Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Cassius Lockett, PhD, Director, Public Health, Policy and Planning
Subject: Amendment to Agreement with the Mental Health Association of San Mateo County for Supportive Housing Services for San Mateo County Health Clients
RECOMMENDATION:
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Adopt a resolution authorizing an amendment to the agreement with Mental Health Association of San Mateo County to provide supportive housing services for San Mateo County Health clients extending the term through June 30, 2021 and increasing the amount by $75,144 to an amount not to exceed $425,144.
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BACKGROUND:
Whole Person Care (WPC) is a pilot program funded under the five-year renewal of California’s Section 1115 Medicaid Waiver (Medi-Cal 2020). San Mateo County Health (SMCH) is implementing the WPC pilot to provide a coordinated, efficient, and effective delivery of medical, behavioral health, and social services to the County’s highest-risk and vulnerable populations. Through an agreement with the California Department of Health Care Services, SMCH receives up to $16,536,771 in new revenue annually, with funds rolling over from year to year as needed for WPC services. Your Board also approved the allocation of Measure K funds, $1,000,000 in FY 2016-17 and $2,000,000 per fiscal year thereafter, for housing services for WPC clients. To date, this funding has supported 85 homeless individuals in securing housing. Experience shows that clients served through Measure K subsidies and Mainstream Vouchers from the Housing Authority need supportive housing services to maintain their housing.
DISCUSSION:
In May 2019, through a Request for Proposal (RFP) process, WPC selected Mental Health Association (MHA) of San Mateo County, as the contractor to provide supportive housing services to San Mateo County health clients. On September 17, 2019, your Board approved an agreement with MHA to implement Supportive Housing Services for San Mateo County Health clients for a period of 15 months from October 1, 2019 through December 31, 2020. At the time, it was anticipated that the WPC pilot would end in December 2020. Through savings realized in the first year of the pilot, WPC can fund a number of services, including supportive housing services, for an additional six months.
As such, WPC seeks to amend the agreement to extend it for another six months, to ensure continuity of services for clients already enrolled in this program.
The resolution contains the County’s standard provisions allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Counsel as to form.
It is anticipated that 95% of clients surveyed will express satisfaction with the housing services and support.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Actual |
FY 2020-21 Projected |
|
Percentage of clients surveyed who express satisfaction with the housing services and support. |
92% |
95% |
FISCAL IMPACT:
The term of the amended agreement is October 1, 2019 through June 30, 2021 in an amount not to exceed $425,144. The amendment increases the contract amount by $75,144. This amount is included in the PHPP FY 2019-20 Adopted Budget. There is no Net County Cost associated with this agreement.