Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Chester J. Kunnappilly, MD, Chief Executive Officer, San Mateo Medical Center
Subject: Memorandum of Understanding with Sequoia Healthcare District to Accept Funds for Oral Health Services
RECOMMENDATION:
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Adopt a resolution authorizing a memorandum of understanding with Sequoia Healthcare District accepting funds for oral health services provided by San Mateo Medical Center’s dental department, for the term May 1, 2019 through May 1, 2021, in an amount not to exceed $320,000.
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BACKGROUND:
The population of the Sequoia Healthcare District (SHD) continues to increase, along with the number of uninsured individuals who need oral healthcare services.
As the County’s safety net public hospital, San Mateo Medical Center’s (SMMC) mission is to provide oral health services to the uninsured throughout its system of care. Paying for the cost of delivering this care is a perpetual challenge. The SHD has long recognized the need for medical care services of its uninsured residents by providing grants to fund the cost of such services for its residents.
DISCUSSION:
This agreement will allow SMMC to provide oral healthcare services to an estimated 600 SHD residents each year who are currently on SMMC’s Dental Comprehensive Waitlist. SHD will fund these services for the next two-years in an amount up to $320,000.
In accepting the $320,000 funding, the County agrees to demonstrate, on an ongoing basis, that: 1) the population served by these funds reside primarily within SHD’s boundaries; and 2) the costs charged against this funding are neither subject to nor eligible for reimbursement through government or private insurance programs.
The memorandum of understanding and resolution have been reviewed and approved by County Counsel as to form. This agreement is coming to your Board late due to prolonged negotiations.
The resolution contains the County’s standard provisions allowing amendment of the County reimbursement funding by a maximum of $25,000 (in aggregate).
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by ensuring basic oral health and safety for all, as well as providing SHD residents access to oral health services. It is anticipated that 600 SHD residents will receive oral health services funded by SHD each year.
PERFORMANCE MEASURE:
|
Measure |
FY 2018-19 Estimated |
FY 2019-20 Projected |
|
Number of SHD residents receiving oral health services funded by SHD each year |
N/A* |
600 |
*New measure
FISCAL IMPACT:
The term of the agreement is May 1, 2019 through May 1, 2021. The amount of the agreement is not to exceed $320,000 funding to the County from SHD for the two-year term. Funds in the amount of $26,666 are included in the SMMC FY 2018-19 Adopted Budget. Similar arrangements will be made for future years.
Expenses at SMMC are covered by fees for services or third-party payors whenever possible. The portion of expenses for services provided to the medically indigent or to those covered by programs that do not meet the full costs of care is covered by the County’s General Fund contribution to SMMC, and is within the existing annual appropriation.