Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Agreement with LifeMoves to Provide Care Coordination Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with LifeMoves to provide care coordination services, for the term of January 1, 2025 through December 31, 2025, in an amount not to exceed $215,000.
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BACKGROUND:
San Mateo County Health has been awarded the Health Care for the Homeless/Farmworker Health (HCH/FH) grant from the Bureau of Primary Health Care, Health Services and Resources Administration of the US Department of Health and Human Services (HHS). The grant funds San Mateo Medical Center’s (SMMC) ongoing HCH/FH program, which is designed to assist homeless and farmworker adults, families, and youth with access to and utilization of SMMC’s continuum of care and other medical, health, and support services. In July 2024, the HCH/FH program completed a Request for Proposals for case management and care coordination services.
DISCUSSION:
HCH/FH requested proposals for a range of case management and enabling services for homeless individuals, farmworkers, and their dependents. These services include 1. street medicine case management and care coordination, 2. intimate partner violence, domestic violence, and human trafficking case management, 3. medical care coordination for newly housed individuals, 4. Promotores de Salud, 5. MyChart orientation, 6. health insurance assistance, 7. transportation, and 8. nutrition education.
LifeMoves was elevated for their 13+ years of experience providing case management services to individuals experiencing homelessness in San Mateo County. Their deep expertise and long-standing relationships with clients have fostered trust and led to consistently positive outcomes, such as stable housing and improved well-being. Their proven track record and commitment to tailored, impactful services make them a reliable partner in addressing homelessness in the community.
The County Attorney has reviewed and approved the resolution and agreement as to form.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
It is anticipated that LifeMoves will provide medical care coordination for at least 200 unique clients annually.
PERFORMANCE MEASURE:
Measure |
FY 2024-25 Estimated |
FY 2025-26 Projected |
Number of unique clients LifeMoves will provide medical care coordination for |
≥100 clients |
≥200 clients |
EQUITY IMPACT:
The HCH/FH program is dedicated to providing comprehensive, culturally competent, and accessible healthcare services to individuals and families experiencing homelessness and farmworkers and their dependents. The HCH/FH program serves individuals experiencing homelessness and farmworkers, including their dependents. On average, the program serves approximately 5,000 unique patients a year (1,200 farmworkers and 3,800 homeless). The HCH/FH program ensures continuity and addresses the unique needs of this vulnerable population. By collaborating with community partners, the program continuously adapts to reduce health disparities and promote long-term health outcomes.
FISCAL IMPACT:
The term of the agreement is January 1, 2025, through December 31, 2025. The amount of the agreement is not to exceed $215,000 for the one-year term. Funds in the amount of $107,500 are included in the SMMC FY 2024-25 Adopted Budget. Funds in the amount of $107,500 will be included in the SMMC FY 2025-26 Recommended Budget.
The cost of the agreement is 100% grant-funded by HHS as indicated above, with no Net County Cost as a result.
ATTACHMENT:
RFP Matrix