IN N NINNI,NNINNON MINIEffellon 111M1111111.10111$()01 li:j15,Willosn mg imoinitimitiMittim s1U50 56..OfficExpen1/4E44 XqpX,,,,FIFRFCEOss. gis2i11i.g...llo i 011 ((N1EIJJ13I 13 IkeiliaraRiIII IR szon RenUUtilitiekaniteral/Landscaping UN]///////3/9///1////13/I/ 50Z.105. ///0 /1/1/13 ........... 0 ';',,f,LANNIN OENNIN0NIMMINNI0ININNEN 42.000 11131/13 019111N 110 110WOW 1 011 10211010111 911I Intl itiiMMI .110140M01 iSI gob „ ,1! 11/13 II.Total Operating Expenses /1131/>'' -7igi-MBEINUT.617 1111M 11,IVIMEI filkit O.)111 P 1 WIMIIIIMM...'”LLMENEEIVIZZLII In Capital Expenses m I.1z ir“WM81 iladm pp HAINIEN 1111 II UN AWE IMIIIIIIII1. 'il'g ; "li tiiiiiiiiiigi .6n10110610 I ill0 II II ' 1 NENIMI 1111111,11114i ii'i0iiiii 011010 IV Ili 0111111. 2),i41,1U EUIIIINIIIIIIIIIIIIIIIIII!,. mi:,,,,ipop,„,„..„.,,..„,„ „....„,„, ,..,...,,.,,,,„„.,,, II.Total Capital Expenses INV.VII I INA, boo giiimmuni int illit II atilia//////////////////////1/////. . N NINI INNINONNINEN/111111/101/11 IV.IndErect Expenses MO 1 Willit 0 ACM 111111MMENNIMIt a 1 INEEMENEME a mpintummomijimitio,L0,0,10.0.1,0,10,001,0404401,00.0r ri'igrtlifittkanimili 1.Internal(speay%) 10.00% . Nit iii/11/0/13.NN mo 11111.416.3 ANNillIERINNNINIMMESNONSNINININ 4114Midap 11/13/11/11L $3 0,53 2.External>Specify%) 0.00% mii V iiiii'',16101:1110F0 kliUMIIIIIIIIIIIII"Rfflaill1..r,LEN§Rhm ,1111. $30 533 IV.Total Indirect Expenses V.Other Expenses Itedimum„,m V MI 11,'V):R;81:11 P,'Ill,1111111111411111111111104100141141111711,'',',1R1117,19111.1.12,MdMillankkidinual illiffig.141111011011 41..111,1,020,11.11,,,I. 11313/,,9,"Bil milivrei Ill IMP mula ppm aka lielMiliar°4:4 mo i0 01 MU AIRES0VMMI11111111111.110 II 01OONIMIIIIIIIIIIIIIIEUai' gp0,00110L )104.1.,,,,,„.,...... V.Total Other Expenses I ---,,,IIIIMPOSilmIllEM SERER SO RNA logijp Irgsmakm,11111110111191.0 SIAS VJIIIIIIIIIIIEWIFMNAIIIIIIIIEBIYYVMF-....... . ."Cigh e25.7.171 iiir' i'i^Imm el......."' $353 451 1011010MOICII 1111 85 tl2t 310 Budget Grand Total .. •--- ' 1 c."-r45-19 • • 030)552-4004 kbrovmpbuttecounly.net • * Prepare"?(l'na`Cle)... , i„.aletren7 Phone Number Email Address /Z1-- ' ,t"(C2('7:4174C .„.),(5 (C"'-''',//,C.:)-r1 /7 (530)552..3ags kgrattbuttecounty,net CHOPDirector or Deputy' Date Phone Number Email Address Director(Signature), 1 m... t%) FageicI 1 PeWsed April 2005 Budget Justification Narrative CHDP Program—Administrative Budget No County/City Match Fiscal Year 2019-20 Personnel: $305,331 The personnel expense is based on current staff positions including an Administrative Assistant, whose time is 60 %FTE on the CHDP No Match budget. This Administrative Assistant also works 40% FTE in the Nursing Administration budget. The Public Health Assistant, Senior is 100% FTE from the CHDP No Match budget. The CHDP Public Health Nurse 50% FTE from the CHDP No Match budget. The Public Health Education Specialist, Senior is 100% from the CHDP No Match budget. The Supervisor, Public Health Nursing/CHDP Deputy Director is 85% FTE from the CHDP No Match budget, 5% FTE from the DESS Adult Protective Services Nurse Budget, 5% FTE from the DESS Options for Recovery PHN Budget and 5% FTE from the DESS Children's Services Division Budget. Changes in the FFP percentages occurred this fiscal year. The Supervisor, Public Health Nursing/CHDP Deputy Director is 65% Enhanced and 35% Non-Enhanced. The CHDP Public Health Nurse position remains 90% Enhanced and 10% Non-Enhanced. The Non-SPMP positions (Administrative Assistant, Public Health Education Specialist, Senior and Public Health Assistant, Senior) remain 100% Non-Enhanced. Travel: $845 Staff travel expenses are calculated at the IRS reimbursement rate for private vehicle mileage. Travel costs are associated with the following CHDP activities: Outreach, provider training and technical assistance, site visits and quality assurance reviews, community or agency collaboratives, attendance at CHDP related state and regional meetings/trainings and relevant health or technical trainings. Training: $650 Staff trainings requiring registration fees are covered in this CHDP No Match budget. Communications: $1,000 The line item includes telephone charges for staff and one office fax line. — 12-S Provider Training: $1,050 This expense represents the costs associated with hosting CHDP Provider Trainings and educational workshops (facility overhead, materials, handouts, presenter fees, etc.) The amount budgeted supports the expenses of various CHDP trainings offered to CHDP provider offices. Office Expenses: $2,072 This line item includes the following: Printing/copying (provider notices, announcements, newsletters, brochures, etc.), postage (letters, reports, notices, flyers, newsletters, etc.), general office supplies (pencils, pens, paper, computer CDs/disks, print cartridges, files, labels, folders, binders, etc.), small office equipment/furniture upgrades (file cabinets, computer, etc.). Rent/Utilities/Janitorial/Landscaping: $42,000 This line item covers part of the yearly costs associated with the facility used by the CHDP Program and staff. This amount includes rent, PG&E, water, alarm service, janitorial service and supplies, landscaping and garbage service. Indirect Expenses: $30,533 The indirect internal expenditure includes the department overhead costs identified in the cost allocation plan prepared in accordance with Federal and State guidelines. Other Expenses: $0 No amount allocated. 12. DtiCSDepartment of Health Care Services Integrated Systems of Care Division qP Health Care Program for Children in Foster Care StatelFederal Budget Summary Identify State/Federal Funding Source(Base,PMM&O,or Caseload Relief); Base County-City Name: Butte Fiscal Year; 19-20 _I Enhanced Non-Enhanced Category/Line Item Total Budget State/Federal State/Federal (25175) (50/50) A (B=C+D) C D I Total Personnel Expenses $225,463 $202,916 $22,547 II Total Operating Expenses $0 $2,450 a, lisurler,,,,In^agill,1,1,111,11 ,,,,,,44.77,I,i11,,,,DT,IU111111, i,,,1,1,,,,,.11,,,,,,g'11,1i1,,1,1,,,,h,„„,„,,,,,,,,.„.., „.55 $2,450 Ita55551111 415154555 or Ill Total Capital Expenses $22 547 IV Total Indirect Expenses $22547 ;;;;;11,t'UL":',IROVI(lt ,',11,1,,,,. ,,,, ,,-T "1,4 iocr,o,1110(91R ,1;,Ar,,t,o,,,,,,,,,,,,i,,,,100, 11111 ?utilibil0in(atr,l g!„,7 ,_.,,J.t.,1,,,64,1,4,,iit,l, V Total Other Expenses ,1111, ilii,r14,47...linia 4I,AlIN,I,br4E- 1;A AanasiesessusigeH „,,,i,, il Budget Grand Total $250460 $202,916 7 4 Enhanced Non-Enhanced Source of Funds Total Funds State/Federal StatelFederal (25/75) ._(50/50) E (F=G+H) G H State Funds $74,501 $50,729 $23,772 Federal Funds(Title XIX) $175,959 $152,187 $23,772 Budget Grand Total $250,460 $202,916 $47,544 , ,,,,, (0, U ,L,,),,f UvoL Dro,W/1 k--) 1 _ le3".... 19 530-552-4004 kbrown@buttecou9191_ Prep0ared By(Pant&Sign) Date Phone Number E-mail Address ,. „41"55/ , , , / 4-kj : ,,,''-/ el /S-- „/ 530-552-3898 kgray@buttecounty.net CHOP Director Dr Deptp Director(Print&Sign) Date Phone Number E-mail Address 0+ Page 1 2 1 --- al 1 Revised 0512019 mm DI-IC Department of Health Care Services Integrated Systems of Care Division Health Care Program for Children in Foster Care State/Federal Budget Worksheet I Identify State/Federal Funding Source(Base,PMM&O,or Caseload Relief): L Base ....„...} County-City Name: Butte Fiscal Year: 19-20 _.....,_, Column 1A 16 1 2A 2 3A 3 Non- Enhanced Annual Total Enhanced Category/Line item %FTE %FTE State/Federal %FTE Budget State/Federal Salary (25/75) (50/60) 1111'10'001,1,1.1,1,1,1,i0111111111all I.Personnel Expenses Alp nevue: r,i,!:::in ItEllell:llitigaktil lignell'iktfigralliagalgirlataidi III'llooikeiaillgi„Hiufl/ru,..ol)Oe,11111(011Klif:APNIMIVFMINFIRIIITIVIIIRWIWRI, # Last First 1114,11[111/1010.