REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 25, 2024
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Medi-Cal Supplemental Changes Form for Department of Health Care Services
End
RECOMMENDATION(S)
Recommendation
1. Approve the Department of Health Care Services Medi-Cal Supplemental Changes form, which updates the administrative address for the Medical Therapy Units to 451 E. Vanderbilt Way in San Bernardino.
2. Authorize the Director of the Department of Public Health to execute and submit the Department of Health Care Services Medi-Cal Supplemental Changes form and any subsequent non-substantive amendments or documents in relation to the Medi-Cal Supplemental Changes form, subject to review by County Counsel.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost) as the Medi-Cal Supplemental Changes form with the Department of Health Care Services (DHCS) is non-financial in nature.
BACKGROUND INFORMATION
The Department of Public Health's (DPH) California Children's Services (CCS) program is a statewide program that treats children with certain physical limitations and chronic health conditions or diseases. These services are provided through the department's Medical Therapy Units (MTUs), which are certified by the State, and registered with DHCS. At the time of certification, each MTU is given a National Provider Identifier number allowing them to submit claims to be reimbursed for provided Medi-Cal services.
DHCS requires all providers to complete the Medi-Cal Supplemental Changes form to report changes to their provider certif...
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