INSTRUCTIONS FOR MEDI-CAL BUDGET WORKSHEETS
FOR FISCAL YEAR 2006-07
These are the instructions for completing the Medi-Cal Budget Worksheets.
Information provided by the counties will be used to assist The Department of
Health Services (DHS) staff in developing the FY 2006-07 county allocations for
costs associated with the Medi-Cal eligibility determination process. The
instructions are arranged in the same sequence as listed on the worksheet. The
completed form is to be submitted electronically to the Department of Health
Services at the e-mail address listed or may be mailed to the address on the
bottom of the form. If you need clarification on any requested information please
contact the analyst assigned to your county. (See attached assignment sheet)
Note: Highlighted cells contain formulas and should not be modified.
PART I
WELFARE DEPARTMENT MEDI-CAL BUDGET
AVERAGE NUMBER OF MEDI-CAL ELIGIBLES: Enter the number for your
county as identified on the Attachment IV-FY 2004-05 Medi-Cal Eligible Persons
Count. (If you wish to verify these numbers please see HOW TO REACH THE
DHS MEDS ELIGIBLE PIVOT TABLE for instruction about how to find this
information).
PRODUCTIVITY STANDARD: In this item please enter the standard for your
county as listed in the Performance Standard Table for your Data System
Consortia, which is included as a separate document in this budgeting package.
If use of the assigned standard does not generate the desired number of
eligibility workers please enter the standard that does accomplish the county’s
staffing objective. Please include the justification for the change on the Additional
Information Worksheet. Note: Do not include workers that are funded through
procedural items; i.e. common cost workers, growth, IHSS etc.
ELIGIBILITY WORKERS AND SUPERVISORS: On this line, enter the average
monthly compensation for FY 05/06 and the projected average for FY 06/07. This
includes the compensation for the Medi-Cal eligibility workers and first line
supervisors. Please ensure that the figure listed on this form is presented as
average monthly compensation and includes both salary and benefits.
COUNTY AUTHORIZED FTEs IN FY 05-06: Next please enter the average
monthly number of FTEs that were authorized by your county in FY 05-06.
CALCULATED/BUDGETED 06-07 FTEs: the spreadsheet will use your average
number of eligibles/your productivity standard to calculate the number of MediCal eligibility workers (FTEs). Any requests for adjustments to the assigned
productivity standard should be explained in detail on the supplemental
information worksheet.
CLERICAL AND ADMINISTRATIVE: For these categories, please enter the
average monthly compensation for both FY 2005-06 and 2006-07. Next enter the
number of County Authorized FTEs for FY 2005-06. Last, enter the number of
clerical and administrative FTEs requested for FY 06-07.
OTHER OPERATING SUPPORT COSTS: There are four categories of
information requested here. Present the information as it is listed on the form.
This information should include operating costs, purchase of services, space,
travel, etc. EDP should also include EDP staff costs.
STAFF DEVELOPMENT COSTS: Please list the total projected staff
development costs that will be charged to Medi-Cal during FY 2006-07.
INFORMATION ITEMS: Requested items in the enclosed area (lower left portion)
are to be reported for both the Current Year and Budget Year. These items are
used by the County Administrative Expense Section staff for comparison
purposes and are an integral part of the budgeting process.

COST PER FTE: This item is calculated automatically.

SUPPORT COST RATIO: This item is calculated automatically. The
formula for the support cost ratio divides the support dollars by the staff
dollars.

MEDI-CAL COMPOSITE RATIO: This item is calculated automatically.
The formula for the Medi-Cal composite ratio divides the Medi-Cal
eligibility dollars (staff, support and staff development) by the total welfare
dollars.

TOTAL WELFARE COSTS: The information being requested here is the
total welfare department budget, including Medi-Cal. For current year,
enter the total Welfare Department budget for FY 2005-06 for your county.
For Budget year, enter the projected total budget for FY 2006-07.
PART II
PROCESSING TIME INDICATORS
APPLICATIONS COMPLETED WITHIN 45 DAYS: Enter the percentage of
applications processed by county staff within 45 days in accordance with
requirements identified in Title 42, Ch. IV, part 435.911 of the Code of Federal
Regulations. (Applications are to be completed within 45 days, except for those
requiring disability verification)
REDETERMINATIONS COMPLETED WITHIN 12 MONTHS OF APPLICATION
DATE OR LAST RENEWAL DATE: Enter the percentage of annual redeterminations processed by your county staff in accordance with requirements
identified in Title 42, Ch. IV, part 435.916 of the Code of Federal Regulations.
(Redeterminations are to be completed within twelve months of the original
application or last redetermination)
PLEASE ATTACH ADDITIONAL SHEETS FOR ANY ITEMS THAT NEED
FURTHER EXPLANATION. IF YOU HAVE ANY QUESTIONS PLEASE
CONTACT THE ADMINISTRATIVE ANALYST ASSIGNED TO YOUR COUNTY.
PART III
COMPENSATION PACKAGE STATEMENT
BENEFITS CONTRIBUTION: Enter the information as requested to complete the
table for five areas: OASDI; Retirement; Health Insurance; Life Insurance; State
Compensation; Other; and the Total. The numbers entered should reflect the
percentage contributed by the county in each area. The net rate Difference will
be calculated. The effective date is that date on which the contributions did or will
begin during each of the two years.
COST-OF-LIVING SALARY INCREASE: Enter the amount of increase in salary
for each of the four staff categories listed in FY 2006-07 granted by the County
Board of Supervisors. This number should be expressed as a percentage. The
effective date is the date upon which any increase will become effective.