REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
April 8, 2025
FROM
SHARON NEVINS, Director, Department of Aging and Adult Services - Public Guardian
SUBJECT
Title
Amendments to Contracts with Multipurpose Senior Services Program Providers
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 for fee-for-service contracts with the following agencies to provide Multipurpose Senior Services Program services, increasing the aggregate contract amount by $317,438 from $952,314, to a total not to exceed amount of $1,269,752, and extending the contract term for one year, for a total contract period of July 1, 2022, through June 30, 2026:
1. Assured Independence, LLC, Contract No. 22-400.
2. Connect America.com, LLC, Contract No. 22-401.
3. Lifeline Systems Company, Contract No. 22-402.
(Presenter: Jamiko Bell, Interim Assistant Director, 891-3917)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). Multipurpose Senior Services Program (MSSP) costs are on a fee-for-service basis and will not exceed $317,438 over the extended one year contract term. These services are funded 50% by Federal ($158,719) and 50% by State ($158,719) sources. Adequate appropriation and revenue are included in the Department of Aging and Adult Services-Public Guardian (DAAS-PG) 2025-26 recommended budget.
BACKGROUND INFORMATION
The California Department of Aging (CDA) has awarded funds to DAAS-PG for the MSSP to prevent or delay the need for long term institutional care for eligible older adults while continuing to foster independent living in the community. MSSP provides social and/or healthcare case management services to Medi-Cal recipients aged 65 or older, to delay or prevent them from being placed in a long-term care facility. DAAS-PG social workers are responsible for coordinating services through agencies to provide a variety of MSSP services including chores, personal care, nonmedical equipment/supplies, in home and out of home respite care, transportation escort, transportation one way trip, and communication devices. The contracted agencies will provide a portion of the needed services, and DAAS-PG will continue its outreach to obtain additional service providers as needs arise throughout the term of the contract.
On June 14, 2022 (Item No. 8), the Board of Supervisors approved the fee-for-service contracts for Assured Independence, Connect America LLC, and Lifeline Systems Company (Contractors) to provide MSSP services (Contracts), in an aggregate contract amount not to exceed $952,314, for the period of July 1, 2022, through June 30, 2025.
This amendment will allow DAAS-PG to continue to provide MSSP communication device services, which includes rental/purchase of 24-hour emergency assistive services or installation of a telephone. Access to these devices will allow, approximately 345 clients, monthly communication for those who are at risk of institutionalization due to physical conditions which can likely result in a medical emergency. Contractors’ performance will continue to be monitored by review of monthly invoices to ensure compliance with the administrative, program and fiscal terms and conditions of the Contract. Contractors will cooperate with the County in the implementation, monitoring and evaluation of these Contracts and comply with all reporting requirements established by these Contracts. Contractors’ charges must be for services provided to eligible beneficiaries under this funded program. The County reserves the right to request additional program and/or fiscal reports to facilitate this monthly review.
It is not known at this time whether this program will be affected by the federal funding freeze. If funding is reduced, the County has the ability to reduce spending to stay within the new federal funding allocation.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Patty Steven, Contracts Manager, 388-0241) on March 7, 2025; County Counsel (Jacqueline Carey-Wilson, Deputy County Counsel, 387-5455) on February 27, 2025, Finance (John Hallen, Principal Administrative Analyst, 388-0208) on March 24 2025; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0332) on March 24, 2025.