REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
January 24, 2023
FROM
SHARON NEVINS, Director, Department of Aging and Adult Services
SUBJECT
Title
Amendment to Revenue Contract with the California Department of Aging for the Multipurpose Senior Services Program
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to Revenue Contract No. 22-692 (State Revenue Agreement No. MS-2223-17) with the California Department of Aging to provide Multipurpose Senior Services Program services, updating Exhibit A: Scope of Work, Exhibit B: Budget Detail and Payment Provisions, and Exhibit E: Additional Provisions, with no change to the amount of $1,847,820 or the contract period of July 1, 2022 through June 30, 2023.
(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). Multipurpose Senior Services Program (MSSP) funds in the amount of $1,847,820 are 50% State ($923,910) and 50% Federal ($923,910). Adequate appropriation and revenue have been included in the Department of Aging and Adult Services’ (DAAS) 2022-23 budget.
BACKGROUND INFORMATION
MSSP includes social and healthcare management services, as well as a wide range of additional services that include minor home repair, non-medical home equipment, chores, personal care, respite care services, transportation (for participants without transportation, needing specialized vehicles, or escort services when unable to travel alone), and communication equipment that is specialized to assist vision, hearing, speech, and physical impairments. DAAS has been providing program services to eligible seniors since 1985. In 2022-23, DAAS anticipates MSSP services will be provided to an estimated 345 eligible seniors. Due to the available variety of all program services, the average cost per senior ranges from $369 to $446 per month.
The Federal Older Americans Act (OAA) promotes the welfare and dignity of older adults by providing valuable services in order to enable older adults to be independent, remain in their communities, and assist them to be engaged citizens. In 1976, the State of California designated San Bernardino County as an Area Agency on Aging. As a result of this designation, DAAS receives funding to administer MSSP services.
Amendments to this contract include revision and replacement in its entirety of Exhibit A: Scope of Work, Exhibit B: Budget Detail and Payment Provisions, and Exhibit E: Additional Provisions. These exhibits contain changes in the Articles and/or Sections that have been either updated, revised, removed, or relocated language.
Some of the highlighted changes include removal of Additional Provisions in all three exhibits that are specific to contractors operating under the Coordinated Care Initiative (CCI) payment model; the CCI payment model will be transitioned back to the Fee for Service (FFS) payment model. The CCI payment model is being abolished as a result of the new California Advancing and Innovating Medi-Cal (CalAIM) initiative with the goal of standardizing benefits and reducing variation and complexity across delivery systems.
Exhibit A was also modified to clarify active client count description, rephrase language regarding Enrollment Levels, and removed outdated In-Home Supportive Services (IHSS) language. Exhibit B also added more detail of the rate change process and submission requirements, and Budget and Budget Revision was edited due to changes in auditing. Exhibit E also added description to reporting requirements and added language regarding Electronic Visitation Verification.
On July 26, 2022 (Item No. 5), the Board of Supervisors (Board) approved Revenue Contract No. 22-692 (State Revenue Agreement No. MS-2223-17) in the amount of $1,1847,820, to provide MSSP services, for the period of July 1, 2022 through June 30, 2023. In addition, this item adopted a resolution authorizing the Chairman of the Board, 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. MS-2223-17, on behalf of the County, subject to review by County Counsel.
DAAS received notification of the amendment to State Revenue Agreement No. MS-2223-17 on October 12, 2022. This item is being presented at this time as the contract was returned back to the State for correction to the County’s legal name. This is the first date available following the receipt of the corrected contract and the required operational, fiscal, and legal reviews. Approval by the Board on this date will have no impact on DAAS’ services or activities.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Human Services Contracts (Patty Steven, Contracts Manager, 388-0241) on December 16, 2023; County Counsel (Jacqueline Carey-Wilson, Deputy County Counsel, 387-5455) on December 28, 2022; Finance (Christopher Lange, Administrative Analyst, 386-8393) on December 29, 2022; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on January 4, 2023.