„...i...hodeser t",/,`,0044/0 11,1„,1111441110101110 4040,49N,I,,Mire 004,1010,0q,Aq, mmair,,,,,,11.+.0111?„11111111111111111111111111,11. ,"0,,,,10,kr ,„,„,,,o,.1,46N,,,.ThAul„ 1 plookorAok.,41m 0044„4„orAndloppolo e gl;',EMN kaglitilltaiNIEN LARION01111111110110 0,e90041,!:alk AmpliwAtomithm hioksight141 Ikatieig Algal 1 1 McIntyre Miriah Public Health Nurse,A' Y I 60.00% $59,400 $35,640.00 90.00% $32,076 10.00% $3,564 2 Dooney Barbara Public Health Nurse,S Y. ! 70.00%,' $92,400 $64,680.00 90,00% $58,212 10.00% $6,468 3 Moriarty Sheila Public Health Nuurse 11 65.00%I $85,800 $55,770.00 90.00% $50,193 10.00% $5,577 4 Vacant Public Health Nurse Y 15.00%1' $72,788 $10,918.20 90.00% $9,826 10.00% $1,092 5 $0 $0.00 $0 100.00% $0 1:.... 6 $0 $0.00 $0 100.00% $0 7 al , $0 $0.00 $0 100.00% SO _..: 8 1 $0 $0.00 $0 100.00% $0 9 $0 $0,00 $0 100.00% 50 _ I 10 , $0 $0.00 $0 100.005' a $0 11 I $0 $0.00 $0 100.00% $0 12 $0 $0.00 $0 100,00% $0 _ 13 _ $0 $0.00 $0 100.00% SO 14 $0 $0.00 $0 100.00% $0 .„, 15 $0 $0.00 50 100.00% SO 16 $0 $0.00 $0 100.00% SO 17 $0 $0.00 $0 100.00% SO 18 I $0 $0,00 $0 100.00% $0 19 , 1 $0 $0.00 $0 100.00% $0 20 $0 $0.00 $0 100.00% $0 Total Number of PHN Staff 4 1:1111111111111111111211111111511111111111111111111101101101 Total FTE PHN Staff 2.10%,1=111111$11111,111111111 90.00%1111III 10.00%tompoarta Total Salaries and INages Tr,;1111„.„4„„1,11/11oramal:111::: $167 0091101111111,',1,, $150,308 I11111:11 $16,701 Less Salary Savings 1111111111111111115 $011,101,011,111 $0 I11111 SO Net Salaries and Wages 111111011111111iiiimm1111111011 9167 gog//......„.:,1...1.1 ,t150 308 loarr,11,14 Kgr/o, $16,701 "1111111111'411111111111 , ,pposukelEw 4" , mildMILA,;,i,j/,!It Staff Benefits(Specify%) 35.00% :1110111111,111111171 $58154 11101111111 $51608111,11111 $5,8118 1111 I 110 11I,Nrfic11.1401 lioieorxmvomoosszvmgy/)sg/v,lo miiii1111o0 iwol'0,141k1,orm$225403ii!lania 4t*,$29Z916,litialtNiki2Z547 II.Operating Expenses ,,,,43ogt*;0000;iiiuiuuubonvaromojwocl'orint;4;JX443tp&WEEFEMM Travel Training 119 $1,400 em:911:10 E::,1,1arloll $10501:11111161111I III111Ili; $1,400 0 00./: , III $1,050 0 00% $0 100.00/0 $0 100.00% $140 $1,050 Viratal OPerOfff.f g.i'ertibit#04dinganrr,lagfivio*,*,,,O0V0444k:23161, iiiiiiNE Yee 5142 45011:11FNE,kA141,0x0/$0 Sflial2 79';OKAZ450 III.Capital Expenses III MI:IiiiliMILSAIRIK:1:401126:22,21 III.Total Capital Expenses tit: ' ' ' ' v,,%kanovo Algrgutro,A mum finnicanrommir smarharl promPanno Inannilorp Mr tititiOMPOPkg.411;er i 4 l' 4 0 0 III A d d 1 mult.:,11111Liniong000,„0 ,400d1,„,....iodullit.,„,11.,:kuia\butill IV.indirect Expenses i„,;Aiiiiilitatlolitt301;51;1111113122211iffililiNEICINMAINNESIN El Internal(Specify%) 10.00% 1111111111:111111: $22,547 111111111,1111111:14:111:11 $22,547 11111)111,111:111111111111k1111,1at:11t,::::::::,1,1,1,1:„„oppoiffill1,1110:111111111111111 0,00,1111111111111141111,311111 ,„,—.,.::::ilusionipraram,„„:„va.:::dri.,101,,, ,,g6R,0.4,,zifir 1,,Algq,,, 4,, 1,u,-,4vtkauosA. KjatitrildVeRtg*OteeKOMMOMIMMVStaffiekAAMar tiiiiiirgik;i1Lio?igif 00S0422447009iikkigt Mhie6100010111010S,00000422,541 V.Other Expenses illifillig,11.,i5i001,41EVElliiIiiiiiitiPS:3 t2lititil01/41001152:151221 V.Total Other Expenses li&IMPEIAIIIktegliaiiikAtalt160431 , 011,0:151,110:9GAMISMI Budget Grand Total 11 :lill,:10110111:i/P45:2501460`11111111:11 1171 A$202:91161111111111:)/111111147:844 1 "1: ,21 OA D11-1111) 11( 431 19 530-552-4004 kbrownebutlecounty.net Prpetired By(Print&Sign) Date Phone Number E-mail Address ..- : : / 1 1:4111 ,/ 1-//e - Lc) (--1 7" ' ' '1 '1-4/ -toe - la i ,...!,-,/r . i ..,,,(t i I ' 4:7 530-552-3898 kg ray@buttecounty.net CH P Director Or Deputy Director(Print&Sign) - Dile Phone Number E-mail Address Revised 0612019 1 2 e)_..... Page 1 di 4.... Budget Justification Narrative HCPCFC Base Program—Administrative Budget No County/City Match Fiscal Year 2019-20 Personnel: $225,463 The personnel expenses reflect a staff of two 100% FTE PHNs, a 100% FTE PHN Senior and a currently vacant 10% FTE PHN position. The HCPCFC Administrative Budget and Department of Employment and Social Services (DESS) Foster Care Budget combined provides a total of 3 FTE Public Health Nurses at 65%/67%/65% and one 10% FTE PHN on the HCPCFC Base Administrative Budget and 35%133%135% on the DESS Foster Care Budget. There is no DESS contribution for the 10% PHN position. FFP percentages for the 3 100% FTE Public Health Nurses/Senior and 10% FTE PHN are 90% Enhanced and 10% Non-Enhanced. Travel: $1400 Staff travel expenses are calculated at the IRS reimbursement rate for private vehicle mileage. Travel costs are associated with the following HCPCFC activities: Case Management meetings, regional and/or state meetings, relevant health or technical training, and other administrative program activities. Training: $1050 Training expenses are associated with registration fees and/or course materials for staff attendance at conferences, trainings, or workshops. Indirect Expenses: $22,547 The indirect internal expenditure includes the department overhead costs identified in the cost allocation plan prepared in accordance with Federal and State guidelines. Other Expenses: $0 No amount allocated. 2 — F[( S 4, Department of Health Care Services Integrated Systems of Care Division Health Care Program for Children in Foster Care qp State/Federal 4* Budget Summary Identify State/Federal Funding Source(Base,PMM&O,or Caseload Relief): PMM&O County-City Name: Butte Fiscal Year: 19-20 Enhanced Nott-Enhanced Category/Line Item Total Budget State/Federal State/Federal (25/75) (50150) A (B=C+D) C 0 I Total Personnel Expenses 554A28 $51,161 $3,267 II Total Operating Expenses $2,296 $0 $2,296 III Total Capital Expenses OPPOOPPERMill ,,,.1,,,',f oiditeleNttiOitailbriltid•Wri IV Total Indirect Expenses $5,443 illlArt,IM $5,443 V Total Other Expenses EIMIRRIMMER''r'104591NRICAli MinSkii40,211 Budget Grand Total $62,167 $51,161 $11,006 Enhanced Non-Enhanced Source of Funds Total Funds State/Federal State/Federal (25/75) (50/50) .... E (F=G+H 0 H State Funds $18,293 $12,790 $5,503 Federal Funds(Title XIX) $43,874 $38,371 $5,503 • Budget Grand Total $62,167 $51,161 $1t006 49P 530-552-4004 kbrown@buttecountieL Prepared By(Print&Sign) _ Date Phone Number E-mail Address 17/1 (2 1 ( (' ' 7 121' ( ,',7'/ 0 , 530-552-3898 kgray@buttecounty.net Ci-IDP Direj Ctor Or eputy Director(Print&Sign) bate ' Phone Number E-mail Address r „ Revised 0612019 Page 1 oIl D 1-1(:s Department of Health Care Services Integrated Systems of Care Division 44 Health Care Program for Children in Foster Care qp StatelFederal Budget Worksheet ... - [Identify State/Federal Funding Source(Base,PMM&O,or Caseload Relief): PMM&O County,,City Name: Butte Fisca13qiiFT19-20 Column 1A 1B 1 2A 2 3A 3 Non Enhanced Annual Total Enhanced Category/Line Item °A FTE %FTE State/Federal %FTE Salary Budget State/Federal (25/75) (50/50) I.Personnel Expenses 11100100,0111IIIRNegigeriPPA00, ommirm, 110i,a'i,iti,0164,54f1f,00411,410,119r10rIClifillpvggiv[my,gggs # Last First Title P„1-1,N ifittlia,",,!,''"'",,,,l,101611011111,0,5,011,,,I,Mij,"„1,11110,4,1,1'1,1,410111110""144Pik4"44g14‘l'rkii''''''''00°110#04' WN IN5100011101111110M2=0"31111,11,11,1101iPlii ' iii!,,,,,p0,141"!alBilk,,,iplig,1.0664bitii08111010 iff 40!000 1 Strait Linda Public Health Nurse 2, $0 $000 $0I 100.00% $0 3 $0 $000 $01 100.00% $0 4 $0 $0.00 $01 100,00% $0 0 W 5 1 _ $ _.............,. $0.00 I 100.00% $0 ,_..... 