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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 19, 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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Majority
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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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Amendments to 14 provider Agreements for modifications to funding and services
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RECOMMENDATION:
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Adopt a Resolution authorizing the execution of Amendment One to the Agreements with Alzheimer’s Association of Northern California and Northern Nevada; Center for Independence of the Disabled; City of Daly City; City of Pacifica; City of San Bruno; 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 Services of San Mateo County, Inc.; Peninsula Volunteers, Inc.; and Self Help for the Elderly for the provision of supportive, nutrition and community-based services to expand services and adjust funding by $104,507 from $2,518,541 to $2,623,048 with no change to the term of July 1, 2008 through June 30, 2009.
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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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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.
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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 services are a part of the continuum that helps maintain individuals in the most independent setting possible.
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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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On September 9, 2008, your Board authorized Resolution 69659 approving Agreements with 24 providers for Adult Day Care/Adult Day Health Care, Alzheimer’s Program, Brown Bag Program, Case Management, Congregate Nutrition, Family Caregiver Support, Health Insurance Counseling and Advocacy Program, Health Promotion/Disease Prevention, Home-Delivered Meals, Legal Assistance, Ombudsman Services, Senior Employment and Transportation. The total aggregate amount of the 24 Agreements was $3,060,354 for the term of July 1, 2008 through June 30, 2009 to provide these services to at-risk individuals in San Mateo County.
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On February 24, 2009, an Appropriations Transfer Request was brought before your Board authorizing the acceptance of additional federal and State one-time-only OAA, CBSP, and HICAP funding. These one-time-only funds will be used to backfill the majority of the mid-year loss of State funding passed through the County to the community providers. In addition, this funding will allow community providers to purchase equipment and supplies, to fund one-time-only community- and home-based projects, and to fund innovative pilot projects that will enhance service delivery and protection of the County’s frail elderly population.
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DISCUSSION:
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Upon receiving notification of the one-time-only funding, AAS invited the 24 current providers to submit proposals for the additional funds that were not used to backfill mid-year State reductions. The State and the Commission on Aging have reviewed and approved the distribution of the funds to 14 of the 24 providers. The Amendment to Family Service Agency reflects an increase in one-time funding in the amount of $5,000 and a reduction in Title V, State baseline funding in the amount of $17,764 for a net decrease of $12,764. The Amendment to Ombudsman Services of San Mateo County, Inc. reflects a decrease in State baseline funding in the amount of $91,612 and a backfill with one-time-only funds in the amount of $89,094 for a net decrease of $2,518. Exhibit A notes each of the 14 contractors and the amount change to the corresponding Agreement.
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County Counsel has reviewed and approved the Resolution and Amendments as to form. Risk Management has reviewed and approved the insurance levels.
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FISCAL IMPACT:
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The term of the Agreements with the various providers remains July 1, 2008 through June 30, 2009. The Amendments to the 14 provider Agreements represent an overall increase in federal and State one-time-only funds in the amount of $104,507 for a total amount of $2,623,048 for the 14 Agreements. There is no change to Net County Cost.
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