COUNTY OF SAN MATEO

Inter-Departmental Correspondence

San Mateo Medical Center

DATE:

March 22, 2004

BOARD MEETING DATE:

April 6, 2004

TO:

Honorable Board of Supervisors

FROM:

Nancy Steiger, Chief Executive Officer, San Mateo Medical Center

SUBJECT:

Appropriation Transfer Request

Recommendation

Approve an Appropriation Transfer Request (ATR) Recognizing Unanticipated Revenue for the Health Care for the Homeless (HCH) Program increasing Intergovernmental Revenues ($25,714), and Appropriating new revenue to Other Services ($25,714).

Background

The San Mateo Medical Center (SMMC) has administered a Bureau of Primary Health Care (BPHC) Health Care for the Homeless (HCH), Section 330(H), Public Health Services Act grant since 1995. The HCH grant appropriation is $1,337,433 per year. HCH grant funding is currently used to provide health care services to homeless adults, adolescents and children through agreements with the Public Health Division, Mental Health Division; Free At Last, which subcontracts with Ravenswood Family Health Center, Clara-Mateo Alliance and On-Site Dental Foundation. HCH funding is also allocated to Fair Oaks and Willow clinics to provide same day primary care to the homeless population in south region of the County. In addition to providing healthcare to San Mateo County's homeless population, the grant qualifies the SMMC outpatient clinics for Federally Qualified Health Centers (FQHC) status. FQHC status allows SMMC to claim cost-based reimbursement for outpatient clinic services.

Discussion

In the Fall of 2003, the HCH Program was awarded a grant base increase from the Bureau of Primary Health Care in the amount of $25,714. The HCH will allocate this funding to the Public Health Division to support increasing salaries for the Mobile Health Clinic. The Medical Center had not anticipated receiving a base increase for the Health Care for Homeless Program. This increased funding needs to be added to the FY 2003-04 Budget.

Vision Alignment

This ATR for the Health Care for the Homeless Program keeps the commitment of Ensuring Basic Health and Safety for All and goal number 8: Help vulnerable people - the aged, disabled, mentally ill, at-risk youth and others - achieve a better quality of life. The ATR contributes to this commitment and goal, as it will allocate $25,714 in federal funding to the Health Care for the Homeless program for primary care services.

Fiscal Impact

The attached ATR recognizes unanticipated revenue in the amount of $25,714 to the HCH Program for primary care, dental, and social services awarded from the BPHC. There is no net county cost, as the expenses are reimbursed through the federal HCH grant. This on-going HCH funding will be included in the FY2004-05 and subsequent budgets.