Notes to SEFA
Title: Note 1 – Basis of Presentation
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Pass-through entity identifying numbers are presented where available. For the purposes of the Schedule, awards include all federal assistance entered into directly between CalOptima Health and the federal government and subawards from nonfederal organizations made under federally sponsored agreements. The Schedule does not include payments received under Medicare and Medicaid reimbursement programs. CalOptima Health did not elect to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. There were no amounts provided to subrecipients.
De Minimis Rate Used: N
Rate Explanation: CalOptima Health did not elect to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. There were no amounts provided to subrecipients.
Orange County Health Authority, A Public Agency dba Orange Prevention and Treatment Integrated Medical Assistance dba CalOptima Health under programs of the federal government for the year ended June 30, 2024. Effective August 4, 2022, Orange County Health Authority changed its dba name to CalOptima Health (CalOptima Health or the Organization). The information in this Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance). Because the Schedule presents only a selected portion of the operations of CalOptima Health, it is not intended to, and does not, present the financial position, changes in net position, or cash flows of CalOptima Health.
Title: Note 3 – Relationship to Federal Financial Reports
Accounting Policies: Expenditures reported on the Schedule are reported on the accrual basis of accounting. Such expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein certain types of expenditures are not allowable or are limited as to reimbursement. Pass-through entity identifying numbers are presented where available. For the purposes of the Schedule, awards include all federal assistance entered into directly between CalOptima Health and the federal government and subawards from nonfederal organizations made under federally sponsored agreements. The Schedule does not include payments received under Medicare and Medicaid reimbursement programs. CalOptima Health did not elect to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. There were no amounts provided to subrecipients.
De Minimis Rate Used: N
Rate Explanation: CalOptima Health did not elect to use the 10 percent de minimis indirect cost rate allowed under the Uniform Guidance. There were no amounts provided to subrecipients.
Federal awards revenue for the Medical Assistance Program’s Multipurpose Senior Services Program (MSSP) is reported as capitation revenue in the financial statements of CalOptima Health. MSSP program expenditures are reported as medical expenses.