COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Department

DATE:

November 21, 2008

BOARD MEETING DATE:

December 16, 2008

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Charlene A. Silva, Director, Health Department

Srija Srinivasan, Special Assistant to the County Manager, County Manager’s Office

SUBJECT:

Agreement with Ravenswood Family Health Center to Provide Outreach, Enrollment, Retention, and Utilization Services

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute an Agreement with Ravenswood Family Health Center to provide outreach, enrollment, retention, and utilization services for children and adult health coverage programs for the term January 1, 2009 through December 31, 2010, for a maximum obligation of $248,000.

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 ensuring that uninsured residents living in the southern region of San Mateo County will be screened, enrolled, and retained in various health coverage programs.

Performance Measures:

Measure

FY 2007-08
Actual

FY 2008-09
Projected

Number of children enrolled in Medi-Cal, Healthy Families, and Healthy Kids

29,400

30,450

Number of adults enrolled in the Wellness, Enrollment, Linkage, and Low–Cost (WELL) and Adult Coverage Expansion programs

11,100

12,100

BACKGROUND:

Ravenswood Family Health Center (RFHC) provides access to health care services for uninsured, low-income, and medically underserved residents living in the southern region of San Mateo County. For the past six years, the Health Department has partnered with RFHC through the Children’s Health Initiative (CHI) to enroll uninsured children and adults into the following health coverage programs: Medi-Cal (MC), Healthy Families (HF), Healthy Kids (HK), other adult health coverage programs (AHCPS), such as WELL and San Mateo Access and Care for Everyone (ACE).

DISCUSSION:

In order to effectively conduct outreach to uninsured residents in San Mateo County, a Request for Proposals (RFP) was issued to community-based organizations throughout the County in September 2007. RFHC was one of five organizations selected to provide these services, targeting uninsured residents in the southern region of the County. Based on their outstanding performance in the past year, enrolling more than 1,200 children and adults into health coverage programs, the CHI Oversight Committee recommended a new contract with the RFHC for two years.

Under this Agreement, RFHC will continue to perform outreach, enrollment, retention, and utilization activities targeting uninsured residents living in the southern region of San Mateo County who are eligible for, but not enrolled in, health care coverage programs. These programs include: MC, HF, HK, and AHCPS. The contractor will oversee staff who will be trained as Certified Application Assistants and will use the One-e-App web-based application processing system to enroll eligible children and adults into the various health coverage programs.

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.

The Agreement has been reviewed and approved by County Counsel and Risk Management.

FISCAL IMPACT:

The term of this Agreement is January 1, 2009 through December 31, 2010, for a maximum obligation of $248,000. Agreement costs of $62,000 are included in the HPP FY 2008-09 Adopted Budget; $124,000 will be included in the FY 2009-10 Recommended Budget, and $62,000 will be included in the FY 2010-11 Recommended Budget. The contract is covered by contributions from the First 5 San Mateo County, Peninsula and Sequoia Healthcare Districts, the CHI Trust Fund, federal reimbursements from the Medi-Cal Administrative Activities program and the County General Fund. The Net County Cost for this Agreement for FY 2008-09 is $11,160. Similar arrangements will be made for future years. In FY 2008-09 the County General Fund will contribute a total of $2.7 million to the CHI budget.