To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Tina Rivera, 707-565-4774
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title(
Community Care Expansion Preservation Program Grant Update
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Recommended Action:
Recommended action
Authorize the Director of Health Services, or designee, to execute a funding agreement with HORNE to receive $728,439 in revenue to support the Community Care Expansion Program in Sonoma County through January 30, 2027.
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Executive Summary:
The Department of Health Services (hereinafter, “DHS” or “the Department”) applied for and received a grant for the Community Care Expansion Program from the California Department of Social Services (“CDSS”) via third-party program administrator Advocates for Human Potential, Inc.
On July 18, 2023, the Board authorized DHS to execute the Community Care Expansion Preservation Projects Program Funding Agreement with Advocates for Human Potential, Inc., (AHP) in the amount of $728,439 through January 30, 2027.
On July 11, 2023, DHS was informed by the California Department of Social Services that the third-party program administrator of the Community Care Expansion Program would be changing from Advocates for Human Potential, Inc. to HORNE.
This item requests authorization to execute the Community Care Expansion Preservation Projects Program Funding Agreement with HORNE, in the amount of $728,439 through January 30, 2027.
Discussion:
California has a shortage of adult and senior care facilities (e.g., Adult Residential Facilities and Residential Care Facilities for the Elderly) that accept individuals receiving or applying for Supplemental Security Income/State Supplementary Payment (SSI/SSP) or Cash Assistance Program for Immigrants (CAPI). It has also seen a decline in the number of SSI/SSP recipients residing in adult and senior care facilities.
The California Department of Health Care Services (DHCS) and the CDSS launched two new programs intended to expand the infrastructure of and address historic gaps in the behavioral health and long-term care continuum serving seniors, people with disabilities, and people with behavioral health needs. These new programs are the Behavioral Health Continuum Infrastructure Program and the Community Care Expansion Program. The Community Care Expansion Program was established by Assembly Bill (AB) 172 (Chapter 696, Statutes of 2021) to fund capital projects and promote the sustainability of residential adult and senior care facilities and to address historic gaps in the long-term care continuum.
The Behavioral Health Continuum Infrastructure Program and the Community Care Expansion Programs represent the largest provision of resources for behavioral health and social services infrastructure in the state’s history totaling over $3 billion combined. Together, Behavioral Health Continuum Infrastructure Program and the Community Care Expansion afford counties, tribal entities, nonprofits, and for for-profit organizations the ability to expand and preserve infrastructure around the entire continuum of care for individuals to meet growing demand for services and support across the life span.
The purpose of the Community Care Expansion Program is to preserve and avoid the closure of licensed residential adult and senior care facilities that serve applicants and recipients of Supplemental Security Income/State Supplementary Payment and Cash Assistance Program for Immigrants, with a priority for individuals experiencing or at risk of homelessness.
The CDSS initially contracted with Advocates for Human Potential, Inc., a consulting and research firm focused on improving health and human services systems, to serve as the third-party administrator for the Community Care Expansion Program. On July 18, 2023, this Board authorized the Department to execute a funding agreement with Advocates for Human Potential, Inc. through January 30, 2027.
On July 11, 2023, CDSS informed the Department that they would be transitioning third-party administration of the Community Care Expansion Program from Advocates for Human Potential to HORNE, a professional services firm that works with clients to help them design and operationalize complex, large-scale, and equity-focused systems change, to serve as the third-party administrator for the Community Care Expansion program. The transition is part of CDSS’ ongoing mission to expand the state’s housing and care continuum, improve housing stability, and prevent the cycle of homelessness or unnecessary institutionalization.
The Department submitted an application for funding for operational subsidies. On April 6, 2023, the Department received confirmation of an award in the amount of $344,613 in Operational Subsidies Payment funds from the fiscal year 2022-2023 budget appropriations. In addition, Sonoma County was awarded $383,826 in additional operational subsidies payment funds from the remaining fiscal year 2021-2022 appropriation, bringing the total award to $728,439.
References:
Assembly Bill (AB) 172 (Chapter 696, Statutes of 2021) - <https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB172>
Strategic Plan:
This item directly supports the County’s Five-year Strategic Plan and is aligned with the following pillar, goal, and objective.
Pillar: Healthy and Safe Communities
Goal: Goal 1: Expand integrated system of care to address gaps in services to the County’s most vulnerable.
Objective: Objective 3: Increase investment in programs that treat underlying causes of homelessness, including substance abuse, mental illness, poverty, and lack of affordable housing.
Racial Equity:
Was this item identified as an opportunity to apply the Racial Equity Toolkit?
No
Prior Board Actions:
None
Fiscal Summary
|
Expenditures |
FY 23-24 Adopted |
FY 24-25 Projected |
FY 25-26 Projected |
|
Budgeted Expenses |
$728,439 |
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Additional Appropriation Requested |
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Total Expenditures |
$728,439 |
0 |
0 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
$728,439 |
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Fees/Other |
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Use of Fund Balance |
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Contingencies |
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Total Sources |
$728,439 |
0 |
0 |
Narrative Explanation of Fiscal Impacts:
Health Services included appropriations in the budget $728,439 through a Board approved item on July 18, 2023. Funds not expended in FY 2023-2024 will be rolled-over into subsequent fiscal years via quarter 1 consolidated budget adjustment.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
Attachment 1 - Program Funding Agreement with HORNE
Related Items “On File” with the Clerk of the Board:
None