To: Board of Supervisors
Department or Agency Name(s): Human Services
Staff Name and Phone Number: Paul Dunaway 565-3673, Gary Fontenot 565-5931
Vote Requirement: 4/5th
Supervisorial District(s): Countywide
Title:
Title
Sonoma County Aging and Disability Resource Connection
End
Recommended Action:
Recommended action
A) Adopt a resolution authorizing the Director of the Human Services Department to execute contract #AE-2122-17 with the State of California Department of Aging to receive funding for the Aging and Disability Resource Connection for a total amount of $196,863 with a period of performance ending June 30, 2022.
B) Adopt a budget resolution to modify the Human Services Department Fiscal Year 2021-2022 budget to increase appropriations in the amount of $256,580 to reflect new funding from the State of California Department of Aging and funding from the California Community Care Transitions for the Aging and Disability Resource Connection program effective July 13, 2021.
C) Adopt a position resolution to add 1.0 Full-Time Equivalent (FTE) Social Service Worker IV allocation to the Human Services Department.
(4/5th Vote Required)
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Executive Summary:
The Sonoma County Area Agency on Aging (AAA), in partnership with Disability Services & Legal Center (DSLC), was designated as an Emerging Aging and Disability Resource Connection (ADRC) by the State of California Department of Aging (CDA) in January 2021. The CDA has allocated $196,863 to the Sonoma County AAA for Fiscal Year (FY) 2021-2022 as the fiscal lead in partnership with DSLC. With these funds, the Human Services Department is requesting approval of a 1.0 Full-Time Equivalent (FTE) Social Service Worker IV.
Discussion:
Services for older adults and people with disabilities are provided by a broad array of agencies throughout Sonoma County. The goal of the ADRC is to bring the two core partners that serve older adults and people with disabilities together to improve access to services through a “No Wrong Door” approach.
California ADRCs are led by a core partnership between a County’s AAA and the County’s designated Independent Living Center (ILC). In Sonoma County, the AAA is operated within the Adult and Aging Division of the Human Services Department, and the ILC is managed by DSLC. The project will ultimately be expanded to include a network of extended partner organizations from the aging and disability community to join the ADRC’s No Wrong Door model in Sonoma County. By providing centralized access to services via a single-entry point, the ADRC’s person-centered approach addresses the barriers of navigating complex services and programs across multiple organizations.
The four core services of an ADRC are: (1) Enhanced Information and Assistance; (2) Options Counseling; (3) Short-term service coordination; and (4) Transitions Assistance (hospital to home and skilled nursing facility to the community). The ADRC model’s No Wrong Door approach streamlines access to these four core services to people of all ages, incomes, and abilities, who are seeking long-term services and supports to live independently in Sonoma County.
In FY 2021-2022 (Year 1 of ADRC development and implementation), the focus will be on developing the service delivery model and engaging extended partners in the aging and disability network to join the ADRC in Sonoma County. The ADRC program is a long-term, ongoing program based on a national model with support at both the federal and state levels, including historical precedence for annual funding renewal as well as future allocations in the state budget; the Governor’s Proposed Budgets for the next two fiscal years include multi-million-dollar allocations for ADRC grants, and the ADRC program is also strongly aligned with the state’s Master Plan for Aging.
The Human Services Department will add 1.0 Full-Time Equivalent (FTE) Social Service Worker IV ($158,200 salary plus benefits) who will focus on transition services for individuals transitioning from a skilled nursing facility into the community. This position will be half-funded by the ADRC grant, with the remaining portion funded by California Community Care Transitions (CCT), a Department of Health Care Services Medi-Cal billing program for which Sonoma County Human Services Department (HSD) Adult and Aging Division (A&A) was approved as a provider on June 1, 2021 with an effective date of March 30, 2021.
CCT Lead Organizations employ or contract with transition coordinators who work directly with willing and eligible individuals, support networks, and providers to facilitate and monitor beneficiaries' transitions from facilities to the community settings of their choice. Eligible individuals of all ages with physical and mental disabilities have an opportunity to participate in CCT. Upon transitioning to the community, the transition coordinator follows the participant for 365 days. CCT participants live in their own homes, apartments, or in approved community care facilities, and receive long-term services and supports included in their individual comprehensive service plans. At the end of the demonstration period, individuals who remain eligible for Medi-Cal continue to receive Medi-Cal and other home and community-based services (HCBS) where they live.
Additionally, the ADRC grant will partially fund an existing Program Planning and Evaluation Analyst (PPEA) position (0.135 FTE at $19,783 salary plus benefits) in the Human Services Department who will serve as the ADRC Coordinator for Sonoma County AAA; the cost for this PPEA is a budgeted expense.
The allocation will also fund a contract with the ADRC core partner, DSLC ($98,380). DSLC is the ILC serving Sonoma County and is the required core partner of the ADRC according to CDA regulations. The DSLC contract does not require Board approval, because it falls under the delegated authority granted to the County’s Purchasing Agent to execute professional service agreements. DSLC has a long history of serving people with disabilities and is uniquely positioned to partner with the Human Services Department AAA in implementing a successful ADRC in Sonoma County.
The Sonoma ADRC has developed a steering committee that will act as an advisory body to the development of the model. The steering committee membership consists of service providers and consumers, including aging services providers, caregivers of older adults, and older adults who are consumers of long-term services and supports. The ADRC steering committee will advise staff and assist in making recommendations for ADRC development as well as assist in expanding to future extended partners in the community.
Prior Board Actions:
There are no prior board items.
Fiscal Summary
|
Expenditures |
FY 21-22 Adopted |
FY 22-23 Projected |
FY 23-24 Projected |
|
Budgeted Expenses |
$19,783 |
$276,363 |
$276,363 |
|
Additional Appropriation Requested |
$256,580 |
|
|
|
Total Expenditures |
$276,363 |
$276,363 |
$276,363 |
|
Funding Sources |
|
|
|
|
General Fund/WA GF |
|
|
|
|
State/Federal |
$276,363 |
$276,363 |
$276,363 |
|
Fees/Other |
|
|
|
|
Use of Fund Balance |
|
|
|
|
Contingencies |
|
|
|
|
Total Sources |
$276,363 |
$276,363 |
$276,363 |
Narrative Explanation of Fiscal Impacts:
The total appropriation increase requested is $256,580. The funding source is comprised of $196,863 from CDA for this ADRC program, and $79,500 from CCT in Fiscal Year 2021-2022.There is no local match required and no County General Fund impact.
The appropriation will pay for payroll costs of $158,200 for the Social Service Worker IV; payroll costs of $19,783 for an existing PPEA (0.135 FTE); and contractual legal expenditures of $98,380.
The California Department of Aging funding of at least $196,863 is expected for subsequent fiscal years; CCT revenue of at least $79,500 is expected for subsequent fiscal years to fund the costs of this ongoing Social Service Worker IV position.
|
Staffing Impacts: |
|
|
|
|
Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
|
Social Services Worker IV |
$5,922.20 - $7,198.82 |
1.0 |
0.0 |
|
|
|
|
|
|
|
|
|
|
Narrative Explanation of Staffing Impacts (If Required):
The addition of the Full-Time Equivalent (FTE) position will address the immediate needs of the department. Position detail information has been provided within the narrative.
Attachments:
Attachment 1 - CDA Resolution
Attachment 2 - Budget Resolution
Attachment 3 - Position Resolution
Attachment 4 - The State of California Department of Aging Standard Agreement AE-2122-17
Related Items “On File” with the Clerk of the Board:
AA-DSLC-ADRC-2122 draft contract