REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
May 19, 2020
FROM
SHARON NEVINS, Director, Department of Aging and Adult Services
SUBJECT
Title v
Amendment to Revenue Contract with California Department of Aging for Financial Alignment Funds
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 2, effective May 19, 2020, to Revenue Contract No. 18-116 (State Revenue Agreement No. FA-1718-20) with the California Department of Aging for Financial Alignment funds to provide counseling, support, and information regarding health coverage options to dual eligible Medicare and Medi-Cal beneficiaries, updating Exhibits A, B and E which revises the language to be consistent with federal reporting requirements with no change to the amount of $94,779 or contract term of February 15, 2018 through July 31, 2020.
(Presenter: Sharon Nevins, Director, 891-3917)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Improve County Government Operations.
Pursue County Goals and Objectives by Working with Other Agencies.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). This item is funded with 100% Federal revenue allocated to the California Department of Aging (CDA) for Health Insurance Counseling and Advocacy Program (HICAP) Financial Alignment services. The Department of Aging and Adult Services (DAAS) budget was increased by a total of $21,799 in 2017-18, $51,181 in 2018-19, and $21,799 in 2019-20. Adequate appropriation and revenue have been included in the Department of Aging and Adult Services’ (DAAS) 2019-20 budget and will be included in the 2020-21 recommended budget.
BACKGROUND INFORMATION
The recommended amendment from CDA updates exhibit documents to revise language for consistency with federal reporting requirements. Financial Alignment funds in the amount of $94,779 have been allocated to the County of San Bernardino for HICAP services through July 31, 2020. HICAP is the primary local source for assistance with Medicare benefits, prescription drug plans, and health plans. DAAS provides HICAP services to approximately 14,817 senior clients annually through a contract with Council on Aging-Southern California.
DAAS utilizes the CDA funds to provide HICAP services, which include outreach, education to providers and community-based partners, and to provide counseling and assistance to older adults and people with disabilities eligible for both Medicare and Medi-Cal (dual eligible beneficiaries) in understanding their options. Financial Alignment funds are also used to enroll dual eligible beneficiaries in managed care plans that integrate benefits and align financial incentives between Medicare and Medi-Cal. The goal is to promote delivery of medical, behavioral health, long-term institutional, home, and community-based services through a single organized system.
On March 20, 2018 (Item No. 4), the Board of Supervisors (Board) approved Revenue Contract No. 18-116 (State Revenue Agreement No. FA-1718-20) in the amount of $94,779, to provide Financial Alignment funds for HICAP outreach, education, and counseling related to Medicare and Medicaid services. In addition, this item adopted a resolution authorizing the Chairman of the Board of Supervisors, the Chief Executive Officer, or the DAAS Director to execute all documents, including any subsequent non-substantive amendments, in relation to State Revenue Agreement No. FA-1718-20, on behalf of the County, subject to review by County Counsel.
On October 22, 2019 (Item No. 6), the Board approved Approve Amendment No. 1 to Revenue Contract No. 18-116 (State Revenue Agreement No. FA-1718-20) with the California Department of Aging for Financial Alignment funds extending the existing contract term from February 15, 2018 through December 21, 2019, to February 15, 2018 through July 31, 2020.
PROCUREMENT
Not Applicable.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Jennifer Mulhall-Daudel, Contracts Manager, 388-0241) on April 16, 2020; County Counsel (Jacqueline Carey-Wilson, Deputy County Counsel, 387-5455) on April 28, 2020; Finance (Christopher Lange, Administrative Analyst, 386-8393) on April 29, 2020; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on April 29, 2020.