To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Transportation Vouchers for California Children’s Services
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Purchasing Agent, or designee, to purchase on behalf of the Interim Health Services Director, 50 County Connection passes each with a $5 value totaling $250 and 10 Tri-Delta Transit booklets each with a $27.50 value totaling $275, for a total amount not to exceed $525 for medically fragile children served by the California Children’s Services (CCS) program, for the period of July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
This $525 expenditure will be funded by 50% State and 50% County revenues, as per California Department of Health Care Services Integrated Systems of Care Division Plan and Fiscal Guidelines (using Cost Center 5890).
BACKGROUND:
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 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.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is 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.