REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
April 9, 2024
FROM
SHARON NEVINS, Director, Department of Aging and Adult Services
SUBJECT
Title
Amendment to Revenue Contract with the California Department of Aging for Medicare Improvements for Patients and Providers Act Services
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Revenue Contract No. 23-876 (State Revenue Agreement No. MI-2324-20) with the California Department of Aging to provide Medicare Improvements for Patients and Providers Act services, updating Exhibit B - Budget Detail, Payment Provisions, and Closeout and Exhibit B, Attachment 1 - Budget Display, and increasing the total contract amount by $8,312, from $143,025 to $151,337, with no change to the contract period of September 1, 2023 through August 31, 2024.
(Presenter: Sharon Nevins, Director, 891-3917)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The amendment amount of $8,312 is the unspent balance of the Medicare Improvements for Patients and Providers Act (MIPPA) services from fiscal year 2022-23 and was initially funded by federal grants administered by the United States Administration for Community Living and allocated to the California Department of Aging (CDA). Adequate appropriation and revenue have been included in the Department of Aging and Adult Services’ (DAAS) 2023-24 budget and will be included in the 2024-25 Recommended Budget.
BACKGROUND INFORMATION
The CDA provides funding through contracts with local Area Agencies on Aging (AAA) to help older and disabled individuals live independently, promote healthy aging, and assist family members in their caregiving role. As the designated local AAA, DAAS has received funding annually since 2009 to provide MIPPA services to eligible residents throughout San Bernardino County.
MIPPA, signed into law in July 2008, is a multi-faceted legislation related to Medicare. MIPPA provides funding to help Medicare beneficiaries apply for programs that make Medicare affordable and increase outreach and awareness efforts to consumers with low income.
MIPPA services includes outreach to eligible Medicare beneficiaries for preventive wellness, preventing disease, promoting wellness, limited income benefits, as well as application assistance to individuals who may be eligible for Low Income Subsidy (LIS) and Medicare Savings Programs (MSPs). The LIS program helps pay for Medicare Part D premiums and reduces the cost of pharmacy prescriptions and MSPs help with payment for Part B premiums.
MIPPA funds will be used to expand outreach in all areas (including Spanish-speaking and rural communities), develop marketing campaigns, conduct presentations, and provide assistance with Medicare beneficiary enrollment for approximately 336 clients.
In the recommended amendment, Exhibit B updates the equipment approval and closeout procedures, and Exhibit B, Attachment 1 updates the budget display to add the unused funds of $8,312 from fiscal year 2022-23 to the 2023-24 budget.
On August 22, 2023, (Item No. 6), the Board of Supervisors approved Revenue Contract No. 23-876 (State Revenue Agreement No. MI-2324-20) in the amount of $143,025 to provide Medicare Improvements for Patients and Providers Act services, for the period of September 1, 2023 through August 31, 2024.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Patty Steven, Contracts Manager, 388-0241) on March 22, 2024; County Counsel (Jacqueline Carey-Wilson, Deputy County Counsel, 387-5455) on March 25, 2024; Finance (John Hallen, Administrative Analyst, 388-0208) on March 25, 2024; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on March 25, 2024.