To: Board of Supervisors
Department or Agency Name(s): Human Services
Staff Name and Phone Number: Paul Dunaway (707) 565-5900, CB Wohl (707) 565-5930
Vote Requirement: 4/5th
Supervisorial District(s): Countywide
Title:
Title
Area Agency on Aging Medicare Improvement for Patients and Providers Act Fiscal Year 2023-24 Standard Agreement
End
Recommended Action:
Recommended action
A) Adopt a Resolution authorizing the Director of the Human Services Department to execute the Medicare Improvement for Patients and Providers Act Standard Agreement MI-2324-27 with the California Department of Aging to accept $111,041 in revenue to fund Medicare support services for older adults for the term September 1, 2023, through August 31, 2024, and to execute future amendments to adjust for revenue changes.
B) Adopt a Resolution adjusting the Fiscal Year 2023-2024 Budget to increase appropriations in the Human Services Department by $6,358 to reflect increased funding from the State of California Department of Aging for the Medicare Improvement for Patients and Providers Act Standard Agreement #MI-2324-27.
(4/5th Vote Required)
end
Executive Summary:
The Human Services Department, Adult and Aging Division is requesting that the Board of Supervisors adopt a resolution authorizing the Director of the Human Services Department to execute the California Department of Aging revenue contract to accept federal funding designated to support the Medicare Improvement for Patients and Providers Act. The Medicare Improvement for Patients and Providers Act expands awareness of Medicare benefits for low-income older adults and the availability of financial assistance for Medicare premiums. In addition, the Human Services Department’s FY 2023-24 adopted budget assumed $104,683 in revenue for this program, but actually received $111,041, and requests a budget appropriation increase of $6,358 to reflect the difference.
Discussion:
The Medicare Improvement for Patients and Providers Act (MIPPA) Program funds outreach, awareness, and educational activities for older adults that expand Medicare enrollment and increase beneficiaries’ understanding of Medicare’s valuable benefits. MIPPA funding is allocated on a year-by-year basis and on a modified federal fiscal year funding cycle of September 1 through August 31.
The Sonoma County Area Agency on Aging (AAA) receives funding annually from the California Department of Aging (CDA) to support the MIPPA program. Funding is used locally to support activities that expand Medicare beneficiary enrollment, promote Medicare prevention and wellness benefits, provide outreach to those living in rural areas, and support enrollment efforts for Medicare Part D. These funds are allocated to Senior Advocacy Services which holds the existing contract to provide MIPPA services, selected through a Request for Proposal process. Senior Advocacy Services offers community outreach and free, accurate and objective Medicare information, advocacy and technical assistance to beneficiaries. <https://senioradvocacyservices.org/hicap/> This contract amendment to account for increased funding will be executed by the Director of the Human Services Department under the delegated authority approved by the Board of Supervisors at the time of the original contract approval on June 06, 2023.
CDA requires a resolution authorizing the Director of the Human Services Department (HSD) to execute the Standard Agreement. HSD assumed $104,683 in revenue from CDA for the MIPPA program in the Fiscal Year 2023-2024 budget, but actual revenue received was $111,041. HSD requests a budget adjustment of $6,358 to account for the additional revenue.
Strategic Plan:
N/A
Racial Equity:
Was this item identified as an opportunity to apply the Racial Equity Toolkit?
No
Prior Board Actions:
06.06.2023: Board approved the Senior Advocacy Services contract.
12.13.2022: Approved MIPPA Standard Agreement MI-2223-27.
10.19.2021: Approved MIPPA Standard Agreement MI-2122-27.
09.22.2020: Approved MIPPA Standard Agreement MI-2021-27.
10.16.2018: Approved MIPPA Standard Agreement MI-1819-27
02.27.2018: Approved MIPPA Standard Agreement MI-1718-27.
01.10.2017: Approved MIPPA Standard Agreement MI-1517-27 Amendment #1.
03.15.2015: Approved MIPPA Standard Agreement MI-1517-27.
Fiscal Summary
|
Expenditures |
FY 23-24 Adopted |
FY 24-25 Projected |
FY 25-26 Projected |
|
Budgeted Expenses |
104,683 |
|
|
|
Additional Appropriation Requested |
6,358 |
|
|
|
Total Expenditures |
$111,041 |
$0 |
$0 |
|
Funding Sources |
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|
|
|
General Fund/WA GF |
|
|
|
|
State/Federal |
111,041 |
|
|
|
Fees/Other |
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Use of Fund Balance |
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Contingencies |
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|
|
Total Sources |
$111,041 |
$0 |
$0 |
Narrative Explanation of Fiscal Impacts:
The HSD budget for FY 2023-24 assumed CDA revenue of $104,683 for the MIPPA program, however actual revenue was $111,041. HSD requests approval to increase FY 2023-24 appropriations by $6,358 due to unanticipated revenues.
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Staffing Impacts: None |
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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):
None
Attachments:
Attachment 1: Acceptance of Revenue Resolution
Attachment 2: Budget Resolution
Attachment 3: MIPPA Standard Agreement #MI-2324-27
Related Items “On File” with the Clerk of the Board:
N/A