6— 1 1 $0 $000 $01 100.00% $0 7 $0 $000 $0 100.00% $0 8 , $0 $0,00 $0 100,00% $0 100,00% $0 10 $0 $000 $0 100.00% $0 11 $0 $000 $0 100,00% $0 ----, 12 $0 $0.00 $0 100.00% 50 13 $0 $000 $0 100.00% $0 14 $0 $000 $0, 100.00% $0 15 $0 $0,00 $01 100.00% $0 16 $0 I$ 00 1 $0 100.00% $0 , 17 $0 $0.00 $0 100.00% $0 181 $0 $0.00 $0 100,00% $0 19 $0 $0.00 $0 100,00% 50 20 $0 $0.00 $0 100.00% $0 -Total Number of PHN Staff1 0,50% Total FTE PHN Staff i Iiiiirliellf 117161191PPRIMPliiillIfilliirgilido,""flifitllivlitlWIti0.14,ittpl6914000f6worotailo, 11010111101b1M10411440811111111111194,05%liettitatallIM8,05510 rillegglifii Total Salaries and Wages tig1111;;;;iiiiiiiii $38,875 iiiui,j6iiiii $38,543 ItKiillitt $2,333 Less Salary Savings l',""""""1,1,11illiiiiill I 181148401 $0 Fillifiiillif" $0 iCiiiiti; $0 Net Salaries and Wages ii„,12111511Cillii ill ' IIIIIi‘ifirtifutiq 838,878 ifing $36,543 1PMPI,""O' $2,333 „, , , ,,Jimvommoi rm V1*, Staff Benefits(Specify%) _1 40.00%illueleiliiiiiiPi!,!!!” $15550 iilliONI $14,618 littglittite $934 LlibtaliiPieti6 *Ei646 ,(flAileiti,i8k4lill'OPIP,010305001"00,6401,/ii%/ElMntibiiiiMiltifidif rIgett"i442$giiiijill rgAi451061 t211^1jititt,,PA0,44,,,143267 II.Operating Exp,erIIIIIIIIIIIIIIEMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIE iiigidigliPii,iiltriellfigneignilgiRIFXREIRIMPIPROORIMMEI 1 Travel $1,200 irdilimilliii4iiiiimmi0 4111'1711,', v, , Ai200 2 Training $1,096110millivetlifTgimiiilt $1096 HO% $0 100.00% $1,096 CT640;0;'erailififfiperfeeektipeiNirillailygAigniVialgronNA illogiiiiiiiiiiiiiipit,' „ „Nor r04ifipmiir io,lvd,y,offt294 mfEl p w 8Z296 III.Capital Expenses Biliiiiii404,088006 reiverioliviariviouvo•Tuivivii,viCilifiv,,,,,ritii,,,,,,,roolumminvon, V q 1 All iiir6,0pgilli8liorm2468014160606051i6600AM;lialNlialliki&fald Ill,Total Capital Expenses "StirllIlltlitl!%!I!11111'VIIIIll;all'ilillrillkll;11111u1!''I;iIl'I'''r'"'1"I 114i MIEIRIPTIIii110101160101010121111n2ibISEAR IV.Indirect Expenses 1116111,1118010.0,000cZnyill " i Ifiiiiiqiilialliiitralle,PA ViCr",2704RINUNgii 11111110114 ,,,, 500;443,0,0 „,toeo.„,,,,er„ 1 Internal(Specify%) 10.00%il'ifiiiiiiiiiiiiiit1416011 fiderifilioliiiiiii4.OfiliMAA0,41 $5443 2 External trtilliNfnliO11111102engliiiiiiiiiiiiiiiiebillitiligill1121111212i1 1V Total tridinfietEiPeniiiifiliiviPORP"i11/9/ii,v4PRI/foriVriorii,dipiPTYTITff s 1 i,, , , , , . ,.0 ihf,i,4.I,* 444,1//,,,74 f,014 0/,J4(re MO v,t14,woaa,A0P,,,,P4mo1111,11,011011ervetilli!IISitilfflillIMIllg5443A4v,fek ,, 1 NomPlmm 1110611,15 CIOREEZ1451 p;110#V1.5)'43 V.Other Expenses ,5161ii;dommonow'.,1r,ohnum,AIHINEMINMIEMI Norphinununic,'lumen ''' o Mul hfirroP44t 411.411 ALIA.....0111r'"r.W F. IPEMPLINiliiiigarlibROOMMINAMINtilifialhhtlabilideL:AkiNkt V.Total Other Expenses EtiiittEEMMOMItiftletillielliPligNieffiiiiiiingliPliariall Eruadef,GeAffdlOWNIMittifarIVROIMktitOVIYMfitIMMeglIROMItitiiiiiiioiiiii0 $67i16,,Click ii,iiitiiatiii itiAti iiviPi'l 006 c ,,, .. (0 f ( 530-552-4004 kbrown@buttecounty.net Prepared By(Print&Sign) Date Phone Number E-mail Address 530-552-3898 kgray@buitecounty.net CHDiDirector Or Deputy Director(Pr0 int&Sign)} l' i , Date Phone Number E-mail Address Reviised CI6J2019 1 7,) I --- Page I of I Budget Justification Narrative HCPCFC PMM&O Program—Administrative Budget No County/City Match Fiscal Year 2019-20 Personnel: $54,428 The personnel expenses reflect a staff of one. The HCPCFC PMM&O Budget provides a 55% FTE Public Health Nurse. FFP percentage for the PMM&O Public Health Nurses is 97% Enhanced and 3% Non- Enhanced. Travel: $1,200 Staff travel expenses are calculated at the IRS reimbursement rate for private vehicle mileage. Travel costs are associated with the following HCPCFC activities: Case Management meetings, regional and/or state meetings, relevant health or technical training, and other administrative program activities. Training: $1,096 Training expenses are associated with registration fees and/or course materials for staff attendance at conferences, trainings, or workshops. Indirect Expenses: $5,443 The indirect internal expenditure includes the department overhead costs identified in the cost allocation plan prepared in accordance with Federal and State guidelines. Other Expenses: $0 No amount allocated. 1,H C S , Department of Health Care Services gP Integrated Systems of Care Division * Health Care Program for Children in Foster Care State/Federal Budget Summary Identify State/Federal Funding Source(Base,PMM&O,or Caseload Relief): Caseload Relief County-City Name: Butte Fiscal Year: 19-20 Enhanced NomEnhanced Category/Line Item Total Budget State/Federal State/Federal (25(75) (50/50) A (B=C+D) C D I Total Personnel Expenses $108,850 $97,965 $10,885 II Total Operating Expenses $1,948 $0 $1,948 Ill Total Capital Expenses NA&L:::75141;filni1150.011ElltelIVENESSing IV Total Indirect Expenses $10,885 libliMitiNliiitti2111; $10,885 V Total Other Expenses 1adill&d&11ONONIEM;#1,41000 kigglmooRgnesak Budget Grand Total $121,683 $97,965 $23,718 Enhanced NomEnhanced Source of Funds Total Funds State/Federal State/Federal (25175) (50/50) E F G+I-I) G H State Funds $36,350 $24,491 $11,859 Federal Funds(Title XIX) . $85,333 $73,474 $11,859 Budget Grand Total $121,683 $97,965 $23,718 „, i• / I 0."' v (Cf 530-552-4004 kbrown@buttecounty,net Pre .rod By(Print&Sign) Date Phone Number E-mail Address 2 / ) i(m 530-552-3898 kgray©bultecounty.net CHDP Director Or trputy Director(Print&Sign) Date Phone Number E-mail Address Revised 060019 ' 1 ;')74 ,,,,,. mo, "I"— Pane l of 1 Department of Health Care Services 'I E1( -...S Integrated Systems of Care Division qP Health Care Program for Children in Foster Care State/Federal Budget Worksheet Identify State/Federal Funding Source(Base,PMM&O,or Caseload Relief): Caseload Relief CountyCity Name: Butte Fiscal Year: 19-20 Column 1A 1B 1 2A 2 3A 3 Non Enhanced Category/Line Item Vo FTE Enhanced Salary Budget Annual Total %FTE State/Federal %FTE State/Federal (25/75) (50/50) , ommillimmormpil,,,,i,,,,,,„,,I,,,,,„,140,411,,„1,1,,,,,,11,,,,,,,,i,,,,2,11,,,,Engssigolippillogiol V.Personnel Expenses lin„iiiiiiiiiiiilli4,„,,,I;111„:,mRA,FA,Ftima wagita;i0inalPISTIMPTVINI,;214,110010.1110411 111111,11 olino1111,6,11„„„„4,,,„110.„,:o i 11t111111111111"mar!'"'"""11111 'I"' , l'io11111111111111111111 leithlobigriir000$1,1,1 111 Last Fi rst !ix ilrkriraaifffdetfidikedikddidffddth vim hilliggirEinillifilil ON „.' ' '"d": 1 i II 11M1,1,1,111,1,111,111,24Bill iliallESNOthi ORRIMIIIIIIMINFISMN.6 I Johnson Jessica ,Public Health Nurse Y 100.00% $77,750 $77,750.66 6:66;. so s0.00 $69,9$705 10100..0000'; $7,77$90 3 $0 $0 $0.00 I — $0 $0.00 $$00 110000:000001, $0 4 $0 $0,00 $0 100,00% $0 5 6 $0 $0 i $0.00 $0 100 00%1 7 $6 $0.00 _ $0 100,00% $0 — 8 $0 $0.00 $0 100.00% $61 9 $0 $0 00.00%,00 $0 1 $0 10 $0 $0,00 $0 100,00% $0 11 $0 $0.00 — $0 100.00% $0 12 $0 $0 100.00% $0 13 $0 $0 100.00% 0 14 $0 $0,00 , $$00:00007 $0 100.00% $0 1 I I, $0 100.00% $0 15 $0 $$00:0000 $0 16 $0 100.00% $0 17 $0 $0.00 $0 100.00% $0 18 $0 $0.00 $0 100.00% $0 , 19 ,. ___ $0 $0.00 $0 100.00% $0 ,...„ 20 $0 ------ 1 OOPEMENNa trall:1111,1111111111,11',111,1c111;111111,!ig,,,o,e0;04:44;411,,,ill, ..^AO/ ORIIMPRIC:0$400 44!WAH''''''''''1010A PVIOSEblifi,,BICAIVIIW Total Number of PHN Staffillitilloi‘kiiiiiiLdi,',,,i,'ili!!!0:01fild!0!°/dri lidl,,!,,,!!!2111,11:,,,,,I,Irl,:illy, lifilifilffil21;0110119,51911, 2,11111 Total FTE PHN Staff 1.00%ini$111i$911001110161110ffiffiffeik! 