COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

 

DATE:

January 24, 2005

BOARD MEETING DATE:

March 1, 2005

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department
Lisa L. Mancini, Director of Aging and Adult Services

SUBJECT:

Amendment 1 to the Agreement with the California Department of Aging for Continuation of the Multipurpose Senior Services Program

 

RECOMMENDATION:

A.

Adopt a resolution authorizing the execution of Amendment 1 to Agreement No. MS-0304-13 with the California Department of Aging (CDA) to provide for the continuation of the Multipurpose Senior Services Program (MSSP) for Fiscal Year 2004-05 increasing the amount by $107,493 to $739,385

B.

Adopt a resolution authorizing an Appropriation Transfer Request in the amount of $107,493 from Federal Categorical to Services and Supplies ($104,493) and Other Charges ($3,000) to recognize additional funds from CDA MSSP Agreement Number MS-0405-13, Amendment No. 1

 

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal 8: Help vulnerable people -- the aged, disabled, mentally ill, at-risk youth and others -- achieve a better quality of life.

 

Amendment No. 1 contributes to these goals by providing clients with adult day care, attendant care, home health coordination, emergency response system, home modification, adaptive equipment, and transportation services, as well as comprehensive case management services. It is anticipated that a total of 250 clients will be served under this Agreement. It is projected that 22 clients or nine percent may need to be placed in a Skilled Nursing Facility (SNF) due to their physical deterioration.

 

Performance Measures:

Measure

FY 2003-04
Actual

FY 2004-05
Projected

Number and Percent of clients placed in SNF

22/9%

22/9%

 

BACKGROUND: On July 27, 2004, your Board adopted resolution 66824 approving Agreement No. MS-0405-13 with the California Department of Aging (CDA) in the amount of $631,892 for the term of July 1, 2004 through June 30, 2005 for the provision of the Multipurpose Senior Services Program. This amount represented a reduction of 14.5% from the 2003-04 funding level and was accompanied by a comparable reduction in the number of client slots from 200 to 171.

 

DISCUSSION:

Amendment No. 1 restores funding to MSSP to last year’s level and increases the client slots available in the program to last year’s level of 200. The program actually serves more clients during the year than it has available slots for because of terminations that occur during the year.

 

Of the $107,493 in additional funding, nearly $30,000 is designated for “waived services,” the category designated to make purchases on behalf of MSSP clients, and another $10,000 is included for other client services. Purchases of these goods and services are made to assist clients to remain safely independent. The ATR also increases the mileage expense for case managers making home visits. Remaining funds included in this ATR and amendment will be used for one-time expenditures, some of which had been delayed because of a lack of funds. These include the purchase of new case management software (the Q Continuum) as required by CDA, computers and laptops, and telephones to replace older equipment.

 

FISCAL IMPACT:

The term of the Agreement remains July 1, 2004 through June 30, 2005. Amendment No. 1 increases the federal categorical funding for MSSP by $107,493, bringing the total contract amount to $739,385. There is no Net County Cost associated with this amendment or ATR.