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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
HEALTH SYSTEM
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DATE:
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January 19, 2010
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BOARD MEETING DATE:
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February 23, 2010
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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4/5ths Vote
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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 to the Agreement with the California Department of Aging for the Health Insurance Counseling and Advocacy Program for FY 2009-10
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RECOMMENDATION:
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1.
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Adopt a Resolution authorizing the execution of Amendment One to Agreement HI-0910-08 with the California Department of Aging for the addition of $51,305 in one-time-only funding, increasing the total from $257,839 to $309,144 for FY 2009-10; and
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2.
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Approve an Appropriation Transfer Request recognizing unanticipated revenue in the amount of $51,305 and increasing appropriations in Provider Services Programs.
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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 July 7, 2009, your Board authorized Resolution 70267 approving Agreement HI-0910-08 with CDA for FY 2009-10 in the amount of $257,839. This Resolution also authorized the Chief of the Health System or designee to execute limited contract amendments.
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DISCUSSION:
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Amendment One provides additional one-time-only federal funding from State Health Insurance Program (SHIP) funds that were unspent at the end of FY 2008-09 and funds from the past year’s grants reconciliation. These funds are to be used to enhance services. 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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The increase in federal funding from this Amendment contributes to the Shared Vision 2025 outcome of a Healthy Community by allowing Aging and Adult Services (AAS) to provide services to at-risk individuals that help them remain in the most independent setting possible, but at the same time the reduction in State funding decreased the number of at-risk individuals who received services in FY 2008-09. It is anticipated that 95% of at-risk individuals will be maintained in a least restrictive setting through case management.
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Performance Measures:
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Measure
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FY 2008-09
Actual
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FY 2009-10
Projected
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Percent of at-risk individuals maintained in a least restrictive setting through case management
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94%
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95%
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FISCAL IMPACT:
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The term of the Agreement remains July 1, 2009 through June 30, 2010. The maximum obligation for this Agreement is increased by $51,305 in federal funds, from $257,839 to a new maximum obligation of $309,144. There is no impact on the Net County Cost as a result of this action.
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