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 Medicare Improvements for Patients and Providers Act Services as part of the Health Insurance Counseling and Advocacy Program Series
RECOMMENDATION:
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Adopt a resolution authorizing an agreement between the County of San Mateo and the California Department of Aging to provide Medicare Improvements for Patients and Providers Act services for the term of October 1, 2018, through September 29, 2020 in an aggregate amount not to exceed $71,656.
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BACKGROUND:
On April 25, 2017 your Board, acting as the Area Agency on Aging (AAA), 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 Medicare Improvements for Patients and Providers Act (MIPPA) grant provides additional resources to expand, extend, and enhance outreach and enrollment of low income Medicare beneficiaries.
DISCUSSION:
Through the authority of your Board, Aging and Adult Services (AAS) holds the agreements with 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.
We are requesting that your Board ratify the CDA funding contract for MIPPA for the period October 1, 2018 through September 29, 2020. Funds from this MIPPA agreement would be utilized by the community provider of the MIPPA and Health Insurance Counseling and Advocacy Program to further serve these populations.
AAS requests that your Board authorize the Chief of the Health System or her designee to prepare and execute the MIPPA agreement not to exceed $71,656.
AAS also requests that your Board authorize the Chief of Health System or her designee, if additional funds exceeding the $71,656 currently contemplated are received from the California Department of Aging for this purpose during the contract period, to execute amendments to individual subcontractor agreements modifying the County’s maximum fiscal obligation and/or modifying the contract term and/or services with those subcontractors so long as the modified term or services is/are within the total 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 expanding, extending, and enhancing outreach and enrollment efforts targeted at beneficiaries with limited incomes, individuals living in rural areas, and those receiving behavioral health and vocational rehabilitation services. It is anticipated that 80 percent of MIPPA service recipient respondents will feel that their MIPPA counseling appointment was helpful and necessary to make an informed decision about Medicare coverage.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Estimated |
FY 2019-2020 Projected |
|
Number and percentage of MIPPA service recipient respondents who felt that MIPPA counseling appointment was helpful and necessary to make an informed decision about their Medicare coverage options. |
80% 195 respondents |
80% 195 respondents |
FISCAL IMPACT:
The term of the MIPPA grant will be from October 1, 2018 to September 29, 2020. The amount of the agreement is not to exceed $71,656. These funds are included in the AAS FY 2018-19 Adopted Budget and will be incorporated in all future impacted budgets. There is no Net County Cost associated with this agreement.