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 at the San Mateo County Navigation Center and San Mateo County Jails through the San Mateo Medical Center’s Health Care for the Homeless/Farmworker Health Program, for the term July 1, 2023, through June 30, 2028, in an amount not to exceed $450,000.
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BACKGROUND:
The Navigation Center (Center) is a key component of the County’s plan to make interim or permanent housing available to every unsheltered person who chooses assistance. Located in Redwood City, which is within the geographic boundaries of the Sequoia Healthcare District (SHD), the Center provides 240 non-congregate units with intensive support services, including an on-site dental clinic. Oral health services are consistently identified as needed for people experiencing homelessness (PEH).
As the County’s federally supported homeless health program, the Health Care for the Homeless/Farmworker Health (HCH/FH) program is a program of the San Mateo Medical Center (SMMC) with a mission to provide access to a full scope of health services for PEH, including oral health services. Paying for the cost of delivering this care is a perpetual challenge. The SHD has long recognized the need for medical care services for its most at-risk populations by providing grants to support the funding of such services.
DISCUSSION:
This memorandum of understanding (MOU) will support SMMC's HCH/FH program in providing oral health services to an estimated 250 SHD residents each year. These SHD residents are housed at the Center or inmates in the County's jails. SHD will support these services for the next five years in a total amount not to exceed $450,000.
In accepting the $450,000 funding, the County agrees to use the funds to provide dental treatment to SHD residents of the Center and the County jails and to make regular reports to the SHD on the number of patients treated and the cost of treatment.
County Attorney has reviewed and approved the resolution and MOU as to form.
The resolution contains the County's standard provisions allowing amendment of the County fiscal obligations by a maximum of $25,000 (in aggregate).
The County's Contract Compliance Committee has approved a waiver request for a five-year term for this agreement.
It is anticipated that once fully operating, 250 SHD residents of the Center will receive oral health services funded by SHD each year
PERFORMANCE MEASURE:
|
Measure |
FY 2023-24 Estimated |
FY 2024-25 Projected |
|
Number of SHD residents receiving oral health services funded by SHD |
250 SHD residents |
250 SHD residents |
FISCAL IMPACT:
The term of the MOU is June 1, 2023, through June 30, 2028. The amount of the agreement is not to exceed $450,000 for the five-year term. Funds in the amount of $7,500 are included in the SMMC FY 2022-23 Adopted Budget. Funds in the amount of $90,000 will be included in the SMMC FY 2023-24 Recommended Budget.
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.