Inter-Departmental Correspondence

Health System



August 23, 2010


September 28, 2010







Honorable Board of Supervisors


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



Agreements with 23 providers of Aging and Adult Services for FY 2010-11


Adopt a Resolution Authorizing the:


President of the Board to execute the Agreements with Alzheimer’s Association, Northern California & Northern Nevada; Catholic Charities CYO; Center for Independence of the Disabled; City of Belmont; City of Daly City; City of East Palo Alto; City of Menlo Park; City of Pacifica; City of San Bruno; City of San Mateo; City of South San Francisco; Coastside Adult Day Health Center; Edgewood Center for Children and Families; Family Caregiver Alliance; Hospital Consortium of San Mateo County; Kimochi, Incorporated; Legal Aid Society of San Mateo County; Mills-Peninsula Health Services; Ombudsman Services of San Mateo County, Incorporated; Peninsula Family Service; Peninsula Volunteers, Incorporated; Self Help for the Elderly; and Senior Coastsiders for the provision of supportive, nutrition, and community-based services for the term of July 1, 2010 through June 30, 2011, for a maximum obligation of $3,066,516; and


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



Fiscal Year 2010-11 is the second year of a four-year planning cycle for Older Americans Act (OAA) and Health Insurance Counseling and Advocacy Program (HICAP) funding. In 2008 the Commission on Aging approved issuance of a Request for Proposals (RFP) for provision of services to older adults and adults with disabilities for the term of July 1, 2009 through June 30, 2013. Aging and Adult Services (AAS) contracted with 25 of the 26 providers that submitted proposals for services through the first year of this RFP.


This year 23 of the original 25 providers are able to provide services funded with a combination of federal, state, and county dollars, along with contributions from providers, the individuals served, the community, and other grants. Federal and state funding is provided through agreements with the California Department of Aging (CDA) for the Appropriations Act of 2010, HICAP, the Nutrition Services Incentive Program, Medicare Improvements for Patients and Providers Act of 2008, Title III/VII and Title V program services.



Services to be provided through these Agreements include Adult Day Care/Adult Day Health Care, Alzheimer’s Day Care Services, Case Management, Congregate Nutrition, Family Caregiver Support, HICAP, Health Promotion/Disease Prevention, Home-Delivered Meals, Legal Assistance, Medication Management, Ombudsman Services, Senior Employment and Transportation. These services, which serve an average of 13,400 seniors annually, are designed to carry out many of the goals and objectives identified in the New Beginning Coalition Strategic Plan and help at-risk individuals remain in the most independent setting possible.


The Agreements and Resolution have been reviewed and approved by County Counsel. The Contractors’ insurance have been reviewed and approved by Risk Management. The Contractors have assured compliance with the County’s Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.


The delay in processing these Agreements is due to the timing of the OAA and HICAP FY 2010-11 allocations and final program requirements from CDA. These Agreements are currently on the Continuing Resolution.


OAA and HICAP funds contribute to the Shared Vision 2025 outcome of a Healthy Community by allowing AAS to contract with community partners to provide a variety of much needed services to this targeted population. 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

Number of people served through Area Agency on Aging funds



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



*The number of people served in FY 2009-10 was lower due to a decrease in state funding and the elimination of programs.
**FY 2009-10 data demonstrates exceptional performance beyond the program target.



The term of these Agreements is July 1, 2010 through June 30, 2011. The total combined amount of these Agreements is $3,066,516 (Exhibit A). Of this amount, $2,526,433 is provided through state and federal funding. Funding from the County Meals on Wheels Trust Fund is $43,800. The remaining $496,283 represents the Net County Cost. Funds for these services are included in the AAS tentatively Adopted FY 2010-11 Budget.

Exhibit A


Alzheimer’s Association, Northern CA and Northern NV


Catholic Charities CYO


Center for Independence of the Disabled


City of Belmont


City of Daly City


City of East Palo Alto


City of Menlo Park


City of Pacifica


City of San Bruno


City of San Mateo


City of South San Francisco


Coastside Adult Day Health Center


Edgewood Center for Children and Families


Family Caregiver Alliance


Hospital Consortium of San Mateo County


Kimochi, Incorporated


Legal Aid Society of San Mateo County


Mills-Peninsula Health Services


Ombudsman Services of San Mateo County, Incorporated


Peninsula Family Service


Peninsula Volunteers, Incorporated


Self Help for the Elderly


Senior Coastsiders