TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Jennifer Ivancie, Staff Services Analyst
SUBJECT: Amendment No. 1 to Agreement No. 230094B with Community Health Initiative Napa County, Inc.
RECOMMENDATION
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Approve and authorize Amendment No. 1 to Agreement No. 230094B with Community Health Initiative Napa County, Inc., to increase the contract maximum by $25,000 for a new contract maximum of $200,000 for the term upon approval through June 30, 2025, and each subsequent renewal, for Medi-Cal outreach activities and application services on behalf of clients who have applied or are re-applying for Medi-Cal. (Fiscal Impact: $200,000 Expense; Health and Human Services Agency Fund; Budgeted; Discretionary)
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BACKGROUND
The County’s Health and Human Services Agency (HHSA) Self Sufficiency Services Division (SSS) aims for robust outreach, enrollment, and retention, and to engage uninsured county residents who are Medi-Cal eligible, with a focus on targeted, hard-to-reach populations.
Community Health Initiative Napa County, Inc., (CHI) currently provides outreach services to new and existing Medi-Cal clients by assisting with the completion of new and renewal Medi-Cal applications onsite and at outreach locations and engages current Medi-Cal beneficiaries on how to maintain Medi-Cal benefits, if otherwise eligible. Many applicants and beneficiaries need extra assistance with filling out paperwork and providing verifications on a timely basis to access health care benefits.
Approval of this amendment reflects an increase to the contract maximum to ensure CHI is able to maintain appropriate staffing levels to continue their efforts in assisting individuals with completing applications and renewals at onsite and outreach locations.
Requested action:
Approve and authorize Amendment No. 1 to Agreement No. 230094B with Community Health Initiative Napa County, Inc. to increase the contract maximum by $25,000 for a new contract maximum of $200,000 through June 30, 2025, and each subsequent renewal.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Self Sufficiency Services Division |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
Although performing Medi-Cal determinations is mandatory, expanding outreach through contractors is discretionary. |
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Is the general fund affected? |
No |
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Future fiscal impact: |
Appropriations have been included in the approved Fiscal Year 2024-2025 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this amendment is not approved, the County will not benefit from the expanded outreach that this local community-based organization has in addressing barriers to healthcare access. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.