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Maternal, Child and Adolescent Health Division

MCAH & BIH Agreement Funding Applications 

Below is information on agreement funding applications (AFA) and forms specific to 2022-23 fiscal year.
June 1, 2022

Release of MCAH SFY 2022-23 AFA notification. 

The following AFA forms are located below:

  • AFA Checklist
  • Agency Information Form
  • MCAH Attestation of Compliance with the Sexual Health Education Accountability Act of 2007 Form
  • ICR Certification Form
  • Inventory/Disposition of CDPH Funded Equipment Form
  • Subcontract Agreement Transmittal Form
  • Certification Statement for the Use of Certified Public Funds
  • Government Agency Taxpayer ID Form
  • TXIX Attestation Form

Note: The Statement of Work (MCAH and BIH), Local MCAH Director Verification of Required form, MCF Justification example letter, and budget template are attached to the AFA email.

June 10, 2022

Last day to register for your AFA Development Support and Budget Training Meeting – Optional budget meetings can be provided for technical assistance necessary to complete local agency budgets. If a meeting is requested, Local MCAH/BIH Program and Fiscal representatives with decision making authority are required to attend. MCAH and BIH AFA budget meetings will be offered via Teams. Meetings will be scheduled on a first-come, first-served basis between June 13 – 24, 2022.
June 13-24, 2022
MCAH/BIH AFA Development Support and Budget Training Meetings (optional)
June 30, 2022
AFA packages due back to MCAH. If needed, please contact your contract manager for any extensions.
July 1, 2022
Start of MCAH CM/PC AFA package review and approval.

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