10.00% 012idieffiihoddiiiiidi 1111111111.1.1 vetemvtatntiii vael;ji11111livju'al''''42341449' ''''''''''''',, '"'"-' ":-$05 diadinfilti,:"";;11!11;12121211mi $77,750 ritaglin $69°9$705,Ilddillitillidc 1,,,, Total Salaries and Wages ,,C,i1,idd!ffiddikelliediffedffilliddekd $0 irevii,..., .4,,,, viead„,,,,,,sule, ‘PIJ arred,...ii.,,,,,„..., Less Salary Savings Net Salaries and Wages 40.00%IVIlli,1,1,1,1!il,jliiiill111111111?1111111?IiIIIII'llti,.:1111i11;;Ioill1111111illilii,iii1111,1iiiilili;i1 ;Ii,1,1,;;111:11:iii1111,1:11111 $31,100.7,750 iiddligitii; ii........ieataueurriillet Ildeliiiiiiii, 3, 0 s$289799970511„111111,d11 s$7,71-715 I.,.'Vli(i112121,0141 ito'11cini'c' 411,00#04froolgvill,885 Staff Benefits(SPecd1Y%) , ,,,,,,,,,,,r;„,,,,,„,,,q.„ 1.,*40,,,didlgt,,gkii Ilidi' Rddillidd4142$1111,higli rarl$40,8650,mdiNg;11,,,EY, , ,„,„ ,711,„„ grlFA;ktii'migAiip,imvgvjiq piT6firp6[eii'ai*,i(tgkiji**MfKlvtagaswgmmewrfPi4Aqggagar;4m,00''*'"'v"-''ib!;ifgiggtxoGMERFzixpogmprqnmooppmpogtktjiggjtgpihihdIshguakggamksB% m...I'iiigiiiiiisnemapietoymriggAgsataJ„:„ E 8,,,,..............,„......,.... . $,a 100.00% $1,050 II,Operating Expenses $1,050; i111141gliglilligitt $1,050 0.00% 'Travel iereediliidaldireideadiammaing $898 0.00% $0 100.00% $898 $898 iiiditiddidniiiit 33111114,1114.1v-,.- ,., ,Arnell1111110111141,1,',7 Pikg05'0/100f$011141011, $1 948 ir,,,rl'ilf.rarktiYAlki,-„i4r.c:,r .....-4,,,,-,y,,,,,nr,o;ro,,,;,,,,,,t,,tmc,43,p,p,p,Agjoh,quoang0;1440111fig Iiiiithilitiiiaalligo,,,,,),f.NE'.0<,,'11!!„7„,,looloir4v4loti;oiiisiiiiiiih;lipapfzwriptivq,,, w,,,:,,tykq,`",,y•,,F119,19P'',,,'rr,7,F"A'"'"W'"'"''''''''''''"''''''''''''''''''-''''''''''''''''''"''''''" '''''''''" 01111011111111,(511111119,EIMEIRMINAllaigibagel*51104100111atirtOfigef414114414 III,Capital Expenses aiiiiividienidic.iiiiiiiidmitietddtil gddiiiiiinadvaiimemmaximiendffeiltdiMadiffeitelffirditriffilliallikiittedialiiiiiiiiiiil qakNaaaaupt,I,,,,,,,,,,,,,,bsi000l*dLgilild51,illlmimilmIIIIIemmor.,4004it::uoill6mir4,,,rlwmrn.wwr, Ill.Total Capital Expenses dFiedideidied1,121122ilfitiadirggiiiiiitarmarruffistraseleaffilikaiiiipelleffillarapiottkikinagla'11 '‘191iii morminialita 1,I,I,I,I,I,I,I,I,I,dddddghaapd4ririmdaffidffygdiatipiatxdkrd.dmd,idskodaixdpddiiitiidtgi„ediiiiiiaiiiaaai,dddaLitriar--odaiprid $10 885 IV,Indirect Expenses 10.00%didelhdlitiddilididlid, gagd,I,I,p,d9,1,1,1,1,1,1,1,1,110p:„„1,1,1,61.1,0503 migitugsd. ,,,,,„ In,:,,,,,,I,,,, II Internal(Specify%) 1 ,,,..., ...1..„9.1',8„,„!.3i'ffildedlidaiiiiidiiiiieuddialeiiligippadmapidadd$4,aii0kapdaddiSiiiiiia iiiivadadipmisooldliodoodultddiAtdidliidadvillaggeLliddaggemmailsRAilt,,,,4111,1:iddya,1„,i.diaiLver 111111111911151'11'tedmiliz'filidiii1117111/14 11'8,gt liediliellettplifilittaldMillifflpffeffaffili'Old31264,10885 ExternalfitiilIiiiidfVW—Mlielfolt gfftff'gbi/iiVW'1iftr''fiiRgrri'7,1f10ftBflf&Ai;01/NidffkiddiddSdigidiidi!ldqddditfdOd',1,11fdrlkit 16'044 0i;,,,,,,,,:,,L,,,,,tOrikegg toriliFFEneiliiiilipirprIgoopmir 0,6113,.t, ,,,,,.;,.,-,,,,-,0-;,---,—,td,- ,,,,,,47,,,,,floadvio,,,i/Aum,04,,%,%''''' '''''''*''''''' ' r illigi,iiiii:141111,1111111111110411filiittaill1440411glisii:Itfillik4410464,40vitlr V.Other Expenses dffilidd$d: '1292DeaddegkgiliftiandirrildlidliiiiNikamitepeelidligiffillgiPlefflikiltailialiddibtildeiddlOid 19111BdateifeePfei1001,00)141416111'1,111411°14'edikartadiiir115im ,iiii/065,spopplikfgofra;$23;718 V.Total Other Expensesthw$IZif,..683 deaudagadial Jialoviif, ii . butl,41,1411116,4d lul , "' Bild66,(Gf460!;,,oti,tog,gtomiwtolorgegliorpmAktm/ m,,e00,44,0:,,,ft,46,,, n Alb.,, , 1. ,,„,, 530-552-4004 Xbrown@buttecounty.net Prepared By(Print&Sign) E-mail Address Date Phone Number . . kgray©buttecounty.net , . -- ).:7/;'4(;) ),, 7,4, il„,--74?-6,-J Ice, bate CHOP Director Or Deputy Director(Print&Signl, '- - I . ''''''' //91' P5h3o0d5e5N2u-3m8b9e8r E-mail Address Page 1 of I Revised 060019 Budget Justification Narrative HCPCFC Program Caseload Relief—Administrative Budget No County/City Match Fiscal Year 2019-2020 Personnel: $108,850 The personnel expenses reflect a staff of one 100% FTE PHN and one 9% FTE PHN provided by the HCPCFC Caseload Relief Administrative Budget. FFP percentages for both Public Health Nurse positions are 90% Enhanced and 10% Non-Enhanced. Travel: $1,050 Staff travel expenses are calculated at the IRS reimbursement rate for private vehicle mileage. Travel costs are associated with the following HCPCFC activities: Case Management meetings, regional and/or state meetings, relevant health or technical training, and other administrative program activities. Training: $898 Training expenses are associated with registration fees and/or course materials for staff attendance at conferences, trainings, or workshops. Indirect Expenses: $10,885 The indirect internal expenditure includes the department overhead costs identified in the cost allocation plan prepared in accordance with Federal and State guidelines. Other Expenses: $0 No amount allocated. Stale of California-Health and Human Services Agency Department of Health Care Services-Integrated Systems of Care Divislon Percent"'owl cub- CCS 5 FINAL CCS CASELOAD Actual Caseload Caseload ' STRAIGHT CCS. 51 °.94% CCS Administrative Budget Summary Total Cases of Open(Active)Straight CCS Children from July 1,2019 to September 30,2019 OTLICP- Total Ca of Open(Active)OTLICP Children 124 12.00% Fiscal Year: 2019-20 MEDI-CAL- Total Cases of Open(Active)MediCal(npq.OTLICP)Children 658 83.06% County: Butte TOTAL CCS CASELOAD 1033100% [[ Col 1=Co120304 i Straight COS OTLICP Medic (non-011J CP)(Column 4=Columns 506) I Column I 1 €I 2 I 3 I 4 I 5 I 6 € Optional Targeted Low Straight CCS Income Children's Enhanced Medi-Cal Non-Enhanced Medi- Category/lEnoltom Total Budget County/State Progam(OTLICP) Medi-Cal StatelFedenl SGdJFetleal(25l/S) Cal State/Federal (50150) County/State/Fed (51550) 1616188) I.Total Penonnal Eapenso 221,032 10.912_ 26533 183.586 78.226 107,380 II.Total Operating Expense 15800 930 8256 16614 0 15,614 III.Total Capital Expense 0 0 0 0 0 IV.Total Indirect Expanse 44.206 2.182 5.306 36.717 6T,S°yt6.40 36.717 V.Total Other Exponaa 10.050 496 1.206 6348x54. 6348 Budget Grand Total 294.088 14.521 35.301 244.365 76,226 188.039 Col l=Co)2.304 Sh0511000 OTLICP MediCal(non-OTLICP)(Column 4=Column.5*6) IColumn 1 I 2 I 3 I 4 I 5 I 6 Optional Targeted Low Straight CGS Income Children's Non{1I 008 tl 0081. Source of Funds Total Budget County/State Program(OTLICP) Medical Statl/Fedeni Enhanced Medical Cal State/Federal (50/50) C4untyiState4Fed SfalrJFederal(75/15) (50/50) (616188) Straight GCS ':'; z�,ati- fTIWYSI''s 5?a.,..V?T6,; t :,ia :IP'! ' $ 5:--,,a,-,40,1,,n St.r :?'e',.,, Stale 7260 7260 ; Stale of Calilomia-Health end Human Services Age.), Depadment of Health Care Services-Integrated Systems el Care Division Yemen)Caseload 10` tal -t FINAL CCB CASELOAD Actual Caseload Caseload STRAIGHT CCS- 51 a.94% CCS Administrative Budget Summary Total Cases el Open(Acfine)Straight CCS Children from October 1,2019 to June 30,2020 OTLICP- Total Cases a1Open(Active)OTLICP Children 124 12'00% Fiscal Year; 2019-20 MEDICAL 1353 83 06% Total Cases 1 Open(Acte)Med lel(DOB-0TLICP)Children ivCounty: Butte TOTAL CCS CASELOAD 1033 100% Col 1=Cs)2.304 Straight CCS OTLICP Med)-Cal(non-OTLICP)(Column 4=Columns 5.6) Column i I 2 3 4I 5 I 6 Optional Targeted Low Straight CCS Income Children's Enhanced Medi-Cal Non-Enheneed Medi- Category/Line Item Total Budget County/Slate Program(OTLICP) Medial State/Federal SaalFedeaI(2575) Cal State/Federal (50!50) CountyStalelFed (50150) (11.75111.75!76.5) I_Totel Personnel Expense 681,325 33,638 81,765 568903 229530 336.273 II.Total Operating Expertise 58490 2.888 7.020 48.501 0 48.581 A`Tdt. III.To appal Expenseo 0 0 0 � a .._.