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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Department
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DATE:
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July 18, 2007
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BOARD MEETING DATE:
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August 14, 2007
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene A. Silva, Director, Health Department
Lisa Mancini, Director, Aging and Adult Services
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SUBJECT:
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Agreement No. HI-0708-08 with the California Department of Aging
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RECOMMENDATION:
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Adopt a Resolution:
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1.
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Authorizing the President of the Board of Supervisors to execute Agreement No. HI-0708-08 with the California Department of Aging (CDA) for the Health Insurance Counseling and Advocacy Program (HICAP) for the term July 1, 2007 through June 30, 2008 in the amount of $244,080; and
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2.
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Authorizing the Director of Health or the Director's designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate) and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.
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VISION ALIGNMENT:
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Commitment: Ensure basic health and safety for all.
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Goal 8: Help vulnerable people—the aged, disabled, mentally ill, at-risk youth and others—achieve a better quality of life.
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Funds for HICAP contribute to this commitment and goal by providing clients with objective health insurance counseling, advocacy and assistance. The performance measures below show the percent of stakeholder survey respondents indicating they have benefited from services provided through Aging and Adult Services (AAS), which includes HICAP.
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Performance Measures:
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Measure
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FY 2006-07
Estimated
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FY 2007-08
Projected
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Percent of stakeholder survey respondents indicating benefit from services provided: Their personal life has improved as a result of services received
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97%
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97%
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Percent of stakeholder survey respondents indicating benefit from services provided: Gained useful knowledge through the presentations, trainings, conferences, and resources provided
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97%
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97%
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BACKGROUND:
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This Board has designated itself as the Area Agency on Aging (AAA) of San Mateo County to carry out State-funded programs pursuant to the Older Americans Act (OAA) of 1965. Every four years, the AAA is required to submit a Planning and Service Area Plan for aging services to the CDA. The State also requires that counties submit annual updates identifying revised goals and objectives for the coming fiscal year in order to claim the allotted OAA and HICAP funds, which are determined through a statewide funding formula. The Area Plan provides a profile of the County’s senior population, identifies activities to improve and expand existing services as well as to develop new programs designed to address current countywide needs, and recommends services to be funded with San Mateo County’s OAA and HICAP allocation. On July 12, 2005, your Board approved the Strategic Plan for Services for Older Adults and Adults with Disabilities for 2005-09. This plan, together with the annual budget, fulfills CDA’s requirements and generates contracts from CDA for funding of various OAA and other State-funded grant programs including HICAP.
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DISCUSSION:
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AAS contracts with a community-based organization, Self-Help for the Elderly, to provide HICAP, a volunteer-supported program that provides three basic services: community education, lay counseling, and advocacy related to Medicare. Self Help for the Elderly was selected to provide HICAP services through a Request for Proposals (RFP) process conducted in August 2005 for the contract term July 1, 2005 through June 30, 2009. HICAP is an integral component of California’s community-based long-term care system. Medicare beneficiaries and those under 65 who are about to become eligible for Medicare or who are disabled and on Medicare are eligible for HICAP services. Locally, the program is designed to carry out goals and objectives of the AAA Plan related to advocacy and health care.
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County Counsel has reviewed and approved the Agreement and Resolution as to form.
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FISCAL IMPACT:
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The term of this Agreement is July 1, 2007 through June 30, 2008. Execution of this Agreement with CDA allows the County to claim funding for HICAP for FY 2007-08. The total amount of this Agreement is $244,080. Revenues and expenses related to this Agreement are included in the AAS tentatively Adopted FY 2007-08 Budget. There is no Net County Cost as a result of this action.
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