COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

June 29, 2006

BOARD MEETING DATE:

July 18, 2006

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

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

SUBJECT:

Agreements with 23 providers of Aging and Adult Services for FY 2006-07

RECOMMENDATION:

Adopt a resolution authorizing:

1.

The execution of agreements with Alzheimer’s Association, Northern California & Northern Nevada; Avenidas; Catholic Charities CYO; Center for Independence of the Disabled; City of Belmont; City of Daly City; City of East Palo Alto; City of Menlo Park; City of Pacifica; City of San Bruno; City of San Mateo; City of South San Francisco; Coastside Adult Day Health Center; Edgewood Center for Children and Families; Family Service Agency; Legal Aid Society; Mills-Peninsula Senior Focus; Ombudsman of San Mateo County, Inc.; Peninsula Volunteers; Second Harvest Food Bank; Self-Help for the Elderly; Senior Coastsiders; and Sequoia Hospital for the provision of supportive, nutrition and community-based services for the term of July 1, 2006 through June 30, 2007, for the total amount of $3,131,214; and

2.

The Director of the Health Department to execute subsequent amendments and minor modifications not to exceed an aggregate of $25,000 per agreement and to make minor changes in the types of services and activities provided under these agreements

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all and create opportunities for every household to participate in our prosperity.

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

Aging and Adult Services (AAS) has continued to make the provision of services which help maintain at-risk individuals in a least restrictive setting a division-wide performance measure. With the assistance of the services provided through these agreements we have met this measure as a division.

Performance Measure(s):

Measure

FY 2005-06
Estimated

FY 2006-07
Projected

Percent of At-Risk Individuals Maintained in a Least Restrictive Setting Through Case Management

90%

90%

BACKGROUND:

Fiscal year 2006-07 is the second year of a four-year planning cycle for Older Americans Act (OAA) and Community-Based Services Programs (CBSP) funding. On November 8, 2004, the Commission on Aging approved issuance of a Request for Proposals (RFP) for provision of services to older adults and adults with disabilities. AAS issued the competitive RFP during the third quarter of 2004-05 for a four-year cycle effective July 1, 2005 through June 30, 2009. Services through the second year of this RFP are funded with a combination of federal, state and county dollars, along with contributions from providers, the individuals served, the community, and other grants. Federal and state funding is provided through agreements with the California Department of Aging (CDA) for Title III/VII, Title V, CBSP and the Nutrition Services Incentive Program (NSIP).

DISCUSSION:

Services to be provided through these agreements include Adult Day Care/Adult Day Health Care, Alzheimer’s Program, Brown Bag Program, Case Management, Congregate Nutrition, Caregiver Support, Health Insurance Counseling and Advocacy, Health Promotion/Disease Prevention, Home-Delivered Meals, Legal Assistance, Ombudsman Services, Senior Employment, and Transportation. All service providers were selected through the aforementioned approved RFP process, which was open to any interested providers and reviewed by an evaluation team approved by the Commission on Aging (CoA). These nutrition, supportive, and employment services, which serve approximately 10,700 seniors annually, are designed to carry out many of the goals and objectives identified in the New Beginning Coalition Strategic Plan and help at-risk individuals remain in the most independent setting possible.

The contractor has assured compliance with the County’s Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits. County Counsel has reviewed and approved the Resolution and Agreements as to form. Risk Management has reviewed and approved the Contractors’ insurance coverage.

FISCAL IMPACT:

The term of these agreements is July 1, 2006 through June 30, 2007. The total combined state, federal and county amount for these agreements is $3,131,214 (Exhibit A). Of this amount, $2,662,738 is provided through state and federal funding (Title III/VII, Title V, CBSP, and NSIP). Funding from the County Meals on Wheels Trust Fund, specifically for the Supplemental Meals on Wheels program, is $120,000. The remaining $348,476 represents the Net County Cost. The federal, state, and county funding is included in the FY 2006-07 recommended AAS budget. Other funding sources in support of these services include provider contributions (match and non-match) in the amount of $7,929,468 and anticipated client contributions in the amount of $1,371,884. The combined total funding for these services from all sources for FY 2006-07 is $12,432,566.