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File #: 19-1299    Version: 1 Name:
Type: Resolution Status: Passed
File created: 1/3/2020 Departments: HEALTH
On agenda: 1/28/2020 Final action: 1/28/2020
Title: 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 health benefits rate and submission of the resolution to the California Department of Social Services.
Attachments: 1. 20200128_r_IHSS PA, 2. 20200128_a_IHSS PA
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:
title
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 health benefits rate and submission of the resolution to the California Department of Social Services.

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BACKGROUND:
In September 1993, the San Mateo 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 services provided to an individual IHSS recipient. Each county in California is required to report its PA rate to the California Department of Social Services (CDSS). As of January 1, 2020, San Mateo County reported a rate of $16.93 per hour.

These rates are used by CDSS to calculate Statewide and county-by-county cost estimates for 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 permission to report an increase in its health benefits rate from $0.90 to $1.00, and therefore, an increase of $0.10 in the total combined rate from $16.93 to $17.03. There are no changes to the other components of the combined PA rate.

The increase in the health benefits rate is...

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