COUNTY OF SAN MATEO

Human Services Agency

DATE:

November 21, 2003

BOARD MEETING DATE:

December 16, 2003

TO:

Honorable Board of Supervisors

FROM:

Maureen D. Borland, Director, Human Services Agency

Kathryn Ciamarro, Director of Automation

SUBJECT:

Second Amendment to the Agreement with Deloitte Consulting for the One-E-App Project

Recommendation

Adopt a Resolution authorizing the execution of a Second Amendment to the Agreement with Deloitte Consulting increasing the amount by $6,500 for a total obligation of $448,500 to enhance the design, development, and implementation of the One-E-App by adding a paper renewal form option and providing data entering capability.

Background

The One-E-App is a web-based software application that automates the processing, collection and storage of data for the Healthy Kids Program and other locally managed health programs.

In August and October of 2002, the Board of Supervisors took several actions to establish and fund the San Mateo County Children's Health Initiative (CHI) with the goal of providing health insurance to approximately 17,000 uninsured children from low-income and middle-income households who are not eligible for Medi-Cal and/or Healthy Families in San Mateo County. As part of its actions, the Board of Supervisors charged the Human Services Agency (HSA) with determining and overseeing final eligibility for the new Healthy Kids program.

One-E-App provides the County with the opportunity to implement a universal web-based enrollment system that will enable families to apply for the Medi-Cal, Healthy Families and Healthy Kids programs without having to fill out more than one enrollment application. The system expedites eligibility determination and enrollment; improves data tracking, and integrates with the existing HPSM (Health Plan of San Mateo) and HSA IT systems. The goal is that One-E-App will eventually include all health insurance programs for children and adults making the system, a one-stop health insurance enrollment process for the entire family.

On May 13, 2003, the Board of Supervisors approved a First Amendment to add Phase II, to expand the existing system to include additional managed health programs such as San Mateo Medi-Cal's adult WELL program.

Discussion

This Second Amendment increases the amount of the Agreement for the purpose of enhancing the One-E-App system by adding a paper renewal form option and to provide data entering capabilities.

A Request for Proposal Waiver was granted by the County Manager when the original Agreement was submitted based on the fact that the Contractor is a sole source provider, and it is in the County's best interest to continue with this Second Amendment of the project with Deloitte Consulting.

County Counsel has approved this Agreement as to form, and Risk Management has approved the evidence of insurance.

Vision Alignment

The One-E-App Program keeps the commitment to: Ensure basic health and safety for all and goal number 5: Residents have access to health care and preventive care, and Responsive, effective and collaborative government and goal number 21: County employees understand, support and integrate the County vision and goals into the delivery of services. This Amendment to the Agreement with Deloitte Consulting contributes to these commitments and goals since it will assist the Human Services Agency in developing a system to ensure that all our children are afforded the best possible health care.

Fiscal Impact

The San Mateo County Children's Health Initiative (CHI), the San Mateo County Community Access Program (CAP), and the San Mateo Medical Center (SMMC) provide for the cost of this program. The total amount of the Phase I was $99,000. Funding for the Phase I was provided through the CHI. The Human Services Agency was reimbursed 100% of the costs. The total amount for Phase II was $343,000. This included the cost of services at $256,000 and annual maintenance at $87,000. The contract obligation for both Phase I and Phase II was $442,000.

The actual cost of Phase III development is $6,500, and increases the amount of the Deloitte contract from $442,000 to $448,500. The term of the Agreement remains from March 14, 2003 to June 30, 2004. The amended annual amount of $6,500, has been included in the Recommended Budget for FY 2003-04. This cost will be funded with 47.5% state and 50% federal revenue. There is no additional Net County Cost associated with the approval of this Agreement.