COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

BOARD MEETING DATE:

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Brian Zamora, Director, Public Health and Environmental Protection

SUBJECT:

Agreement with Community Dental Care, Inc., a California Nonprofit Corporation

RECOMMENDATION:

Adopt a resolution:

A)

Authorizing the President of the Board to execute an Agreement with Community Dental Care, Inc., in the amount of $211,460 to provide HIV dental services for the period of March 1, 2006 to February 28, 2007; and

B)

Authorizing the Director of the Health Department to execute subsequent amendments and minor modifications not to exceed $25,000 and to make minor changes in the types of services and activities provided under the Agreement.

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal(s) 5 & 8: Residents have access to healthcare and preventive care; and help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life.

The agreement contributes to these commitments and goals by providing dental services to clients of the AIDS Program to improve the quality of life for those living with, or at-risk for, HIV/AIDS.

Performance Measure(s):

Measure

FY 2005-06
Actual

FY 2006-07
Projected

Percentage of clients who will show an improvement in oral health

95%

97%

Percentage of clients who will report satisfaction with services provided as measured by the contractor’s Client Satisfaction Survey

96%

98%

BACKGROUND:

Community Dental Care, Inc., has provided quality dental services for clients of the San Mateo County AIDS Program (SMCAP) since 1994. A large percentage of AIDS Program clients have major dental problems which impact an already compromised immune system. Regular dental care is an integral part of the medical care of people with HIV/AIDS, enabling them to obtain maximum nutrition and avoid sources of infection.

A Request for Proposals (RFP) for HIV Dental Services for the three-year period of March 1, 2004 to February 28, 2007, was released in November 2003. Community Dental Care, Inc. was selected to provide dental services. Contracts are completed on an annual basis due to uncertainty of funding.

On February 28, 2006 your Board approved Resolution No. 067834, authorizing the Controller to continue payments on the previous Agreement for the period of March 1, 2006 to June 30, 2006, which allowed continuation of services until funding notification was received.

DISCUSSION:

SMCAP has been awarded Ryan White CARE Act, Title I funds to provide HIV dental care services for FY 2006-07. Payments made under this contract are on a fee-for-service basis and provide dental services to 128 AIDS/HIV+ unduplicated clients.

The Agreement includes all provisions that are required by county ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, equal benefits and jury service policy. County Counsel has reviewed and approved the Resolution and Agreement as to form.

FISCAL IMPACT:

The term of the Agreement is March 1, 2006 through February 28, 2007. The maximum amount of funding for the agreement is $211,460 which is fully funded by Ryan White funds. The AIDS Program Adopted Budget for FY 2005-06 includes $70,487, and the Recommended Budget for FY 2006-07 includes $140,973. While there is no Net County Cost associated with this agreement, the Ryan White CARE Act does require a Maintenance of Effort which has been met in both budget years by the allocated Net County Cost for the AIDS Program.