Legislation Details

File #: A 26-148    Name: First 5 Monterey County Amendment No.4
Type: BoS Agreement Status: Health Department - Consent
File created: 4/23/2026 In control: Board of Supervisors
On agenda: 5/19/2026 Final action:
Title: Approve and authorize the County Purchasing Agent or designee to execute Amendment No. 4 to Agreement No. A-16869 with Monterey County Children and Families DBA First 5 Monterey County, for the provision to assist in the administration of the Medi-Cal program through the County-Based Medi-Cal Administrative Activities (CMAA) program, adding $20,000 for a total revised Agreement amount not to exceed $350,000 and extending the term two years for a revised Agreement term of July 1, 2016 through June 30, 2028.
Attachments: 1. Board Report, 2. Amendment No. 4, 3. Board Order (Amendment No. 3), 4. Amendment No. 3, 5. Amendment No. 2, 6. Amendment No. 1, 7. Agreement
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Title
Approve and authorize the County Purchasing Agent or designee to execute Amendment No. 4 to Agreement No. A-16869 with Monterey County Children and Families DBA First 5 Monterey County, for the provision to assist in the administration of the Medi-Cal program through the County-Based Medi-Cal Administrative Activities (CMAA) program, adding $20,000 for a total revised Agreement amount not to exceed $350,000 and extending the term two years for a revised Agreement term of July 1, 2016 through June 30, 2028.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
Approve and authorize the County Purchasing Agent or designee to execute Amendment No. 4 to AGREEMENT No. A-16869 with Monterey County Children and Families DBA First 5 Monterey County, for the provision to assist in the administration of the Medi-Cal program through the County-Based Medi-Cal Administrative Activities (CMAA) program, adding $20,000 for a total revised Agreement amount not to exceed $350,000 and extending the term two years for a revised Agreement term of July 1, 2016 through June 30, 2028.

SUMMARY:
The County of Monterey Health Department serves as the Local Government Agency (LGA) responsible for administering the County-Based Medi-Cal Administrative Activities (CMAA) program within the County. In this role, the LGA facilitates the claiming of Federal Financial Participation revenues on behalf of eligible County claiming units for allowable Medi-Cal administrative activities such as case management, referrals, program planning, and outreach related to Medi-Cal services.

First 5 Monterey County participates in the CMAA program to support the proper and efficient administration of the Medi-Cal program. Through its participation, the organization helps improve the availability and accessibility of Medi-Cal services for eligible and potentially eligible individuals in Monterey County.

DISCUSSION:
The CMAA program allows participating local agenc...

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