Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors, sitting as the Governing Board of the Area Agency on Aging for the County of San Mateo
From: Louise F. Rogers, Chief, San Mateo County Health
Nina Rhee, Acting Director, Aging and Adult Services
Subject: Acceptance of Aging and Disability Resource Connection Funding from the California Department of Aging and Execution of an Amendment to the Provider Agreement
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 the acceptance of Aging and Disability Resource Connection funding from the California Department of Aging in the amount of $292,038 and execution of an amendment to the provider agreement with Center for Independence of Individuals with Disabilities for the term of July 1, 2022, through June 30, 2024.
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BACKGROUND:
Beginning in 2003, the Administration on Aging, now the Administration for Community Living, merged with the US Centers for Medicare and Medicaid Services to promote and fund Aging and Disability Resource Centers, which were designed to help individuals learn more about their community's long-term services and supports (LTSS) options, to promote the receipt of community based LTSS in the most integrated setting possible.
Instead of LTSS, California has opted to use the modified title of Aging and Disability Resource Connection (ADRC) to reflect the principle of No Wrong Door (NWD), as opposed to a "single entry point" concept. This means that multiple agencies at the State and local levels coordinate to create a simplified process through which individuals of all ages, abilities, and incomes can obtain unbiased information and one-on-one counseling regarding the options available in their communities. This allows individuals to make informed decisions about services that best meet their needs, regardless of where they enter the system. Consumers also receive assistance in accessing services, including help with applications for various public and private programs.
In 2019, California Senate Bill 80 established the first State ADRC Infrastructure Grants program. California Department of Aging (CDA) awards grants to qualified Area Agencies on Aging (AAA) and Independent Living Centers (ILC) to complete the planning and application process for designation and approval to operate an ADRC program, as well as to help designated ADRC programs expand and improve services.
County Health's Aging and Adult Services (AAS) is the County's AAA and is responsible for receiving ADRC funds, disbursing them to the Center for Independence of Individuals with Disabilities (CID), and reporting on CID's spending of the ADRC funds. CID is a private, nonprofit corporation located in the City of San Mateo that provides services to more than 2,000 individuals with disabilities every year. CID is one of 29 Independent Living Centers in the State of California but is the only ILC in San Mateo County.
This Board approved the acceptance of the first grant from CDA in the amount of $245,448 for services from July 1, 2022, through June 30, 2023.
In March 2023, CDA provided additional funding in the amount of $42,806 for the term of July 1, 2022, through June 30, 2023.
DISCUSSION:
Using existing ADRC funding from CDA, CID will continue developing, planning, and networking with various cities, counties, and community-based organizations to complete CDA’s requirements to receive ADRC designation. CID will continue partnering with AAS to offer the following services:
1. Information and referral services at hours that are convenient for the public;
2. Counseling to consumers about available LTSS programs and public and private benefits programs;
3. Short-term care services coordination; and
4. Assistance with transitions home from hospitals and from skilled nursing facilities to the community.
CID and AAS will work together to complete the application for State ADRC designation so that AAS can continue to receive federal ADRC funding for CID.
Additionally, CDA is now providing a second grant in the amount of $249,232 for the continuation of ADRC project planning and infrastructure development for the term of July 1, 2023, through June 30, 2024. AAS intends to amend its agreement with CID to add the newly available $249,232 in CDA funding. CID will then use the latter funds to continue employing staff members and build a database to track and report referrals and other services provided to consumers. The ADRC program is being evaluated annually for ongoing funding.
The County Attorney has reviewed and approved the agreements and resolution as to form.
This item is coming to this Board late because CDA did not officially notify AAS regarding this new funding until April 17, 2023.
The resolution contains the County’s standard provisions allowing amendment of the County fiscal obligations.
It is anticipated that AAS will need one year to complete the application process for State ADRC designation and execute an ADRC work plan for the implementation of a local NWD and ADRC program.
PERFORMANCE MEASURE:
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FY 2022-23 Actual |
FY 2023-24 Estimated |
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Time needed to complete the application process for State ADRC designation and execute an ADRC work plan for implementation of a local NWD and ADRC program |
2 years |
1 year* |
*The application process for State ADRC designation and an ADRC work plan would be completed and implemented by FY 2023-24.
FISCAL IMPACT:
The term of the provider agreement is July 1, 2022 through June 30, 2024. The total amount of the agreement is not to exceed $537,486 for the two-year term. Funds for these services will be included in the AAS FY 2023-24 Recommended Budget. Federal funds will cover 100% of the costs. There is no Net County Cost associated with the approval of these agreements.