COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health System

 

DATE:

May 12, 2009

BOARD MEETING DATE:

 

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:

Amendment Two to the Agreements with four providers for Home Health and Attendant Care services for FY 2009-10

 

RECOMMENDATION:

Adopt a Resolution authorizing the President of the Board to execute Amendment Two to each of the Agreements with Addus HealthCare, Inc.; American CareQuest, Inc.; Medical Care Professionals; and NP Plus, LLC for home health and attendant care services amending service rates and increasing the collective amount by $800,000 for FY 2009-10 for a total of $2,570,000 with no change to the term of July 1, 2007 through June 30, 2010.

 

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.

 

These Agreements contribute to the commitment and goal by providing home health and attendant care services to older adults and adults with disabilities.

 

Aging and Adult Services (AAS) has continued to make the provision of services which help maintain at-risk individuals in a least restrictive setting a division-wide performance measure. With the assistance of the services provided through these Agreements, AAS has 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:

Home health attendants provide a variety of personal and health-related services that enable clients to remain in their own homes and avoid unnecessary institutionalization. AAS programs that provide home health and attendant care services include AIDS Case Management and Waiver Programs, Centralized Intake/Adult Protective Services, Healthier Outcomes through Multidisciplinary Engagements, Linkages/Respite, Multipurpose Senior Services Program, and the Public Guardian program.

 

On August 14, 2007, your Board adopted Resolution 68921 approving Agreements with Addus HealthCare, Inc.; American CareQuest, Inc.; Medical Care Professionals; and NP Plus, LLC for the term of July 1, 2007 through June 30, 2010, in the collective amount of $970,000 for the first year of the Agreements.

 

On June 17, 2008, your Board adopted Resolution 69497 approving Amendment One to the Agreements adding language regarding the maximum allowable charge for reimbursement when a client refuses or is not available for services to be no greater than one hour and increasing the collective amount by $800,000 for FY 2008-09 for a total of $1,770,000 for all Agreements under one resolution with no change to the term July 1, 2007 through June 30, 2010.

 

DISCUSSION:

The home health and attendant care providers were selected through a Request for Proposals (RFP) process conducted in 2007 by AAS for a contract term July 1, 2007 through June 30, 2010. The collective amount of the Agreements is amended each fiscal year and is dependent on available funding. These Amendments to the Agreements add funds for the third year of the RFP period. New rates were also included in all programs for caregivers providing services to couples that live together, and for a caregiver visit of up to a maximum of one and one half hours per visit. Rates and services for Public Guardian program were also amended to include chore visits.

 

County Counsel has reviewed and approved the Resolution and Amendments as to form.

 

FISCAL IMPACT:

The term of the Agreements remains the same, July 1, 2007 through June 30, 2010. The maximum the County shall be obligated to pay collectively for these amended Agreements for FY 2009-10 under a single resolution is $800,000. The new collective amount is $2,570,000 for the full contract term. Funding for these Agreements is a combination of state, federal and client (conservatee) funds, and has been included in the AAS FY 2009-10 Recommended Budget. There is no Net County Cost.