� o IV.Total Indirect Expense 130,265 6.726 16.357 113.100 )'... .,^. _'^a 113.180 V.Total Other Expense 72,500 3.579 8.702 60.217 r+ r. .Ls'46.7''I li 60,217 Budget Grand Total 948.580 46.833 113.864 787.881 229.630 558.251_ Col l=Ce)203.4 Straight CCS MCP Medi-Cal(non-OTLICP)(Column 4=Columns 506) [ Column 1 i 2 I 3 i a 1 5 I 6 ' Optional Targeted Low Straight CCS Income Children', Non{nhartced Med) Source of Funds Total Budget CouetyISlate Program(0TLICP) Medi-Ca1 State/Fetter. EnM1anced MeCal 51.a1Ferteeal (50150) County/Sate/Fed State/Federal (50150) (11.75111.75(76.5) Straight CCS , Ara, :��µz E""�'"v ,S F,"'I sz;, ; r' ,;5i�'. : 4 Sate 23,416 23,416'ice. :t'V.':0_✓.$ .la 'hi..t-.UNii% .SS E'?==''i't..r:3s' :: ., County 23417 23,417 f4 S .. AIIW '-E.ES "G 1, :\i '�*,`,1:`r7..t73 w`. OTLICP + `n " 4"._- MA s ft14,� egiV.ria 41 Sate 13379 YIFd, - 13,379 -... •:t 8-f'."-. N0.-' aJu a 4.',2`fah'f.'0 00 .. XaV.v6..`Xf`3 County 13.379.:49.66,3)1W4BEAW 73,379'x` �',{"^g., :,.xis ,ORE"'E-C;It;,F:. ''..„. Federal(Title XXI) 87.106't9.1-9.400k.'",14,4 87.150t' .�k7`1Y1 .bk,^�t.' Y, •:^':,`'l e.;: ...4,,,40.1'.4.15 M14100) l� Wag" d"d - --.'� d` r C �fi'I' , .x -2l-^i":s�' `cam.:..,-Xgv „c”5. r,1 51.15 336534, .i,5„�"p,."?.xi-ate.„',2424'''i.0,,....':'q3' 336,534 57,408 279,126 Federal(floe XIX) 451,347 t<Y-,7{BRp M ,+, ,,.... '•,'' 451.347 172.222 279,125 1 Janet A.Peek jpeck(ahuttecounty net ..w• Prepared By(Signature) Prepared By(Panted Name) Email Address V Janet A.Peek IPeckcabuttecounty.net CGS Adminidualer(Signature) CCS Admini5later(Paned 0oma) Email Address 1 State of California-Health and Human Servkas Agency Department of Health Care Services-Integrated System of Care Division Pefdent 01 Intel(.(.S FINAL CCS CASELOAD Actual Caseload Caseload 51 486% CCS Administrative Budget Summary STRAIGHT CCS- TolalcasesofOpen(Aowe)StraightCCSChildren from July 1,2019 to June 30,2020 OTLICP Total Cases ofOpen(Actiy6)On ICP CSBdreo 124 12.00% Fiscal Year: 2019-20 MEOI-CAL. Total Cases of Open(Active)Medical(B9L-OTLICP)Chaklren 856 83'06% County: Butte TOTAL CCS CASELOAD 1033 100% col l=Col 203.4 Straight CCS OTUCP MediCal(non-OTLICP((Column 4=Columns 506) I Column I 1 I 2 I 3 I 4 I 5 I 6 • Optional Targeted Low Straight CCS Enhanced MedlCal Nen{nhaneetl Madl- Category/Line demTotal Budget County/State Income Children's Me61-Cal State/Federal Cal State)Federal Program(OTLICP) StalelFederal(25115) (80150) Couny)StatelFed (50/WI I.Total Personnel Expense 902.357 44.551 109.318 749.489 305.856 443633 II.Total Opara8 ng Expense 77.290 3.818 9.276 60.195 0 64195 III.Total Capital Expense 0 6 0 014 a 0 IV.Total Indirect Expense 180.471 8.910 21,663 149,897 '7.'-�, +..'e' 149697 V.Total Other Expense 82.550 4.075 9.900 68.565 '' `^; 68.565 Budget Brand Total 1.242.665 61.354 149.105 1.032.146 305.856 726.290 Col 1=Col 203.4 Straight CCS OTLICP MediCal(non-OTUCP)(Column a=Columna 5 01) I Column 1 [ 2 I 3 I 4 I 5 I 6 Optional Targeted Low Straight CCSNon{nhanced Bed).Income Children's Enhanced 12517) 5011118 of Funds Total Budget County/Sure Program(OTLICP) Madital StaterFederal State/Federal1251781 Cal StatedFederal (50!50) Countyf5tatelFed (50f50I Straight CCSrte-i�f _kg TAV. 1'u.EVA—�.G'�..�� . - ':''. .5 ANy 7 .° "": 1 w� State 30676 30.676 ._ .;'b', f t'y+ $bL" "-0f''s�.'wS'�tr�: 1'a`b.` .-,. County 30678 30678'", ia;)' 53% 53'4 v c. ` S. d''ca,4,. �. OTLICP .-.. s32 ,ti9i'�? "u.''s,4' �.r:�s. t."..a„- f,r .' "z '�a:: : :`s 5618 15,497:�'.4S�,�^'�.-�`„�kz`*�`,�`�.`viT�S� 15.497 SW...2.4 " ;,...-!dam+: gf..�',�, ,m raw County 15.497 W. 49,097 g$`% ` .*:•./..°4!•*.% Al4ri - 4I Federal{Tete XXl) 116,171 .4OLWS.it, 118,571 &P,6e"a#'' I % ern`� •v-'''h- Medl.cat 'g kgziii ., .. �`'4bq_..:zkin�$,.x :.".;:v;." ,'ms's= i,n"t,' '�':� re- Stale 430,645,:,--+. c .-Y--.. .,.'"-.'".:: ".mob la+.f? 439,611 76.465 363.146 -'-'�'S ..!5=��.A 592,535 229.391 363.144 Federal(Tide XIX) 592.535' ,.ti,-:::rL�l�`-�•���it.�?7,��..^`.n• ...redJanet A Peck jpeck(albuttecounlv.net Prepared By(Signature) Prepared By(Printed Name) Email Address 0.3 Janet A.Peck jpeck(Slbutteca unty.net CCS Administrator(Signature) CCS Administrator(Printed Name) Email Andress ���i VVV State ofCalifornia-Health and Human Services Agency Department of Health Care Services-Integrated Systems of Care Division Percent of Actual Total CCS CCS CASELOAD Caseload Caseload STRAIGwrccs- 51 4.94% CCS Administrative Budget Worksheet Total Cases of Open(Active)Straight CCS Children from July 1,2019 to September 30,2019 OTLICP Total Cases ofOpen(Active)OTLICPChtdren 124 12.00% Fiscal Year: 2019-20 MEDI-CAL- Total Cases of Open(Active)MediCel 858 83.08% (rpg.OTLICP)Children County: Butte TOTAL CCS CASELOAD 1033 100% Straight CCS Optional Targeted Low Income Med1-Cal(Nos-OTLICP) Children's Program(OTLICP) Column I1 I 2 I a I 48 I 4 I CA I 5 I 6A I 0 I 7A 7 I 8A I a Optional Targeted Enhanced Non-Enhanced 3 months pro- Total Budget Straight COS Low Scorns IPon- Cale Il3ne kern Casei4a0 Proem.% Enhanced% Medl-Cal Meel-cal Cates %PTE rated (1 x2or Caaalntl% Ccu4190)te a, Children's .% SatnIFedeal FTE State/Federal Enmm�ed% StatelFedrrs Salary 4+•5+8) (MAO) Program(OTLICP) Ery cotStatefFed Warn) (25/73) (sefs5) I.Personnel Expense • ",''•11 o '• • • ,.' w OA, 1••'..," `.-••,"• • • •• :9a • .+•• Program 34511 0tauon 1 1 9 -r P' %11 J � .az°z+s ? „... .; ' '- '-na ., '" - ' ; 5 ,r 1.Janet Peck,Program Manager 100.00% 26,385 26,385 4,94% 1.303 12.00% 3,167 8396% 21.91$• '< t 1 100.00% 21,915 2.Melissalzei,Supervisor,Therapist 10.00% 28.413 2,841 4.94% 140 12.00% 341 53.06% 2.300 " 1 100.06% 2.360 3.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 03.06% 0 {; 'i 100.00% 0 4.Employee Name,Position 0.00% 0 0 4.94% 0 i 12.00% 0 83.06% 0 100.00% 0 5.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83,06% 019,C. i��.r•'. K. 100.00% 0 Subtotal 8o o s,T 54.799 29,226 c' Y.4I 1,443 ,. ° ,{-,,y�� 3,908 T•�g44:o 242]5 ig'may;> . �}ys q.�'aS<6�!. .� 24275 Medical Case Management ',12 4$ WAWA,et 'i4 &1{09.,Et' 22c .2.'0.11'rM&VECM.;vMMEN',4.b'.., ' •'iL.3 4 r12 's '.--','' 1.Melissa tui,Supervisor.Therapist 15.00% 28,413 4,202 4.84% 210 12.00% 512 83.06% 3,540 90.00% 3,186 10.00% 354 2.Felicia Stiles,P60,Senior 100,00% 24,236 24,236 4,94% 1,197 12.00% 2,909 83.06% 20,13P 90.00% 18,117 10.00% 2.013 3,Je00iea6rue¢,p914 100.00% 20,103 20,103 4.94% 993 12.00% 2.413 83.06% 16.697 90.00% 18027 10.00% 1,670 4.Vacant.Public Health Nome,Sr. 100.00% 24,236 24,236 4,94% 1.197 12.00% 2,909 83,06% 20,130 90.00% 18,117 10.00% 2.013 5.Employee Name,Position 0.00% 0 0 4,94% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 6.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83.06% 0 000% 0 100.00% D 7.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 53.06% 0 0.00% 0 100.00% 0 8.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83.06% 0 000% 0 100.00% 0 .t \� Subtotal56,099 72837'i�?1" 3,1"r 3,597-_Ip 8.743,'`E>,-eft, 60,497 yam:r 54,447 my. 6,050 Other Health Care Professionals I !t "`_ `3"?. ` +1 I9) P,"" a y s; r `">> `u'�+ M'�e 1.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 2.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 3.Employee Name.Position 0.00% 0 0 4,94% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 Subtotal 7,zk L",a' o 0're''.'