Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Lisa Mancini, Director, Aging and Adult Services
Subject: Funding Agreement with the: California Department of Aging for the Older Americans Act Title III, Title VII, Ombudsman, Health Insurance Counseling and Advocacy Program, Cal Fresh Expansion, Financial Alignment, and Medicare Improvements for Patients and Providers Act; and acceptance and disbursement of COVID-19 funds from the California Department of Aging, and Executing Provider Agreements
RECOMMENDATION:
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Acting as the Governing Board of the Area Agency on Aging for the County of San Mateo, adopt a resolution authorizing:
A) The Chief of San Mateo County Health or designee to enter into funding agreement(s) with the California Department of Aging, and all subsequent amendments thereto, to accept Older Americans Act funds for Title III, Title VII, Ombudsman, Health Insurance Counseling and Advocacy Program, Cal Fresh Expansion, Financial Alignment, and Medicare Improvements for Patients and Providers Act; and to accept and disburse COVID-19 funds from the California Department of Aging; and
B) The Chief of San Mateo County Health or designee to execute the Older Americans Act Community provider agreements and subsequent amendments, during or for the term July 1, 2020, through June 30, 2021.
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BACKGROUND:
Every four years, the Board, acting as the Governing Board for the Area Agency on Aging (AAA), reviews and approves an Area Plan for San Mateo County’s submission to the California Department of Aging (CDA). The Area Plan provides a profile of the County’s senior population, identifies goals, and makes recommendations for services to be funded with San Mateo County’s Older Americans Act of 1965 (OAA) funds.
Due to the COVID-19 pandemic, CDA has approved the postponement of submissions of 2020-2024 Area Plans and the usage of funds to best meet the emergency needs of older adults and people with disabilities. The Area Plan Budget for FY 2020-21 will be allocated to support services during and after “Shelter in Place” orders are lifted to assist our residents in reconnecting with programs.
In January 2017, Aging and Adult Services (AAS) issued a Request for Proposal (RFP) to community providers servicing older adults and adults with disabilities, for the term of July 1, 2017, through June 30, 2021. Community providers were selected by the RFP Evaluation Committee to provide OAA Title III, Title VII, Ombudsman and Health Insurance Counseling and Advocacy Program services.
DISCUSSION:
AAS contracts with a variety of community-based agencies to implement programs that achieve the Area Plan’s goals and objectives with OAA funding. These programs include adult day care, adult day health care, congregate nutrition, elder abuse prevention, elder abuse education and training, family caregiver support, health promotion, home-delivered meals, legal assistance, nutrition counseling, nutrition education, Ombudsman program, information and assistance, and transportation services. The services provided through these programs have served an average of 40,000 clients annually, helping at-risk individuals remain in the most independent setting possible. This funding agreement accepts OAA funds for such programs.
In light of the COVID-19 pandemic, CDA has made the usage of funds more flexible for providers so they can offer necessary services based on their community’s needs. AAS requests that your Board authorize the Chief of San Mateo County Health or designee to execute the funding agreement(s) and any amendments. Due to the expected issuance of one time only funds and additional COVID-19 funds, the precise funding amounts from the CDA are currently unknown. Estimated funding levels based on past amounts have been used and future amendments to the funding agreement(s) will allocate additional funds as they become available.
The terms of the agreements with OAA community providers are largely consistent with prior agreements and comply with CDA requirements. The agreements target those with economic and social need, with particular focus on low-income and minority individuals, older individuals with limited English proficiency, and older individuals residing in rural areas.
AAS requests that the Board authorize the Chief of San Mateo County Health or designee to prepare and execute the OAA community provider agreements, as well as any future amendments that modify the County's maximum fiscal obligation 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, including future One-Time-Only funds or additional funds (including COVID-19 funds) received and allocated for the contract period. The amounts will be determined based on the funding agreement(s) to be released by CDA as well as County general funds allocated based on the County budget process. Please refer to the below Estimated Funding Matrix for a listing of the OAA community providers, as well as the approximate value of each provider agreement based on the most recent values of those agreements.
The resolution has been reviewed and approved by County Counsel as to form, and all agreements will be approved by County Counsel as to form.
If is anticipated that 41,000 unduplicated older adults will be served by OAA-funded programs.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Number of unduplicated older adults that are served by OAA-funded programs |
41,000 unduplicated adults |
41,000 unduplicated adults |
FISCAL IMPACT:
The term of the OAA provider agreements is July 1, 2020, through June 30, 2021. The amount of the agreement is not to exceed $4,305,000 for the one-year term. Of this amount, approximately $3,700,000 is expected to come from state/federal funds and the remaining $605,000 is Net County Cost. Funds for these services will be included in the AAS FY 2020-21 Recommended Budget.