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: In-Home Supportive Services Public Authority Combined Rate Update
RECOMMENDATION:
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Acting as the Governing Board of the In-Home Supportive Services Public Authority of the County of San Mateo, adopt a resolution authorizing a change in the Public Authority Rate and submission of the resolution to the California Department of Social Services.
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BACKGROUND:
In September 1993, the County Board of Supervisors established a Public Authority (PA) to administer the provider components of the In-Home Supportive Services (IHSS) program. Pursuant to CA Welfare & Institutions Code section 12301.6(b)(3), the ordinance designated the Board of Supervisors as the Governing Board of the PA.
The costs of operating the PA include Independent Provider (IP) wages, payroll taxes, health benefits, non-health-related benefits, and administrative costs. The PA rate reflects the hourly cost of operating each component of service provided to an IHSS recipient. Each county in California is required to report its PA rate to California Department of Social Services (CDSS). As of July 1, 2018, the County reported a rate of $16.15 per hour.
These rates are used by CDSS to calculate statewide and county-by-county cost estimates of the IHSS and PA programs. Accurately projecting and updating these rates is essential for ensuring sufficient State funds to cover the County's IHSS and PA costs.
DISCUSSION:
The PA is requesting an increase in its administrative rate from $0.29 to $0.45 and an increase to the health benefits (non-locally-negotiated) rate of $0.27. When counties exceed their previously reported rates, the State refuses to reimburse the county beyond that rate and federal funds will also be unavailable. Thus, the State has recommended that l...
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