.u' ; 0' a} t h 0&TEM 0 a', g`:�'i 0 0 + Ancillary support Manl A E3�z ezni;z; m�'N:i t'z:J.:.;;t S-�, Y:' t~v f-''.�-E r �r r,�ls:•r '°,' OEM�_;,:'''a1:�' r- CAM.gi;ffy s ,t7,o�f N; '�:Ott li 1.Guadalupe dtoaroz.Client Services Specialist 10030% 11.947 11,947 4,94% 590 12.00% 1,434 83.06% 9.923 FiRa "a)yiy,,;p 9 100.00% 9.923 '..r`. 2.£11801a.00 Client Services Specialist 100.00% 11,389 11,388 4.94% 562 12.00% 1,367 83.06% a.aaa i:q�'"�'5�± J y'�kr,y'.�--y-,�` 100,00% 9,459 e �t 5 Guadalupe Hernandez,Client Services Specialise 100.00% 5,000 5,000 4.94% 247 12.00% 600 83.06% 4,153 `(1'r p maim, 100.00% 4.153 v- d.Employee Nam¢,POSiIion 0,00% 0 0 4.94% 0 12.00% 0 83.06% 0`'�. ,jt -Mr" � 100.00% O S.Employee Name,Position 0.00% 0 0 9.94% 0 12.00% 0 83.06% 0;IREg� f'ex+'`�' 100,00�%{ 0 O bloleI 26,335 28335 W. 1009 MEM 3.401 ¢'g 28535`�`'r �4., 3 ® 28535 - Clerical and Claims Support t7 - .'.` ..'.'C,Ii:: `giifffi "t 11 FRAM. ;... ;07,7,1S2s ` '7.ES 117,P ma ,.,' _.:,mom omm:g.".� fi.�" State of California-Haalm and Human Services Agency Department of Health Care Services-Integrated Systems of Cam Division Percent of Actual Total CCS CCS CASELOAD Caseload Caseload STRAIGHT CCS- 51 4.99% CCS Administrative Budget Worksheet TolalCasesofOpen(Active)Straight CCS Children from July 1,2019 to September 30,2019 OTLICP Total Cases alOpen(An )OTLtCPCnla n 124 00% Fiscal Year: 2019-20 MEDI-CAL Total Cases of Open(Active)Medlcel 858 83,06% (606.OTLICP)Children County: Butte TOTAL CCS CASELOAD 1033 100% Straight CCS Optional Targeted Low Income Medl-al 1681-0T1.1CP) Children's Program(OTLJCP) Column I 1 I 2 I 3 4A 4 I SA I 5 I 6A I 6 I 7A I 7 I 8A I 8 I Optional 00,981ed Enhanced Non-Enhanced 3 menu pre- Total Budget Straight CCD Low Income Non. category/Linettem CaaeleW Medl Lal CaM1anree% Medical Medical %PTE rated (1 x2er Caseload County/Slate Children's Caseloatl% EnM1anutl% _:.Salary 405-16) (50150) % Program(OTLICP) State/Federal FTE StatelFotlanl FTE SalelFedanl CofataletPed(616188] (26175) (501501 1.Debra Webb,Supervisor,Client Services Specialist 160.00% 16,083 16.083 4.94% 794 13,00% 1.931 83.06% 13.358 0.00% 0 100,00% 13,350 2.Vacant.Administrative Assistant,Sr. 100.00% 11,399 15,391 4.94% 563 12.00% 1.368 83.06% 9.468 0.00% 0 100.00% 9.488 3.Employee Name,Position 0.0095 10,020 0 9.99% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 4.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 5.Employee Herne.Position 0.00% 0 0 494% 0p}12.00%� 0 83.06% 0 0.00% 0 100.00% 0 SU Metal g` `. ?°40 37,502 27,482 1,357£t f,1 3.299 a 22,026 t -`'0a3c 0 'P1 22,826 Total Salaries and Wages s`a,.•h :4X.X ';pgpR rt:' 157.890 4.94% 7,795 12.00% 19,952 87.06% 137.733 41.52% 54.447 58.48% 76,686 Slag Benefits(Specify%) I 40,00% '70'- °: x£32.0 63,152 4.94% 3,110 12.00% 7,501 8346% 52.453••••‘,.44,.0 21,779 Ngr„A. 30,674 I.Total Personnel Expense .g' 4a.:j_l�:'�(t 221,032 y 9.99% 10,913 i�,10,913 13.001-% 26.53333, 83.06% 143.886 8 ? 'i 76,226 ,y 107.380 II.OportIne Wenn(1 mrea Oiontno - o)''`: .1 }; : !(','V°'."ZIE.77i2 ..�s'.�.vr£J'.�w1 ..4 giW e t:'e . V s�.�i al GEpn�rt�_ .'t.I� re -e '4.-a1`.. 1.Travel _X.,", • ?#=5}:i_•¢ 500 4.94% 25 12.00% 60 83,06% 415 0.00% 0 100.00% 415 2.Training rT' �.7.'-.,'s s 500 4.94% 25 1240% 60 83.06% 415 0.00% 0 100.00% 415 3.010ce Expenses _+ TH '. ` ai 1,550 4.94% 77 12.00% tab 8006% 1287 J.5 Ix.. b ¢T , 100,00% 1,287 4.Rents/leases e ;�, -'1 7,750 4.94% 363 12.00% 930 8396% 6.437;.o�,,,,-r"f-cA.'L �1. 1'2= 100.00% 6,437 5,Jan iI III .fflI ?'a�M{�as''''' la : 1.500 4.94% 74 12.00% 180 8396% 1.246'. mo . T. y:'mom 10000% 1,246 6.Corers I a0on �M ,.•h • 'Ati& ? 5,000 499% 247 12.00% 600 83.06% 4,155';•'Y P. r.... 100.00%V 4,153 7.Memberships ;;tt�::'�1'a`31'SrS8 a`'t 2,000 .y4�.94% 99 y.r,12.00% 240 80.06% 1,601 y'Y' 30'i ` �-. A.�+ .g�•.'� � "•C�._.' •'}%�:,;thn'S;.", 100.00% 1.66/ II.Total Oparadng Expense(for:three m0818) ?' ^.,m i 18,800✓ is M 930 ba 2,256 seam 15,614'. -` .- N` llhT'03 r 15,614 Ill.Capgal Eepenso(forairie months] ': `01.»Y'..4'1OMR L,ii1lS# 3.KMs .�_ >A3,<"7i J,''','` t,:kffl `sd�"..MOM.Y.p't."� S EflirMer��RPM 'a A 1. • s Sn(y; :":, '?- 4.94% 0 1240% 0 83.06% 0',}y':�t�'y'1�:�fi'ti;�,wa� arm-wy, 0 0 2. ?Y ' .8.1.18141E 4.94% 0 1200% 0 8306% 0 x'A5I23±E�ti{ .l'§'y, . ,rcrt,�„j ; 'l^.p0 3. k b y 3 "yi^�'rH 4.94% 0 12.00% 0 83.06% a �t,' �'f=e.`}ry ;,. 0 Ill.Total Capital Expense Wt..months.). ale-Mr;;CV gri,••:";; ,c�,.,�s ys .,,l4:`m- 0 '..: ; 0 +'- j 0 1 .1Le`»,&i MIM.. 0 W.Indirect Expanse -gill..i, '.s t4., i9iL�i',+1�.rU�3:�3'- !rM%! . M,.._.15€`YiEv J?r.40.,.'' ``L. "�11[ N 1' "r= .F.� 37k1 '''-.3310.58. 1 Internal L. 20.0016 rfarag rti' 44,206 494% 2182 1200% 5,306 8705l J % 36717 3 Ev 'F 10000% 36,717 0 External 0 % ,"Sp mfi vm 0 484% 0 1200% 0 8306%(�}} 0 a 4�.afy'°y ' 50000�%� 0 :53', 5,306 MI,9I 00777 h. �y.5s'MUM 36,717 N.Total Indirect Espenae.(for.thrae maMhe) • '�5°,,,,�'� ,"� -� ,�G,t� r ;.'g^�� a4,zo+9g;y}.��&�'t�'""` 2102 mai..an r,�. ��;,� E. vy�' ii �6= V.Other Expense(for three months) '�' `"•°C"E `-Mau'itJ'...._ 'N/N.T i� `.;' 4}2 i. 1..1jlr'�')' N`,�i'iR ��. .1 riT. 5 "�i 'p?,9kdt�..-�1lk OS'`x'�ii, ' i i.. ' 1 Maintenance 8Tmnspedatan IINXIM50 494% 2 12.00% 6 8306% 42')',"�'�Marign 100.00% 42 2.Contract-Medical Consultant(6 FTE) �'S r .eJ ' 10000 4,94% 494 32.00% 1,200 8106% 8306 i@ ,`},' s,2. .�". 100,0314 8.306 .a�' t"!�; *. 4',f 9.99% 0 12.00% 0 83.06% 0 a{l..' 'r VA 100.00% 0 i Slate of California-Health and Human Services Agency Department of Health Care Services-Integrated Systems of Care Division Percent of Actual Total CCS CCS CASELOAD Caseload Caseload STRAIGHT CCS- 51 4.94% CCS Administrative Budget Worksheet Total CesecolOpen(Aollve)Stmlght CCS children from July 1,2019 to September 30,2019 OTLICP• Total Cs of Open(Active)OTLICP Children 124 1200% Fiscal Year: 2019-20 MEDI-CAL- Total Cases of Open(Active)Medl.cal 858 83.06% (n_n.OTLICP)Clllldren County: Butte TOTAL CCS CASELOAD 1033 100% Straight CCs Optional Targeted Low income Medical(Non43TLICP) Children's Program(OTLICP) Column I 1 I 2 I 3 I 4A I 4 I 5A I 5 I SA I 5 I TA I 7 -L 8A I 8 Optional Targeted Enhanced Nan-Enhanced 9 months pia. Total Budget Straight CCS Low income Noe. Cawload Medi-Cal Enhanced% Medl.Cel Medilal Category/Line gam %FTE rated,.. (1 a2or Cal..% County/Stale Children's easmeadN Ennanee4% Saiary. 4.546) (50150) % Program(071.1CPI SbtelFedeml FTE State/Federal FTE Sbt50150eral Co/State/Fed(816(501 1 1 ( I 4• 5d—b;.`; • fit 4.94% 0 12.06% 0 8306% 5 ;, 100.06% 0 5. ""'? 71r 'b 4.94% 0 12.06% 0 83.06% 0 ; : ' _ 'r ,.'-'-' 100.06% 0 V.Total ogler Eapoesa 0erthree"inonutaI `do- ),T,,.°7.tIr.' 14050 • 496 k';,$;.' 1206.bk 5.345".T. •' .4TH 5248 Budga[Grand Total(fot Stine mo05551 Za, wY' 294,068 14,521 �0,v 35,001 ' 9 244265,'.I 76226 f.m `'^r 165059 .�'. 8��'� �v N ;5,'r J anet A Peck 10/7/2019 530-891-2491 Prepared By(Signature) Prepared By(Printed Name) Date Prepared Phone Number J anet A.Peck 1om2015 530-891-2491 CCS Administrator(Signature) COS Adstin/slmtor(Printed Name) Data Signed Phone Number I 1 Slate of California-Health and Human Services Agency Department of Health Care Services-Integrated Systems of Care Division Percent of Actual Total CCS CCS CASELOAD Caseload Caseload STRAIGHT CCS- 51 4,94% CCS Administrative Budget Worksheet Total Cases of Open(Active)Straight CCS Children from October 1,2019 to June 30,2020 OTLICP Tol.0 Cases of Open(Active)OTLICP Children 124 1299% Fiscal Year: 2019-20 MEDI-CAL- Total Cases of Open(Active)Medi-Cal 858 9306% (400-OTLICP)Children County: Butte TOTAL CCS CASELOAD 1033 100% Straight CCS Optional Targeted Low Income MedI Cal(Non-OTLICP) Children's Program(OTLICP) Column I 1 I2 I 3 I 40 I 4 I 5A I 5 16A I 6 I 7A I 7 1 BA I a Optional Targeted 9 months pro: Total Budget Straight CCS LOW income Enhanced Non Non-Enhanced Cate ILlne Nem Caseload Children's Medl4:al Enhanrm% MedFede M:soero gory %PTE rated . 