Inter-Departmental Correspondence

Health System



May 18, 2010


June 8, 2010







Honorable Board of Supervisors


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



Amendments to three provider Agreements for modifications to funding and services



Adopt a Resolution authorizing the President of the Board to execute the First Amendment to each of the Agreements with Family Service Agency; Mills-Peninsula Health Services; and Peninsula Volunteers, Inc., for the provision of supportive, nutrition and community-based services and to expand services and adjust funding by $132,331 and to remove the Transportation Program and funding in the amount of $4,040 from Family Service Agency for a total increase of $128,291 from $1,065,973 to $1,194,264 with no change to the term of July 1, 2009 through June 30, 2010.



On November 10, 2009, your Board authorized Resolution 70507 approving Agreements with 25 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 (HICAP), Health Promotion/Disease Prevention, Home-Delivered Meals, Legal Assistance, Ombudsman Services, Senior Employment and Transportation. The total aggregate amount of the 25 Agreements was $3,151,236 for the term of July 1, 2009 through June 30, 2010, to provide these services to at-risk individuals in San Mateo County. This Resolution also authorized 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.


On April 27, 2010, an Appropriations Transfer Request was brought before your Board authorizing the acceptance of additional federal and State one-time-only Older Americans Act and HICAP funding in the amount of $334,026. Upon receiving notification of the one-time-only funding, Aging and Adult Services (AAS) invited the 25 current providers to submit proposals for the additional funds that were not used to backfill mid-year State reductions. Exhibit A notes each of the 17 contractors and the change amount to the corresponding Agreement. Of the 17 amendments 13 will be approved by the Chief of the Health System due to the amounts being less than $25,000 in aggregate, and one amendment will be submitted separately to your Board for approval due to a delay in receiving the signed amendment from the provider.


On May 11, 2010, your Board approved California Department of Aging Agreement AA-0910-08 for Title V Senior Community Service Appropriations Act funds in the amount of $87,307. Of this amount $19,358 was appropriated for FY 2009-10 for two additional participant slots in the Title V Senior Community Service Employment Program. This program is provided solely by Family Service Agency. The remaining funds for FY 2010-11 will be included in Aging and Adult Services (AAS) FY 2010-11 Recommended Budget. The Amendment to Family Service Agency reflects an increase in one-time funding and Title V funding in the amount of $27,705 and the elimination of the Transportation Program in the amount of $4,040 for a total amount of $23,665.



This fiscal year the State allowed baseline direct client services to be enhanced through one-time-only funds. These baselines include Adult Day Care, Case Management, Congregate, Legal Assistance, Ombudsman, and Transportation services. One-time-only funding for baseline services will be used to increase the units of assistance, trips, congregate and home-delivered meals, to purchase food and supplies, and to expand direct client services. One-time-only funds not used for baseline services will be used for the purchase of food preparation and computer equipment, and for the development of outreach projects for the provision of information services in multiple languages to increase community education and awareness of programs and services available in the County.


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


These Amendments contribute to the Shared Vision 2025 outcome of a Healthy Community by allowing AAS to provide services to at-risk individuals that help them remain in the most independent setting possible. It is anticipated that 95% of at-risk individuals will be maintained in a least restrictive setting through case management.


Performance Measures:


FY 2009-10

FY 2010-11

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





The term of the Agreements remains the same, July 1, 2009 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 $112,973 in one-time-only funds and $19,358 in Title V funds for a total amount of $132,331. The new collective amount of the Agreements is $1,194,264 with the elimination of the Transportation Program ($4,040) for the full contract term. Funds are included in the AAS FY 2009-10 Adopted Budget. There is no Net County Cost associated with this action.