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: Agreement Between the County of San Mateo and the California Department of Aging for Financial Alignment Funding as Part of the Health Insurance Counseling and Advocacy Program Series
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement between the County of San Mateo and the California Department of Aging to provide Financial Alignment services for the term of February 15, 2018 through December 21, 2019 in an amount not to exceed $67,535.
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BACKGROUND:
On April 25, 2017, your Board, acting as the Area Agency on Aging, approved the updated Area Plan for Services for Older Adults and Adults with Disabilities 2016-2020 (Plan). The Plan, along with the annual budget, fulfilled the California Department of Aging’s (CDA) requirements and generated an agreement for CDA funding.
The Financial Alignment (FA) grant provides additional resources to assist Dually-Eligible Medicare and Medi-Cal beneficiaries to make informed choices in selecting their health care option, understanding their rights, and in resolving issues that may arise.
DISCUSSION:
Through the authority of your Board, Aging and Adult Services (AAS) holds the agreements with OAA community providers in conformance with CDA requirements. These agreements target those in economic and social need, with particular attention to low-income minority individuals, older individuals with limited English proficiency, and older individuals residing in rural areas.
Per CDA contracting requirements, a resolution from the Board of Supervisors or equivalent governing body is required in order to execute this contract.
We are requesting that your Board ratify the CDA funding contract for FA for the period February 15, 2018 through December 21, 2019. Funds from this FA agreement would be utilized by community providers to further serve local populations.
AAS requests that your Board authorize the Chief of the Health System or her designee to prepare and execute the FA agreement(s) for an aggregate total amount not to exceed $67,535.
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 funds or additional funds received and allocated for the contract period.
The agreement and resolution has 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 FA educational services consistent with the best interest of clients and which preserve the independent decision-making responsibilities of the client. It is anticipated that 80% of FA service recipient respondents will feel that their FA counseling appointment was helpful in selecting their health care option, understanding their rights, and in resolving issues that may arise.
PERFORMANCE MEASURE:
|
Measure |
FY 2017-18 Estimated |
FY2018-19 Projected |
|
Number and percentage of FA service recipient respondents who felt that FA counseling appointment was helpful in selecting their health care option, understanding their rights, and in resolving issues that may arise. |
80% 75 respondents |
80% 75 respondents |
FISCAL IMPACT:
The term of the FA grant will be from February 15, 2018 to December 21, 2019. The amount of the agreement is not to exceed $67,535. Of that amount, $15,533 is included in the AAS FY 2017-18 Adopted Budget. Similar arrangements will be made for future budget years. There is no Net County Cost associated with this agreement.