Section 1451 - Multi-Year Plan and Budget and Update Content(a) The Multi-Year Plan and Budget submitted by each local jurisdiction shall contain but not be limited to a: (1) Narrative section which provides a description of public health, and inpatient and outpatient services be provided or contracted for by the local jurisdiction.(2) Budget section which details proposed expenditures, revenues and net county costs for county health services.(3) Certification section containing signatures necessary for the formal transfer of State and/or Federal monies to the local jurisdiction pursuant to the Multi-Year Plan and Budget.(b) The Multi-Year Plan and Budget shall include only health programs, services, and administrative support that are part of the reported net county costs for Fiscal Year 1977-78 and may include any new health programs which have been instituted since Fiscal Year 1977-78.(c) Health programs and associated costs which existed during Fiscal Year 1977-78 and which are not part of the reported net county costs for Fiscal Year 1977-78 shall be excluded from the Multi-Year Plan and Budget, but may be in the Addendum identified in (d).(d) The Multi-Year Plan and Budget may contain an Addendum which includes narrative descriptions and estimated expenditures, revenues, and net county costs for health services, exclusive of mental health, alcohol, and drug abuse treatment, not reported in the Plan and Budget.(e) In those counties, except the County of Alameda, where the governing body of a city has not transferred to the county enforcement authority of applicable public health statutes and regulations or where public health services are provided b a city pursuant to a contract with a county, such a county shall, in the Multi-Year Plan and Budget, Update, and Agreement, provide for continuation and funding of such services.(f) The Multi-Year Plan and Budget shall include only fiscal information which is consistent with the regulations on capital expenditures, depreciation, and administrative overhead as listed below:(1) Capital expenditures for local jurisdiction structures and fixtures, and improvements to local jurisdiction structures and fixtures shall not be considered allowable costs.(2) Depreciation for local jurisdiction structures and fixtures, and improvements to local jurisdiction structures and fixtures shall be an allowable expense for purposes of applying for monies pursuant to 1466. Depreciation also shall be an allowable expense for purposes of applying for monies pursuant to 1465(a) only if the: (A) Reported net county costs for Fiscal Year 1977-78 included depreciation expenses for such local jurisdiction structures and fixtures, or improvements to local jurisdiction structures and fixtures; or,(B) Reported net county costs for Fiscal Year 1977-78 included capital expenditures for such local jurisdiction structures and fixtures, or improvements to local jurisdiction structures and fixtures; or,(C) Capital expense was incurred after June 30, 1978 and was for an allowable expense as determined by Department guidelines and regulations.(3) Expenditures for fixed assets involving inpatient or outpatient health services for persons certified eligible pursuant to Section 17000 of the Welfare and Institutions Code shall be depreciated and all other expenditures for fixed assets may be either expensed or depreciated, but not both.(4) Administrative overhead shall be listed as a single line item or distributed across all programs, but not both.(5) The Multi-Year Plan and Budget and Update shall include the Cost Allocation Summary presented annually to the State Controller's Office for the determination of indirect costs for Federal grants and contracts.(g) The Multi-Year Plan and Budget and Update shall include information pertaining to medical services provided to indigent county residents. Specifically the Plan and Budget and Update shall include but not be limited to:(1) The eligibility criteria the county uses to determine whether a person is certified as eligible for health services under Section 17000 of the Welfare and Institutions Code.(2) A description of the county's eligibility process used to determine whether a person is eligible for services under Section 17000 of the Welfare and Institutions Code.(3) A description of how county residents are notified or informed of the availability of county financed services pursuant to Section 17000 of the Welfare and Institutions Code.(4) A listing of services or benefits which are provided.(5) A listing of the location of services and how the county ensures reasonable accessibility of such services.(6) A description of the county's fee collection policies, fee schedules, procedures and expected revenues for persons covered by Section 17000 of the Welfare and Institutions Code.(7) An estimate of the Section 17000 target population size and an estimate of the number of persons who will use the services/benefits.(8) A projection of the estimated costs of serving the medically indigent population under Section 17000 of the Welfare and Institutions Code.(h) The annual Update of the Multi-Year Plan and Budget submitted by the local jurisdiction shall contain but not be limited to: (1) The requirements specified in subdivisions (a) through (g), and any other instructions, forms, and guidelines developed by the Department pertaining to the annual Update.(2) The Update shall not duplicate any of the material in the Multi-Year Plan and Budget.(3) The Update also shall serve as a progress report evaluating what has been accomplished over the past year and shall provide specific time-limited measurable objectives in relation to each of the elements in the Multi-Year Plan and Budget during the applicable fiscal year.Cal. Code Regs. Tit. 17, § 1451
1. Amendment filed 12-31-82 as an emergency; effective upon filing (Register 83, No. 2). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 4-30-83.
2. Certificate of Compliance including amendment transmitted to OAL 4-29-83 and filed 6-9-83 (Register 83, No. 24).
3. Amendment of Subsections (a)(1), (a)(2), (f)(5) and (g) filed 4-4-86; effective thirtieth day thereafter (Register 86, No. 14). Note: Authority cited: Section 16712, Welfare and Institutions Code; and Statutes of 1982, Chapter 1594, Section 87(c). Reference: Sections 16700, 16709, 16710 and 16711, Welfare and Institutions Code.
1. Amendment filed 12-31-82 as an emergency; effective upon filing (Register 83, No. 2). A Certificate of Compliance must be transmitted to OAL within 120 days or emergency language will be repealed on 4-30-83.
2. Certificate of Compliance including amendment transmitted to OAL 4-29-83 and filed 6-9-83 (Register 83, No. 24).
3. Amendment of Subsections (a)(1), (a)(2), (f)(5) and (g) filed 4-4-86; effective thirtieth day thereafter (Register 86, No. 14).