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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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December 20, 2010
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BOARD MEETING DATE:
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January 25, 2011
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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 2010-11
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RECOMMENDATION:
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1.
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Adopt a Resolution authorizing the President of the Board to execute Amendment One to Agreement HI-1011-08 with the California Department of Aging for the addition of $28,183 in one-time-only funding for the term July 1, 2010 through June 30, 2011, increasing the total from $272,958 to $301,141; and
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2.
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Approve an Appropriation Transfer Request in the amount of $28,183 from Unanticipated Revenue to Provider Services Programs.
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BACKGROUND:
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Your Board has designated itself as the Area Agency on Aging (AAA) of San Mateo County to carry out state-funded programs pursuant to the Older Americans Act of 1965. On April 28, 2009, your Board approved the 2009-12 Area Plan for Services for Older Adults and Adults with Disabilities. This plan, together with the annual budget, fulfills the California Department of Aging’s (CDA) requirements and generates a contract from CDA for funding.
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On June 22, 2010, your Board authorized Resolution 70864 approving Agreement HI-1011-08 with CDA for FY 2010-2011 in the amount of $272,958. This Resolution also authorized the Chief of the Health System or designee to execute limited contract amendments.
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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. 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.
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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 2009-10 and funds from the past year’s grants reconciliation. These funds are to be used to enhance HICAP services in the community.
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County Counsel has reviewed and approved the Resolution 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 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.
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Performance Measure:
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Measure
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FY 2009-10
Actual
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FY 2010-11
Projected
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Percent of HICAP service recipient stakeholder survey respondents indicating that their personal life has improved as a result of services received
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82%
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75%
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FISCAL IMPACT:
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The term of the Agreement remains July 1, 2010 through June 30, 2011. The maximum obligation for this Agreement is increased by $28,183 in federal funds, from $272,958 to a new maximum obligation of $301,141. There is no impact on the Net County Cost as a result of this action.
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