COUNTY OF SAN MATEO

Inter-Departmental Correspondence

HEALTH DEPARTMENT

DATE:

July 30, 2007

BOARD MEETING DATE:

August 14, 2007

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Srija Srinivasan, Director, Health Policy and Planning

SUBJECT:

Agreement with The Center to Promote HealthCare Access

 

RECOMMENDATION:

Adopt a Resolution:

   

1.

Waiving the Request for Proposal (RFP) Process; and

   

2.

Authorizing the President of the Board to execute an Agreement with The Center to Promote HealthCare Access to provide maintenance, technical support, and system expansion of the One-e-App program for the term of July 1, 2007 through June 30, 2010, in the amount of $628,164; and

 

3.

Authorizing the Director of Health or the Director's designee to execute contract amendments that 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.

 

VISION ALIGNMENT:

Commitment: Ensure basic health and safety for all.

Goal 5: Residents have access to healthcare and preventive care.

This Agreement contributes to this commitment and goal by utilizing the One-e-App application system to ensure that all County residents seeking health coverage will be screened for Medi-Cal (MC), Healthy Kids (HK), Healthy Families (HF), and Wellness, Enrollment, Linkage and Low–Cost (WELL) programs.

Performance Measures:

Measure

FY 2006-07 Estimated

FY 2007-08 Projected

MC membership for children*

26,005

13,500

HF membership

8,750

8,800

HK membership

6,768

7,200

Percentage of applications screened through modified One-e-App tool that are determined eligible or preliminarily eligible for the following:

- Adult Medi-Cal

30%

30%

- WELL Program

35%

35%

* Medi-Cal numbers for FY 2007-08 have been revised to reflect an unduplicated count.

 

BACKGROUND:

Since 2004 the One-e-App (OeA) system has been used by all Certified Application Assistants in the County to screen and assist children in applying for health coverage programs through the Children’s Health Initiative (CHI). In 2005 the County selected OeA as the eligibility and screening tool for adult health coverage programs when the self declaration process was eliminated for the County’s medically indigent adult program, WELL. In August 2006 your Board, through Resolution 68213, approved an Agreement with The Center to Promote HealthCare Access (The Center) to implement OeA as the system used for screening and assistance for all of the County’s health coverage programs for adults and children including MC, HF, HK, WELL, and other publicly-funded health coverage programs.

 

DISCUSSION:

This Agreement with The Center includes ongoing maintenance for the revised system, which now contains tools to support screening and enrollment for all major health coverage programs available to children and adults. The Center will provide all OeA system maintenance and technical support services. The Center is the sole provider of the OeA system, which was developed as an initiative of the California Health Care Foundation. For this reason the Health Department is requesting a waiver of the RFP process. OeA will also be used to conduct screening and eligibility for a new coverage product under the California Department of Health Services’ Health Care “Coverage Initiative” that will enable coverage expansion to some uninsured adults. The implementation of this new program is scheduled for September 1, 2007.

This Agreement, Board Memo and Resolution have been reviewed and approved by County Counsel, Risk Management, and ISD. A waiver to modify the County’s Non Discrimination provision has been approved by County Counsel and the County Manager’s Office.

 

FISCAL IMPACT:

The term of the Agreement is July 1, 2007 through June 30, 2010, for a total obligation of $628,164. The cost is shared by CHI ($294,389), Human Services Agency ($182,059) and Non-Departmental Services ($151,716). The tentatively Adopted FY 2007-08 Budget for CHI is $9.4 million, which includes $83,093 for the FY 2007-08 cost of this Agreement. Remaining FY 2007-08 costs have been included in the Human Services Agency and Non-Departmental Services tentatively Adopted FY 2007-08 Budgets. Costs for subsequent years will be included in these respective budgets. The bulk of the costs are covered by private foundation funding; the Net County Cost for all three years of this Agreement is $151,716.