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

• Mid-year assessment of

anticipated spending

• Reallocate funds LHDs self-

identify will not be used Challenges

• Workload associated with

contract amendments

• Low response rates
• 4th quarter ability to spend
• What LHDs would benefit?

2.) Maximizing FY 2018-19 Allocations

Strategy

• Distribution of draft

allocation with survey gauging ability to spend

• Reallocate funds LHDs self-

identify will not be used Challenges

• Low response rates
• Quick turn-around to decide

the distribution

• 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