0x2or Carelead% Countyis... Cal program(OTLICP) Gateload% S1atelFetlenl PTE Sdte6ederal Enn. % SmtelPedeni Salary. 4a.6I (50150) ColStatet7ed (25175) FTE (50150) • (11.75111.75176.5) • L Personnel Expense(for ala months) .'. .._ a MANSE o.:^ a, �54.,or MOM EO- )7r• ti•., ll' ^:11 - 14, :`N'h "' .. -", L 6 '"a f5",-, ProAdministration ( tr '. •:1----,.; _n t^r w w - gram �� I'4 .a.? °tom �r����,`�`����,. � :'�' e�.:=, "�,s.. ��v, - �"�;;.0 0.Janet Peck.Program Manager 100.00% 79,154 79,154 4.94% 3,908 12.00% 9502 83.6% 65,745 3v�s100,00% 65,745 2.Melissa laS,Supervisor,Therapist 10.00% 65238 8,524 4.94% 421 12.00% 1.023 83.6qv % 7.000 -';'i:�.ty 100.00% 7080 3.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83.6% 0 � p' .) ',�..- 16.00% 0 4.Employee Tame.Position 0,00% 0 0 4.94% 0 12.00% 0 83.6% 0 MEI,+Req�fv1,x��7p�o� " 500,00% 0 5,Employee Name.Position 0.00% 0 0 4.94% 0 12.00% 9 83.6% 0 . 4'71' '+rfiYt'"+.iSHe 100.00% 0 Sublotal 164,392 87,676:•f 4,329 10,525 3-,:. ',*I 72,625 §'EgfiRM 72825 Medical Case Management .a '1* . i,:.:. ' . ' .a ". Z : r?-s . TEEPAYA Man:: ".. r_ ._.> ?. ',a''T.: . a S j 1.Melissa tui,Supervisor.Therapist 1590% 05,230 12.786 4.94% 631 12.00% 1,535 83.6% 10,620 00,00% 9,558 10.00% 1.062 2.Felicia Stiles.Public;realm Nurse.Sr. 100.00% 72,76 72,708 4.94% 3,590 12.00% 8.720 83.6% 60,391 90.00% 54,352 10,00% 6039 3.Jessica Bruce,Public Heath Nurse 100.00% 61214 61.214 4.94% 3,022 12.00% 7,240 83,6% 50.944 90.00% 45.760 10.00% 5,004 4,Vacant.PHN,Sr. 100.6% 72.76 72,700 4.94% 3,590 12.00% 0.728 83.6% 60,361 90.00% 54.352 10.00% 6.69 5.Employee Name,Position 0.00% 0 0 4.94% 0 12,00% 0 83.06% 0 0.00% 0 100.00% 0 6.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83.6% 0 0.00% 0 100.00% 0 7.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83,6% 0 0.00% 0 100.00% 0 8.Employee Name.Position 0,00% 0 0 4.94% 0 12.00% 0 83.6% 0 0.00% 0 100,00% 0 Subtotal ',54 .. y 291968 219410 iµ`�+,��,5 l,r.°'*" 10833 185 ji 26,339 NOM 182246 Maga 164,022 s�i�gg ni 'r 18224 other Health Care PeeleselonaI ': '''i?.124,11 fi`O J I f 1.v t.``^�Meat',kTI s°< "Mli :,'>x'._' ,C..MOM x.'1'.3:MK Ma MASI MEI raliM 1.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 83,6% 0 0,00% 0 100.00% 0 2.Employee Name,Position 0,00% 0 6 4.94% 0 12.00% 0 83,6% 0 0.00% 0 100,00% 0 3.Employee Name,Position '�s��,,y�0��..00%:� 0 0 4..,94%' 0 12.00%yy�E 9 83.6% 0 0.00% 0 100.6% 0 Subtotal 3fl4'F19"�`-1Li' 0 0!:e U 0-"'?r�"r`�.'_.'.'.` 0�,` eq-'s1 0 MEM 0 "` 0 l s, MR �1.� .,,{ 7.a{ +�S..v.� g �hy:.,.t�slo''fx g ��z,; Ancillary Support 3b Ti". :t]V:... ,- AM.o t Y.. fA i4' ",,°"J Se ROME JK Y�tt3„ i;4 t awe�`1.!iah glia E�q,^S�1-$.�'..'f�.f gif N'ih.�'3?i�...Mr. 1.' O.Guadalupe Alvarez,Clieol Services Specialist 100.00% 35,841 35,841 4,94% 1,769 1200% 4,302 83.6% 29,769 yi,£P, g,',,`v, 100,00% 29,769 2.Shama Allen,Client Services Specialist 16,00% 34,184 34,184 494% 1,687 12.00% 4,101 83,6% 00270 �y'�yil�ia�.Y1� ;„� 10800% 28,376 3.Guadalupe Hom ericz,Client Services Specialist 100.00% 27,116 27,116 4.94% 1,339 13.00% 3,255 83.6% 22522 e,RUM.Mt 100.00% 22522 4.Employee name,Position 0.00% 0 0 4.94% 0 12,00% 0 83.6% 3 OEM T',F 100.00% 0 5.Employee Name,Position 0.00% 0 0 4.94% 0 12.00% 0 8].6% 0 1`` i.-i! 'y�i1p�, 100.00% 0 t�. Subtotal a'+ y 97,121 .,, 97,121 ry"5`d ;(; 4795 °T t151esa j'�ry'1> 80667 MaiF �.l�,t.aT 80,667 CleHon and Claims support MOM ti 4k'P.A-"!l "Y .--''t,.2 ammo mm bs '_'ire H;'.i SSP-_e'oi L'1 y7 ti 41' R 'EWA r .1 q '-1 `r. ., s :.' t5. iF.4:IRMA ? ,. SE L]a <: .`�l'vW N 1 Debra Webb,Supervisor.Client Services Specialist00.00% 48,257 48251 4.94% 2382 1200% 5,792 836% 40,077 0,00% 0 16.6% 40,077 2.Vacant,Atlmmisirat ve Assistant,Sr. 100,6% 34.195 34,195 4.94% 1.600 12.00% 4,105 83 6% 28,402 0.00% 0 100,00% 28,402 1 State of Califamla-Health and Human Services Agency Dependant of Health Care Services-Integrated Systems of Care Division Percent of Actual Total CCS CCS CASELOAD Caseload Caseload STRAIGHT CCS- 51 4.98% CCS Administrative Budget Worksheet Total Cases of Open(Active)Straight CCS Children from October 1,2019 to June 30,2020 OTLICP- Total Cases of open(Active)OTLICP Children124 ,z.o6% Fiscal Year: 2019-20 MEDS-CAL• Total Cases of Open(Active)MedlCol 8r 6306% (agrOTLICP)Children County: Butte TOTAL CCS CASELOAD 1033 100% Straight COS Optional Targeted Law Income Medi-Cal INon-OTLICP) Children's Program[OTUCP) Column 11 I 2 I 0 I 4A I 4 I to I 5 I 6A I 6 I 7A I 7 I 8A I 8 Optional Targeted Low Income Enhanced Non-Enhanced 9 months pro- Total Budget straight CCS Non- Category/Line hem %FTE fated. ca,anaaeloatl Chlldlen's MedlCm Enhanced% MedlCal Metpaal gory {tx2of ve% CoCaumy154te Cu.leadX EnM1anwtlX Salary 4+5+6 I (50150) % Program{mtt'ed SratelFederal FTE Stal20175) 1 FTE Stat101101 rat ColStatufFed (25175) (50156) (11.75111.75176.51 3.Employee Name,Position 0.00% 30,062 0 4.94% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 4.Employee Name,Position 0.00% 0 0 4.94% .. 0 12.00% 0 8396% 0 0.00% 0 100.00% 0 5.Employee Name,Position 0,00% 0 0 494% 0 12.00% 0 83.06% 0 0.00% 0 100.00% 0 Subtotal 112,500 02.446 F 4:0702:8,21M9897 ' peti 68479',!W. .t`- 0 Ij,kA"" j 68479 Total Salaries and Wages 486,681 4.9416 24,027 12.00% 58,418 83.06% 404.217 40.58% 164.022 59.42% 240.195 Stag Benefits(Specify%) I 40,00% , 0f '�' 194,664 4.94% 9,611 12.00% 23.367 83.06% 161.686'4;: -I/,i. 65,6607`,`-_`'"� 96,078 L Total PersaneatExpensa(for.lnemomh.) 681,325���4.94%gg�� 33.638 12.00%µy ����81,785 83.06% 565,500.0MOM 229630 336273 0.8.88'8ng Expan54.(00rnina lnoata) _ `. •t;'o^� '1dd Aa O.FR i:Z3.. �c.A a2wt"y't.d •e.. •v t. @n1igSN.''.�*t�6'): ",,I:""..`•'• +104 • oo-- 1.Travel 4 1,500 4.94% 74 12.00% 180 83.06% 1.246 0.00% 0 100.00% 1.246 2.Train/mg . 5200 4,94% 257 12.00% 624 83.06% 4.319 0.00% 0 100,00% 4,319 3 Office Expenses > 'y, :_kv 1]040 4.94% 841 12.00% 2045 83.06% 14153€ °3.iy A 10°.06% 14.153 4.RentslLaasas '+�' gr . - 23,250 4,94% 1,148 12.00% 2.791 83.06% 19.311 .m' +:.4. ' 100.00% 19211 5.Janaonel .`.... u'4 t,500 094% 74 12.00% 180 83.06% 1.246-'.<+1,) - 100.00% 1246 6.Communication ..s&�.0 i p r != 12,000 4.94% 494 12.00% 1200 83.06% 8.006".;9 ' ' i 100.00% 8,306 7.Memberships 11.'E., i� 4.94%fi�ee 0 12.00% 0 v�83.06�%N 0`> ,=tp' 100 00% 0 Fl.Totat Operating Expanse(tor nine Mornhs) , , .7. - r- 58.490 y;-.-y+ 2,868 2? 7,020 Ewa 48581 �y.''-4y,'- 0 �: 40,591 at CapitalExpeaca 00T nine montha) , 'q y..y i„s,a v`r 6�tw'�Ir FAINN 2',ss .HAM M g 'ENd :.'a>.S, .:4^ I1 ^.:4S5i ;:fir ' '.�u 'dF Ate,844 ..;',.: - 4.94% 0 12.00% 0 83.06% 8 • „'k. 0 . g 7 0 2. EW..YEal 7-fi,;.;74 4.84% 0 12.00% 0 8306% 0 ' 60 ESS0 3. -ft2 f l�(_ 0 4.94% 0 1200% 0 83.06% 0 %Sj7,,,'.y': - ..,- .N 0 mom a.-r. z Mgt ill.Total Capital Expanse!for We months) :dy : " ..' ;<' 0 ,;x. ; °mom 6 , 'Sgt 0 "3ztT - ,,:; '���`: 6 N.indirect Expense .'. ,e iwf01-.0- 777,',AIIM :..AVM v.:;c.Yd.''»„.,Yttt`?.Si.✓�, 'fa li�.''z C=l'rafnK MISER9d'"f .z r s` S`iF+...' 1.Internal 2090% '` , ,,1'S l i, 136265 4.94% 6728 12.00% 16.357 83.06% 113.180 p231121.