REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
September 1, 2026
FROM
JANKI PATEL, Acting Director, Department of Public Health
SUBJECT
Title
California Children’s Services Program Allocations, Administrative, Compliance Monitoring and Oversight Budget Plan for 2026-27
End
RECOMMENDATION(S)
Recommendation
1. Approve 2026-27 California Children’s Services Administrative, Compliance Monitoring and Oversight budget plan, in the amount of $18,555,119, including a local match of $785,135, for the period of July 1, 2026 through June 30, 2027.
2. Authorize the Director of the Department of Public Health, designated by the California Department of Health Care Services as the Authorized Director, to execute and submit the 2026-27 California Children’s Services Administrative, Compliance Monitoring and Oversight budget plan to the California Department of Health Care Services, subject to County Counsel review.
3. Accept allocation (Information Notice No. 26-06) from the California Department of Health Care Services for the 2026-27 California Children’s Services County Administrative, Compliance Monitoring and Oversight funding, in the amount of $14,595,606, for the period of July 1, 2026 through June 30, 2027.
4. Direct the Director of the Department of Public Health to transmit the 2026-27 California Children’s Services Administrative, Compliance Monitoring and Oversight budget plan to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Janki Patel, Acting Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Foster Sustainable Development Through Strategic Partnerships.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item will not result in the use of additional Discretionary General Funding (Net County Cost). The Department of Public Health (DPH) is required to submit an annual California Children’s Services (CCS) Program Administrative, Compliance Monitoring and Oversight (Administrative and MO) budget plan for the amount of $18,555,119. This amount is the estimated cost to provide CCS program services based on state-provided methodology and caseload sizes. The Administrative and MO budget plan includes the required CCS local match of $785,135, comprised of $392,567.50 in Realignment and $392,567.50 in Discretionary General Funding approved in 2026-27.
Recommendation No. 3 requests approval to accept the California Department of Public Health Care Services (DHCS) allocated funds in the amount of $14,595,606, comprised of $13,912,624 for administrative expenses for the CCS program and $682,982 for oversight. The actual allocation amounts are determined by available state funding. Therefore, the estimated costs outlined in the 2026-27 Administrative and MO budget plan are not aligned with the actual allocation.
The DHCS funding allocation will be used to reimburse costs incurred retroactively from July 1, 2026, and are anticipated to be fully expended by June 30, 2027. Historically, DHCS has provided supplemental allocations when the original allocations did not meet actual expenses incurred. However, if supplementary DHCS funds are not provided to meet the actual CCS 2026-27 expenses, DPH may request further budget adjustments to support program activities and services.
BACKGROUND INFORMATION
DHCS allocates funding to local health jurisdictions to serve high-risk families, children, and youth with a variety of physically disabling and/or medically fragile health conditions through the CCS program. CCS is administered through a partnership between county health departments and DHCS to ensure children with medically eligible health conditions have and maintain access to needed medical, dental, and specialty health services through case management, professional consultation, and linkage to appropriate levels of care. DPH has received CCS funding since 1974.
CCS provides diagnostic treatment services and physical and occupational therapy services to children under the age of 21 with CCS-eligible medical conditions such as cystic fibrosis, heart disease, cancer, and traumatic injuries. DPH estimates that the Administrative and MO budget in the amount of $18,555,119 will provide services for approximately 12,390 children at an average cost of $1,497 per child. This budget submission provides DHCS with the annual projected cost of delivering CCS services, enabling DPH to request additional funding beyond the initial DHCS allocation, which is based on prior-year caseload expenditures.
DHCS issues funding allocations through an annual retroactive CCS Information Notice to county CCS programs. DHCS requires the submission of an Administrative and MO budget outlining how the funds will be used. Due to the retroactive issuance of the funding allocations, DHCS requires local health departments to claim expenses from July 1st of the current fiscal year.
On July 14, 2026, DPH received CCS Information Notice 26-06 from DHCS for 2026-27 California Children’s Services Program County Administrative and Compliance Monitoring and Oversight funding, in the amount of $14,595,606, for the period of July 1, 2026 through June 30, 2027.
DPH recommends acceptance of the DHCS CCS allocation and approval of the Administrative and MO budget to continue to provide CCS services to eligible children and families in San Bernardino County.
This item is being presented at this time, as this is the first available date following the receipt of CCS Information Notice 26-06 and the required operational, fiscal and legal reviews. Approval at this time will not impact DPH’s services and activities.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on August 12, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 386-8392) on August 12, 2026.