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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health System
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DATE:
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March 10, 2009
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BOARD MEETING DATE:
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April 14, 2009
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Four-fifths
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TO:
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Honorable Board of Supervisors
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FROM:
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Jean S. Fraser, Chief, Health System
Lisa Mancini, Director, Aging and Adult Services
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SUBJECT:
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Amendment Two to the Agreement with the California Department of Aging for the Health Insurance Counseling and Advocacy Program for FY 2008-09
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RECOMMENDATION:
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1.
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Adopt a Resolution authorizing the execution of Amendment Two to Agreement HI-0809-08 with the California Department of Aging for the addition of $24,099 in one-time-only funding, increasing the total from $268,853 to $292,952 for FY 2008-09; and
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2.
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Approve an Appropriation Transfer Request recognizing unanticipated revenue in the amount of $24,099 and increasing appropriations in Provider Services Programs.
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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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This Resolution and Appropriation Transfer Request (ATR) contribute to this commitment and goal by providing additional funding for our contracted providers to serve this population.
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Aging and Adult Services (AAS) strives to provide services to at-risk individuals in order to help them remain in the most independent setting possible. The provision of these services to this targeted population is a division-wide performance measure. With the assistance of the services provided through Health Insurance Counseling and Advocacy Program (HICAP) funding, we have met this measure as a Division.
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Performance Measure:
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Measure
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FY 2007-08
Actual
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FY 2008-09
Projected
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Percent of at-risk individuals maintained in a least restrictive setting through case management
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95%
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95%
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BACKGROUND:
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Your Board has designated itself as the Area Agency on Aging of San Mateo County to carry out state-funded programs pursuant to the Older Americans Act of 1965. On July 12, 2005, your Board approved the 2005-2009 Strategic Plan for Services to Older Persons and Adults with Disabilities. This plan, together with the annual budget, fulfills California Department of Aging’s (CDA) requirements and generates a contract from CDA for funding.
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On June 3, 2008, your Board authorized Resolution 69458 approving Agreement HI-0809-08 with CDA for FY 2008-09 in the amount of $246,053. This Resolution also authorized the Director of Health or the Director’s designee to execute limited contract amendments.
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On January 14, 2009, the Chief of the Health System approved the first amendment to Agreement HI-0809-08. This Amendment increased the amount by $22,800 in one-time-only funds for a total of $268,853.
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DISCUSSION:
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Amendment Two provides additional one-time-only funds to be used for Low-Income Subsidy outreach and to enhance services within the HICAP program for older adults in the community. Amendments to the provider agreements for services to pass through the one-time-only funds will be brought to your Board for review and approval.
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County Counsel has reviewed and approved the Resolution, ATR, and Amendment as to form.
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FISCAL IMPACT:
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The term of the Agreement remains July 1, 2008 through June 30, 2009. The maximum obligation for this Agreement is increased by $24,099 in federal funds, from $268,853 to a new maximum obligation of $292,952. There is no impact on the Net County Cost as a result of this action.
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