To: Board of Supervisors
Department or Agency Name(s): Human Services
Staff Name and Phone Number: Gary Fontenot 565-5931, Paul Dunaway 565-3673
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Human Services Department Revenue Contract Amendment with the California Department of Health Care Services
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Recommended Action:
Recommended action
Authorize the Director of the Human Services Department to amend and execute a contract with the California Department of Health Care Services for the Home and Community Based Alternatives Waiver program to receive additional funding in the amount of $728,000 and to extend the contract term through December 31, 2022.
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Executive Summary:
The Human Services Department (HSD) Adult and Aging Division is requesting that the Board of Supervisors authorize the Director of HSD to amend and execute a contract extension with the California Department of Health Care Services (DHCS) to receive additional funding in the amount of $728,000 and to extend the contract term through December 31, 2022.
Discussion:
In July 2018, HSD received funding in the amount of $1,665,288 for a 3.5-year period to provide case management services through the Home and Community Based Alternatives (HCBA) Waiver program for Medi-Cal beneficiaries who are at risk of nursing home or institutional placement. Since then, the HCBA program has provided services to approximately 125 individuals in Sonoma County. The HCBA program currently has a waiting list of approximately 50 individuals who will be enrolled as they meet eligibility requirements.
DHCS will provide additional funding in the amount of $728,000 for an amended contract amount totaling $2,393,288, and the contract term will be extended through December 31, 2022. The additional revenue will provide funding for staff in the HCBA program that includes 4.0 FTE Social Services Worker IV, 2.0 FTE Senior Public Health Nurses, and 1.0 Senior Office Assistant. The Social Services Worker IV positions are time-limited through April 16, 2023. When DHCS renews the HCBA program for an additional 5 years in 2023, HSD will return to the Board to request an extension of these time-limited positions.
The HCBA program enables Sonoma County to provide case management services to eligible Medi-Cal beneficiaries who would otherwise receive care in an intermediate care facility, a skilled nursing facility, a subacute facility, or an acute care hospital. The goal of the HCBA Waiver program is to ensure the safe transition of eligible Medi-Cal members from a facility to the community, or to offer home-based services to members currently residing in the community who are at risk of being placed in a long-term care facility within the next thirty days.
It is anticipated that the Department of Health Care Services (DHCS) will make the contract amendment available to HSD no later than December 31, 2021. Due to delays at DHCS, the contract amendment is not included as an attachment, but HSD has received assurance from DHCS that the terms and conditions are similar to the current contract. For this reason, County Counsel will also approve the amendment prior to the HSD Director executing it.
Strategic Plan:
N/A
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 2: Better integrate services and handoffs within the Safety Net departments.
Prior Board Actions:
April 17, 2018 - Board of Supervisors Authorized HSD to accept funding and execute a contract with DHCS for the HCBA program.
Fiscal Summary
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Expenditures |
FY 21-22 Adopted |
FY 22-23 Projected |
FY 23-24 Projected |
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Budgeted Expenses |
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728,000 |
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Additional Appropriation Requested |
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Total Expenditures |
$0 |
$728,000 |
$0 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
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728,000 |
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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 |
$0 |
$728,000 |
$0 |
Narrative Explanation of Fiscal Impacts:
HSD’s Adult & Aging Division was allotted up to $728,000 in additional funding from DHCS for the HCBA program.
HSD will amend Standard Agreement 18-95223 with DHCS to increase the existing contract amount of $1,665,288 by $728,000 for a new contract total of $2,393,288. The contract terms will be extended through December 31, 2022.
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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):
Extending this contract will pay for the existing staff allocated through April 16, 2023.
Attachments:
None
Related Items “On File” with the Clerk of the Board:
Letter of intent