To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Transportation Vouchers for California Children’s Services

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Purchasing Agent, or designee, to purchase, on behalf of the Health Services Director, transportation vouchers in an amount not to exceed $500 for medically fragile children served by the California Children’s Services (CCS) program, for the period of September 15, 2023 through June 30, 2024.
FISCAL IMPACT:
The expenditure will be funded by 78.6% Federal, 12.5% State and 8.9% County funding and is included in the State approved budget, using Cost Center 5890.
BACKGROUND:
Contra Costa California Children’s Services (CCS) provides medical case management, payment authorization, and rehabilitation services for CCS eligible children with significant and chronic physically debilitating medical conditions. The program approves and pays for maintenance and transportation services when the cost to the client or family presents a barrier to access authorized CCS care. As necessary, CCS will coordinate the transportation needs of medically fragile children that have a need for transportation to/from medical appointments.
Health and Safety Code, Section 123800 et seq. is the enabling statute for the California Children’s Services (CCS) program. The explicit legislative intent of the program is to provide necessary medical services for children with CCS medically eligible conditions whose parents are unable to pay for these services, wholly or in part.
The CCS program is mandated by the Welfare and Institutions Code and the California Code of Regulations (Title 22, Section 51013) to act as an “agent of Medi-Cal” for Medi-Cal beneficiaries with CCS medically eligible conditions. Medi-Cal is required to refer all CCS-eligible clients to CCS for case management services and authorization for treatment. The statute also requires all CCS applicants who may be eligible for the Medi-Cal program to apply for Medi-Cal.
Transportation Voucher amounts to be purchased are as follows: County Connection - $225 (60 day passes at $3.75 each); Tri Delta Transit - $275 (10 booklets at $27.50).
CONSEQUENCE OF NEGATIVE ACTION:
If these purchases are not approved, the CCS program would not be fulfilling the goals outlined by the program policy nor would it be providing services necessary for medically complex needs children to receive health care.
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. |
ATTESTED: |
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Monica Nino, County Administrator and Clerk of the Board of Supervisors |
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By: |