MCAH Title XIX Funding Trudy Raymundo, President Michelle Gibbons, - PowerPoint PPT Presentation

MCAH Title XIX Funding Trudy Raymundo, President Michelle Gibbons, Executive Director March 9, 2018

Background • Longstanding practice of CDPH approving LHD budgeted amounts • Allocations exceeded CDPH appropriation • MCAH programs asked to scale down budgets • CDPH moving to two-year allocations based on spending

The CHEAC Role • CHEAC leadership participation in funding discussions and decision-making. • Distribution of meeting recap and pertinent updates to CHEAC membership and MCAH leadership. • Encourage sharing of CDPH MCAH emails to CHEAC for distribution to LHD Directors.

LHD Leadership Calls • CHEAC requested more regular communication with CDPH Executives on Title XIX • Recommended CDPH create a workgroup of CHEAC and CCLHO Leadership similar to our EPO leadership calls • Currently meets monthly; members of the CHEAC Officers and Executive Committee participation

Current Focus of the LHD Leadership Calls 1. Maximizing FY 2017-18 Allocations 2. Maximizing FY 2018-19 Allocations 3. Creating a long-term sustainable methodology starting with FY 2019-20 4. Growing the funding

1.) Maximizing FY 2017-18 Allocations Strategy Challenges • Mid-year assessment of • Workload associated with anticipated spending contract amendments • Reallocate funds LHDs self- • Low response rates identify will not be used • 4 th quarter ability to spend • What LHDs would benefit?

2.) Maximizing FY 2018-19 Allocations Strategy Challenges • Distribution of draft • Low response rates allocation with survey gauging ability to spend • Quick turn-around to decide the distribution • Reallocate funds LHDs self- identify will not be used • What LHDs would benefit?

3.) Creating a long-term methodology Need vs Spending

4.) Growing the Funding • Understand the limitations on Title XIX funding. • Urge DHCS and CDPH to outline the requirements for funding growth. • Encourage LHDs to maximize spending.

CHEAC’s Next Steps • April General Membership Discussion to gather feedback regarding allocation • Creation of principles to guide the CHEAC Leadership input • Continued participation in LHD Leadership Calls • CDPH goal to send FY 2019-20 allocations out by October 2018

CHEAC Recommendations • Respond to CDPH Surveys • Maximize Spending • Be realistic regarding your ability to spend

Questions? Trudy Raymundo, President San Bernardino County Public Health Director traymundo@dph.sbcounty.gov Michelle Gibbons, Executive Director mgibbons@cheac.org