$'5,02- 100.00% 113,100 2 External 0.00% •"Z.f"2x'l` '"� 0 4.94% 0 12.00% 0 83.06% 0 zC 4' y�%:conn d,:�` 800.00% 0 IV.Total Indirect Eapenselfor nine meats) ' tams ieMS-0. ' ,. _ gq��{{::..yy 136,265= 0320�+,�':t^y;�i�^,st li �16t,517 L, „�'. 113,180 phi ,;}. ar ss.-a r y,-°Y:s),& 1y1�33,180 V.Other Expanse pot nine months). . '`6'�i 4.x,� x wtt."4�t rX. i. `Y�§ manta a iN�d4r et'.R.,21�. r 'fit',.?7 z;St;SLIME z E.N,.'> .�t"a ski.Mat:"= M. a EMT,4vk'T;Hk�' 'O:X�k.)``l 1 Maintenance 6710 00n01on ���zp���y�yFg•'?���7 2500 0.94% 123 12.00% 300 83.00% 2070 Min%i� 0 80000% 2.076 2 Contras Medical Consultant(.SFTE) .TW1iJnri('+fxl'FF'r�1 1 60,000 4.91% 2,%2 12.00% 7202 63.06% 49835 • y-„y'' !t 'b` _ m. 10090% 49.635 3.Family En9agment 'ii.,:: ,-gty.a`.a T: 10.000 4.94% 494 12.00% 9200 83.06% 8-306 MAIM .ys9 856.00% 8.306 ;,i' �u,��� 498% 0 ]2.00% 0 8306% 0 f n^ ..; A 80000% 0 5. BMW�`-r 494% S 1200% 0 8306% 0 mom r 2 80600% 0 19-.)3 V.TotalOther Expense{tor nide month.) - ,S: 1_,..,:w � 72 500 02-e 'S 3 579 y, amas p' 8 702,`.z, Ci- 88•212 y�iF��` ��4,1 -"�i'- 60,247 �,J Budget Grand Total(Ter nine months} F ', '1,)11 75y �' -t%r,x 940580 H5" 46833 Y,",y,d`. 113864 mem e 787881 v{;3„ . 229630,`.u. , y 568.257 State el Celllomia—Hoeft and Human Services Agency Department of Health Care Services—Integrated Systems of Care Division Percent of Actual Total CCS CCS CASELOAD Caseload Caseload STRAIGHT CCS- 51 4.94% CCS Administrative Budget Worksheet Total Cases of Open(Adive)Straight COS Children from October 1,2019 to June 30,2020 OTLICP Total Cases fOpen(Active)OTLICP Chld n 124 12'00% Fiscal Year: 2019-20 MEDICAL Total Cases of Open(Active)Medi&al (n�TLICP)Children 858 a3°ass County: Butte TOTAL CCS CASELOAD 1033 100% Straight CCS Opt€onal Targeted Low income Metll-0al IN4n-0OTLICP) Children's Program(OTLICP) 1 Column 1 1 I 2 I 3 I 4A I 4 I 5A I 5 I 6A I 6 I 7A I 7 I aA I t I 0811enel Targeted 9.mdnMs pro- Total Budget Straight CCS Low Income Enhanced Na,. Non-Enhanced Category/Llne Item tis FTE 1rated (1 a2or ca..% Ca unsylstate e°reloatl CMltlren's Caewwx Metll-GI Enhanced% 0001-Cel EnhNa, Medical Salary q•s K) (so/So) y' Program(OTLICPI State/Federal FTE stalelfndeml FTE Slate/Federal 6010lete/Fed (25115) (501501 (11.70111.75!76.5) Janet A Peck 101112019 530-891-2491 Prepared By(Signature) Prepared By Printed Name) Date Prepared PhOne Number Janet A Peck 101712010 530-891-2491 CCS Administrator(Signature) CCS Administrator(Punted same) Date Signed Phone Number 1 I Budget Justification Narrative California Children's Services Butte County Budget Narrative Fiscal Year 2019-2020 I.PERSONNEL EXPENSES Identify and explain any changes in Personnel including FTE percentage changes. Total Salaries: $644,541 State Allocation is for 12.35 FTE,current staffing is 9.25 FTE(including open positions)due to insufficient allocation to staff the total number of FTE positions. Total Benefits: $257,816 Benefits calculated at 40%of salary base which is the same percentage used in previous fiscal year. Total Personnel Expenses: $902,357 Position added to reflect increased staffng to accommodate increased caseload. This position has been approved and duties will Administrative Assistant,Sr. include clerical duties,data mining,staff support as needed to meet State mandated guidelines for the CCS program. II.OPERATING EXPENSES List all Operating Expense line items.Identify and explain any increase,decrease,or newly listed line Item. No change from previous year.Includes per diem lodging and meals,private vehicle mileage,commercial Travel $2,000 auto rental,air travel,etc.Example:mileage reimbursement for CCS staff travel to regional and State meetings,conferences and trainings,and other program related travel. Training $5,700 Increase from prior FY budget due to additional staff and actual training costs. Includes registration and/or tuition fees for CCS trainings,seminars,conferences,etc. Decrease from prior FY budget.Decrease more acuralely represents the expenditures for office Office Expenses $18,590 expenses. Office expenses includes general office and document retention products,paper,fax/printer items,postage and mailing,copy,print and reproduction costs;office furniture and items to improve HIPAA compliance to support CCS staff. Rents/Leases $31 040 Slight increase from prior FY budget due to contractual agreement. Current lease ends in June 2021 and the landlord has request we vacate the current space. Janitorial $3,000 Increase from prior FY budget.Janitorial services support public and common areas. Significant increase from prior FY budget.Data lines were antiquated and required updating to Communication $15,000 accommodate the amount of data used by the CCS program and to accommodate an upgrade in phone line usage. Includes phone and data line costs. Memberships $2,000 No change from prior FY budget.CRISS Annual Membership Dues. Total Operating Expenses: $77,290 Ili.CAPITAL EXPENSES List all Capital Expense line Items.Identify and explain any newly listed Capital Expense.Include County/City Capital Expenses Justification Form. Total Capital Expenses: 0 None IV.INDIRECT EXPENSES A.Internal @ 20% $180,471 Internal expense percentage established by CDPH is 25%for Butte County CCS. The CCS budget does not allow for claiming the full amount due to insufficient allocation. B.External @ 0% $0 Total Indirect Expenses: $180,471 V.OTHER EXPENSES List all Other Expense line items.Identify and explain increased,decreased,or newly listed line items.Include County/City Other Expenses Justification Form. Decrease from prior FY budget.The decrease more accurately reflects the acutal costs reimbursed and Maintenance and $2 550 anticipated use due to benefits provided by the Managed Medi-Cal Service Plans.M&T are Transportation reimbursements and payments to families and clients for travel,lodging and meals incurred while obtaining CCS authorized services allowing for special circumstances and other contingencies. Increase this FY.Cost is$125.00 per hour.Provides contract CCS Medical Consultant services,including Contract Medical Consultant $70,000 medical eligibility review and benefits consultation,and general case management consultation for medical staff. Due to nursing staff openings,the Medical Consultant has helped with the work toad. CCS Program must demonstrate family participation and engagement per performance measure#5. Family Engagement $10,000 State guidance directs Counties that families should be compensated for expenses incurred to participate in programs that benefit the program. Total Other Expenses: $82,550 Budget Grand Total I $1.242.668 ""_ 145 State of California-Health and Human Services Agency Department of Health Services-Children's Medical Services County/City Other Expenses Justification Form Fiscal Year 2019-20 County/City: Butte County Contact Person: Janet Peck Date: 10/23/2019 Telephone Number: 530-895-6546 List all the subcontractor/consultant agreement claimed under"Other Expenses" and the price. Describe the services to be performed and how the CMS program(s)will benefit. Be specific but concise. Contract CCS Medical Consultant. Contract amount is$125.00 per hour. Provides Medical consultant services for theCounty of Butte required by State guidelines. Services include medical eligibility review, medical benefits consultation, and general case management consultation. This is a required position as an Independent County. NOTE: If additional space is required, please include the information on a separate sheet of paper and attach it to this form.