COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

   

DATE:

August 13, 2008

BOARD MEETING DATE:

 

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 24 providers of Aging and Adult Services for FY 2008-09

 

RECOMMENDATION:

Adopt a Resolution:

1.

Authorizing the President of the Board of Supervisors to execute the 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 Caregiver Alliance; 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, 2008 through June 30, 2009, for the total amount of $3,060,354; and

2.

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) for each Agreement 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:

Commitments: 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.

 

Older American’s Act (OAA), Community-Based Services Program (CBSP) and Health Insurance Counseling and Advocacy Program (HICAP) funds contribute to this commitment and goal by allowing Aging and Adult Services (AAS) to contract with community partners to provide a variety of much needed services to this targeted population.

 

AAS strives to provide a continuum of services necessary to allow at-risk seniors and adults with disabilities to remain in a least restrictive setting. These programs are a part of the continuum that helps maintain individuals in the most independent setting possible.

 

Performance Measure:

Measure

FY 2007-08
Actual

FY 2008-09
Estimated

Percent of at-risk individuals maintained in a least restrictive setting through case management

95%

95%

 

BACKGROUND:

Fiscal Year 2008-09 is the final year of a four-year planning cycle for OAA, CBSP, and HICAP funding. On November 8, 2004, the Commission on Aging (CoA) approved issuance of a Request for Proposals (RFP) for provision of services to older adults and adults with disabilities. AAS issued a competitive RFP during the third quarter of FY 2004-05 for a four-year cycle effective July 1, 2005 through June 30, 2009. AAS has contracted with 23 of the 24 providers for services through the fourth year of this RFP. In April 2008 a competitive RFP for Family Caregiver Support Services was issued for FY 2008-09. AAS received one proposal for this RFP. This proposal was approved by the evaluation committee and selected for contracting. All 24 Agreements 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, HICAP, 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, HICAP, Health Promotion/Disease Prevention, Home-Delivered Meals, Legal Assistance, Ombudsman Services, Senior Employment, and Transportation. All service providers were selected through an approved RFP process, which was open to any interested providers and reviewed by an evaluation team approved by the CoA. These nutrition, supportive, and employment services, which serve approximately 14,000 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 Resolution and Agreements have been reviewed and approved by County Counsel and Risk Management. The contractors have 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.

 

FISCAL IMPACT:

The term of these Agreements is July 1, 2008 through June 30, 2009. The total combined amount of these Agreements is $3,060,354 (Exhibit A). Of this amount, $2,468,785 is provided through state and federal funding (Title III/VII, Title V, CBSP, and NSIP). Funding from the County Meals on Wheels Trust Fund is $89,941. The remaining $501,628 represents the Net County Cost. The federal, state, and county funding is included in the AAS tentatively Adopted FY 2008-09 Budget.