COUNTY OF SAN MATEO

Inter-Departmental Correspondence

 

HEALTH SYSTEM

 
 

DATE:

January 28, 2009

BOARD MEETING DATE:

March 3, 2009

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

 
 

TO:

Honorable Board of Supervisors

   

FROM:

Jean S. Fraser, Chief, Health System

 

Srija Srinivasan, Special Assistant to the County Manager, Health System

   

SUBJECT:

Second Amendment to the Agreement with The Center to Promote HealthCare Access for system enhancements and maintenance of the One-e-App Application System

 
 

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute an Amendment to the Agreement with The Center to Promote HealthCare Access for system enhancements and maintenance of the One-e-App Application System, increasing the Agreement amount by $212,484 for a maximum obligation of $994,060, with no change to the Agreement term, July 1, 2007 through June 30, 2010.

 

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 the One-e-App Application System is enhanced to screen all County residents for the following healthcare coverage programs: Medi-Cal (MC); Healthy Kids (HK); Healthy Families (HF); and the San Mateo Access and Care for Everyone (ACE).

 

Performance Measures:

Measure

FY 2007-08 Actual

FY 2008-09 Projected

Number of children enrolled in MC, HF, and HK

29,400

30,450

Number of adults enrolled in ACE

11,100

12,100

BACKGROUND:

Since 2004 the One-e-App (OeA) system has been used by Certified Application Assistants in San Mateo County to screen and help families apply for health coverage programs through the Children’s Health Initiative (CHI). In August 2007 your Board approved an Agreement with The Center to Promote HealthCare Access (The Center), to maintain OeA as the system used to screen all uninsured adults and children for San Mateo County’s health coverage program. These programs include: Medi-Cal; Healthy Kids; Healthy Families; the San Mateo Access and Care for Everyone (ACE); Discounted Healthcare Program; and other publicly-funded health coverage programs, such as the Family Planning, Access, Care, and Treatment, Cancer Detection Program, and the Child Health, Disability, and Prevention programs. In February 2008 your Board approved an Amendment with The Center to modify the OeA system logic to include new ACE policies, eligibility requirements and determination processes.

 

In December 2008 as one of the final planning phase recommendations of the Blue Ribbon Task Force on Adult Health Care Coverage Expansion, your Board approved the transition of the administration of the County’s local adult indigent care program, formerly known as the Wellness, Education, Low-Cost and Linkage (WELL) program from the San Mateo Medical Center to the Health Plan of San Mateo (HSPM).

 

DISCUSSION:

Effective January 1, 2009, all of the County’s adult indigent health care programs administered by the HPSM are known as the ACE program. This program consolidation includes the WELL program and the ACE program and provides a more seamless and streamlined health coverage application process for clients.

 

Through this proposed second Amendment, The Center will provide system enhancements and maintenance of OeA to support this consolidation. The Center will modify the OeA’s system logic to include the new ACE and Medi-Cal policies, and local eligibility determination processes and requirements. Because of the tight turnaround time between the adoption of relevant policies approved by your Board in December and the Amendment beginning date needed to enable seamless contractor support, this Amendment is late and will not be executed as of its start date of January 27, 2009.

 

This Amendment and Resolution have been reviewed and approved by County Counsel, Risk Management, and Information Services Department.

 

FISCAL IMPACT:

The first Amendment increased the Agreement amount by $153,412, for a maximum obligation of $781,576, with no change to the Agreement term, July 1, 2007 through June 30, 2010. This second Amendment increases the Agreement amount by $212,484 from $781,576 for a new maximum obligation of $994,060. The total Agreement costs are shared by CHI ($406,331), Human Services Agency ($254,934), Health Plan of San Mateo ($9,873), and the San Mateo Medical Center ($322,922). The FY 2008-09 Adopted Budget for CHI is $1.7 million, of which $266,043 is allocated to this Agreement. The remaining costs for this fiscal year have been included in FY 2008-09 Adopted Budgets of the Human Services Agency and San Mateo Medical Center. Costs for subsequent years will be included in their respective budgets. The Net County Cost for this Amendment is $50,548.