Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Memorandum of Understanding with Sequoia Healthcare District to Accept Funds for Oral Health Services
RECOMMENDATION:
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Adopt a resolution authorizing a Memorandum of Understanding (MOU) with Sequoia Healthcare District accepting funds for oral health services provided by San Mateo Medical Center’s dental department, for the term of June 1, 2023, through May 31, 2025, in an amount not to exceed $320,000.
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BACKGROUND:
The Sequoia Healthcare District (SHD) population continues to increase, along with the number of uninsured individuals who need oral health services.
As the County’s safety net public hospital, San Mateo Medical Center’s (SMMC) mission is to provide oral health services to the uninsured throughout its system of care. Paying for the cost of delivering this care is a perpetual challenge. The SHD has long recognized the need for medical care services for its uninsured residents by providing grants to fund the cost of such services for its residents.
DISCUSSION:
This memorandum of understanding will allow SMMC to provide oral health services to an estimated 600 SHD residents who are currently on SMMC’s Dental Comprehensive Waitlist each year. SHD will fund these services for the next two years in an amount not to exceed $320,000.
In accepting the $320,000 funding, the County agrees to demonstrate on an ongoing basis, that: 1) the population served by these funds resides primarily within SHD’s boundaries, and 2) the costs charged against this funding are neither subject to nor eligible for reimbursement through government or private insurance programs.
County Attorney has reviewed and approved the resolution and amendment as to form. This MOU is coming to this Board late due to prolonged negotiations.
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 600 SHD residents will receive oral health services funded by SHD each year.
PERFORMANCE MEASURE:
|
Measure |
FY 2022-23 Actual |
FY 2023-24 Estimated |
|
Number of SHD residents that receive oral health services funded by SHD |
600 SHD residents |
600 SHD residents |
FISCAL IMPACT:
The term of the MOU is June 1, 2023, through May 31, 2025. The amount of the MOU is not to exceed $320,000 for the two-year term. Funds in the amount of $13,333 are included in the SMMC FY 2023-24 Recommended Budget. Funds in the amount of $160,000 are included in the SMMC FY 2024-25 Recommended Budget. Similar arrangements will be made for future years. There is no Net County Cost associated with this MOU.