Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, Health System
Lisa Mancini, Director, Aging and Adult Services
Subject: Amendment to the Agreement with the California Department of Aging for Health Insurance Counseling and Advocacy Program Services
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement Between the County of San Mateo and the California Department of Aging to decrease the amount of funds accepted for the Health Insurance Counseling and Advocacy Program by $47,517 to a total amount of $882,214.
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BACKGROUND:
Your Board designated the County’s Aging and Adult Services division (AAS) as the Area Agency on Aging for San Mateo County to carry out state-funded programs pursuant to the federal Older Americans Act of 1965. On April 25, 2017, your Board approved the updated FY 2016-2020 Area Plan for Services for Older Adults and Adults with Disabilities.
Board approval of the Area Plan for Services for Older Adults and Adults with Disabilities allows the County to receive state funding to provide Health Insurance Counseling and Advocacy Program (HICAP) services. HICAP is a volunteer-supported program that provides three basic services: community education; lay counseling; and Medicare health insurance advocacy and counseling.
As an integral component of the County’s community-based, long-term care system, HICAP connects eligible citizens to Medicare health insurance. Medicare beneficiaries, those under 65 who are about to become eligible for Medicare, and those who are disabled, are eligible for HICAP services.
On June 6, 2017, your Board approved an agreement with California Department of Aging (CDA) to accept Older Americans Act funds for HICAP services for the term July 1, 2017 through June 30, 2020 in the amount of $929,731. In addition, your Board authorized the Health System Chief to enter into an agreement with Self-Help for the Elderly to provide HICAP services for FY’2017-18.
DISCUSSION:
This amendment decreases funds from CDA by $47,517 for HICAP services over three years. This is due to a reduction to the 2017 federal State Health Insurance Program (SHIP) grant; there will be no reduction in scope of AAS program activities. A resolution and execution of an amendment from your Board is necessary to remain in compliance with CDA. AAS requests that your Board authorize the Chief of the Health System or her designee to prepare and execute the HICAP agreement(s) for an aggregate total amount not to exceed $882,214.
AAS also requests your Board to authorize the Chief of the Health System or her designee to execute individual provider agreement amendments that modify the County’s maximum fiscal obligation by no more than $25,000 (in aggregate per agreement), 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 finds or additional funds received and allocated for the contract period.
The amendment and resolution have been reviewed and approved by County Counsel as to form.
This agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing home and community-based services to individuals aged 60 and above. It is anticipated that 195 individuals will receive HICAP counseling and find the appointment helpful and necessary to making an informed decision about their Medicare coverage options.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Estimated |
FY 2018-19 Projected |
|
Number and percentage of HICAP service recipient respondents who felt that the HICAP counseling appointment was helpful and necessary to make an informed decision about their Medicare coverage options |
80% |
80% |
|
|
195 respondents |
195 respondents |
FISCAL IMPACT:
The term of this agreement is July 1, 2017, through June 30, 2020. The amount of CDA funds accepted under the revised agreement is $882,214 over three years. This amendment decreases the total funds accepted by $47,517. These funds have been included in the AAS FY 2017-2018 Adopted Budget. There is no Net County Cost associated with this agreement.