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: Funding Agreement with the California Department of Aging for the Older Americans Act Title III; VII, Ombudsman and Health Insurance Counseling and Advocacy Program; Financial Alignment; Dignity at Home Fall Prevention Program; and the Medicare Improvements for Patients and Providers Act, and Executing Provider Agreements for these Services
RECOMMENDATION:
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Acting as the Governing Board of the Area Agency on Aging for the County of San Mateo, adopt a resolution authorizing:
A) The Chief of San Mateo County Health or the Chief’s designee to enter into funding agreement(s) with the California Department of Aging to accept Older Americans Act funds for programs and services under Title III; Title VII; Ombudsman; Health Insurance Counseling and Advocacy Program; Financial Alignment; Dignity at Home Fall Prevention Program; and the Medicare Improvements for Patients and Providers Act; and to accept and disburse COVID-19 relief funds from the California Department of Aging; and
B) The Chief of San Mateo County Health or the Chief’s designee to execute the Older Americans Act community provider agreements for a total amount not to exceed $4,754,748, during or for the term of July 1, 2022, through June 30, 2023.
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BACKGROUND:
Every four years, the Board of Supervisors, acting as the Governing Board for the Area Agency on Aging for the County of San Mateo, reviews and approves an Area Plan for the County’s submission to the California Department of Aging (CDA). The Area Plan provides a profile of the County’s senior population, identifies goals for addressing the needs of older adults and adults with disabilities, and makes recommendations for services to be funded with San Mateo County’s Older Americans Act of 1965 (OAA) funds.
In July 2020, this Board adopted Resolution 077583, which approved the 2020-2024 Area Plan. In April 2022, this Board adopted Resolution 078826, which approved the submission of the Area Plan Update for FY 2022-23.
In February 2022, Aging and Adult Services (AAS) issued a Request for Proposals (RFP) for the provision of OAA services to older adults and adults with disabilities for the term of July 1, 2022, through June 30, 2026. 21 community providers were selected by the RFP Evaluation Committee to provide programs and services under OAA Title III and Title V Ombudsman, Health Insurance Counseling and Advocacy Program, Financial Alignment, and Medicare Improvements for Patients and Providers Act.
DISCUSSION:
AAS contracts with a variety of community-based agencies to implement programs that achieve the Area Plan’s goals and objectives with OAA funding. These programs include adult day care, adult day health care, congregate nutrition, elder abuse prevention, elder abuse education and training, family caregiver support, health promotion, home-delivered meals, legal assistance, nutrition counseling, nutrition education, ombudsman program, information and assistance, and transportation services. The services provided through these programs have served an average of 40,000 clients annually, helping at-risk individuals remain in the most independent setting possible. This funding agreement with the State accepts OAA funds to support these programs.
In light of the COVID-19 pandemic, CDA has made the usage of funds more flexible for providers so they can offer necessary services based on their community’s needs. AAS requests that the Board authorize the Chief of San Mateo County Health or the Chief’s designee to execute the funding agreement(s) and any amendments thereto during the term of July 1, 2022, through June 30, 2023. Due to the expected issuance of one-time-only funds and additional COVID-19 funds, the precise total funding amounts from CDA are currently unknown. Estimated funding levels based on past amounts have been used in the chart below and future amendments to the funding agreement(s) will allocate additional funds as they become available.
The terms of the agreements with OAA community providers are consistent with prior agreements and comply with CDA requirements. The agreements target those with economic and social needs, with a particular focus on low-income and minority individuals, older individuals with limited English proficiency, and older individuals residing in rural areas.
AAS requests that this Board authorize the Chief of San Mateo County Health or the Chief’s designee to prepare and execute the OAA community provider agreements for the term July 1, 2022 through June 30, 2023, as well as any future amendments that modify the County’s maximum fiscal obligation and/or modify the contract term and/or services, so long as the modified term or services is/are within the current or revised fiscal provisions, including future one-time-only funds or additional funds (including COVID-19 funds) received and allocated for the contract period. The amounts will be determined based on the funding agreement(s) to be released by CDA as well as County general funds allocated based on the County budget process. The Estimated Funding Matrix below lists the OAA community providers, as well as the approximate value of each provider agreement from Fiscal Year 2021-22.
The resolution has been reviewed and approved by County Attorney as to form, and all agreements will be approved by County Attorney as to form.
It is anticipated that 41,000 unduplicated older adults will be served by OAA-funded programs.
PERFORMANCE MEASURE:
|
Measure |
FY 2021-22 Estimated |
FY 2022-23 Projected |
|
Number of unduplicated older adults served by OAA-funded programs |
41,000 adults |
41,000 adults |
FISCAL IMPACT:
The term of the OAA provider agreements shall be from July 1, 2022, through June 30, 2023. The total amount of the agreements is not to exceed $4,754,748 for the one-year term. Of this amount, approximately $4,600,000 is expected to come from state/federal funds, and the remaining $154,748 is Net County Cost. Funds for these services will be included in the AAS FY 2022-23 Recommended Budget.