Inter-Departmental Correspondence

Health System



May 17, 2010


June 22, 2010







Honorable Board of Supervisors


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



Agreement No. HI-1011-08 with the California Department of Aging for Fiscal Year 2010-11



Adopt a Resolution:


Authorizing the President of the Board to execute Agreement No. HI-1011-08 with the California Department of Aging for the Health Insurance Counseling and Advocacy Program for the term July 1, 2010 through June 30, 2011, in the amount of $272,958; and



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.



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 Older Americans Act (OAA) and Older Californians Act (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.



Aging and Adult Services (AAS) contracts with a community-based organization, Self-Help for the Elderly, to provide Health Insurance Counseling and Advocacy Program (HICAP) services, a volunteer-supported program that provides three basic services: community education, lay counseling, and advocacy related to Medicare. Self Help for the Elderly was selected to provide HICAP services through a Request for Proposals (RFP) process conducted in December 2008 for the contract term July 1, 2009 through June 30, 2013. HICAP is an integral component of California’s community-based long-term care system. Medicare beneficiaries and those under 65 who are about to become eligible for Medicare or who are disabled and on Medicare are eligible for HICAP services. Locally, the program is designed to carry out goals and objectives of the AAA Plan related to advocacy and health care.


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


This Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by allowing AAS to provide clients with objective health insurance counseling, advocacy and assistance. It is anticipated that 75% HICAP services recipients will feel that they have gained useful knowledge and feel that their personal life has improved.


Performance Measures:


FY 2009-10

FY 2010-11

Percent of HICAP service recipient stakeholder survey respondents indicating that their personal life has improved as a result of services received*



Percent of HICAP service recipient stakeholder survey respondents indicating that they gained useful knowledge through the presentations, trainings, conferences, and resources provided*



* This measure is reported annually at the end of the fiscal year.



The term of this Agreement is July 1, 2010 through June 30, 2011. Execution of this Agreement with CDA allows the County to claim funding for HICAP for FY 2010-11. The total amount of this Agreement is $272,958. Revenues and expenses related to this Agreement are included in the AAS FY 2010-11 Recommended Budget. There is no Net County Cost associated with approving this Agreement with CDA.