COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

DATE:

April 27, 2009

BOARD MEETING DATE:

May 19, 2009

SPECIAL NOTICE/HEARING:

None

VOTE REQUIRED:

Majority

TO:

Honorable Board of Supervisors

FROM:

Jean S. Fraser, Chief, Health System
Lisa Mancini, Director, Aging and Adult Services

SUBJECT:

Agreement No. AP-0910-08 with the California Department of Aging for Fiscal Year 2009-10

RECOMMENDATION:

Adopt a Resolution:

1.

Authorizing the President of the Board to execute Agreement No. AP-0910-08 for funding under Titles III and VII of the Older Americans Act and for the Community-Based Services Program of the Older Californians Act with the California Department of Aging for the continuation of nutrition, supportive, and employment community-based services for the term of July 1, 2009 through June 30, 2010 in the amount of $2,905,278; and

2.

Authorizing the Chief of the Health System or designee to execute contract amendments which modify the funding amount by no more than $25,000 (in aggregate), 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:

Commitment: 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 Americans Act (OAA) and Older Californians Act (OCA) funding contribute to this commitment and goal by allowing Aging and Adult Services (AAS) to provide services to at-risk individuals that help them remain in the most independent setting possible. With the assistance of the services provided through Titles III and VII of OAA and Community-Based Services Program (CBSP) funding provided through OCA, we have met this measure as a Division.

Performance Measure:

Measure

FY 2008-09
Estimate

FY 2009-10
Target

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

95%

95%

BACKGROUND:

Every four years your Board, as the Area Agency on Aging (AAA) of San Mateo County, is required to submit an Area Plan for aging services to California Department of Aging (CDA). The State also requires that counties submit annual updates identifying revised goals and objectives for the coming fiscal year in order to claim their allotted OAA and OCA funds, which are determined through a statewide funding formula. The plan provides a profile of the County’s senior population, identifies activities to improve and expand existing services, as well as to develop new programs designed to address current countywide needs, and recommends services to be funded with San Mateo County’s OAA and OCA allocations. On April 28, 2009, your Board approved the AAA 2009 – 2012 Area Plan for Services for Older Adults and Adults with Disabilities (Area Plan). This plan, together with the annual budget, fulfills CDA’s requirements and generates a contract from CDA for funding.

DISCUSSION:

Titles III and VII and CBSP funding support a variety of programs including Adult Day Care, Alzheimer’s Program, Brown Bag, Case Management, Congregate Nutrition, Disease Prevention/Health Promotion, Family Caregiver Support, Home-Delivered Meals, Legal Assistance, Ombudsman Program, Transportation, and Unsubsidized Senior Employment services. These services, which serve approximately 11,250 seniors annually, are designed to carry out many of the goals and objectives identified in the Area Plan and help at-risk individuals remain in the most independent setting possible.

Nutrition, supportive, and employment services are part of the group of supportive services funded with the County’s OAA and OCA allocation and are provided by community-based agencies. Funds from this Agreement make up a portion of the funds spent in the community for these services. The community-based agencies provide additional funds to enhance services. County Counsel has reviewed and approved the Agreement and Resolution as to form.

FISCAL IMPACT:

The term of this Agreement is July 1, 2009 through June 30, 2010. Execution of this Agreement with CDA allows the County to claim its allocation of OAA and OCA funding for Titles III and VII and CBSP for FY 2009-10. The total amount of this Agreement is $2,905,278 comprised of $2,405,523 in federal funds and $499,755 in state funds. Revenues and expenses related to this Agreement are included in the AAS FY 2009-10 Recommended Budget. There is no Net County Cost associated with approving this Agreement with CDA.