File #: 08-1772    Version: 1
Type: Agreement Status: Approved
File created: 11/24/2008 In control: Board of Supervisors
On agenda: 12/16/2008 Final action: 12/16/2008
Title: Health Services Director requesting authorization to sign retroactive Amendment III to Cost Reimbursement Agreement 7275-07/10-709 with the County of Sacramento Department of Health and Human Services increasing the reimbursable amount by $42,433 to a total of $465,704 for direct medical and support care services through The Ryan White C.A.R.E. Act for persons living with HIV/AIDS disease, contingent upon approval from County Counsel and Risk Management. FUNDING: Ryan White C.A.R.E. Act from Sacramento County.
Attachments: 1. Sacramento Cty 7275-0710-709 A-3
Title
Health Services Director requesting authorization to sign retroactive Amendment III to Cost Reimbursement Agreement 7275-07/10-709 with the County of Sacramento Department of Health and Human Services increasing the reimbursable amount by $42,433 to a total of $465,704 for direct medical and support care services through The Ryan White C.A.R.E. Act for persons living with HIV/AIDS disease, contingent upon approval from County Counsel and Risk Management.

FUNDING: Ryan White C.A.R.E. Act from Sacramento County.
Body
BUDGET SUMMARY:
Total Estimated Cost Agmt 3/1/07-3/10/10 $465,704


Funding
Budgeted $154,628 FY 2008-09
New Funding $42,433 Through 3/10/10
Savings $
Other $
Total Funding Available $197,061 Through 3/10/10
Change To Net County Cost $0

Fiscal Impact/Change to Net County Cost: None.

Background: The Ryan White C.A.R.E. Act provides emergency medical and support care services for people living with HIV/AIDS disease. Services include, but are not limited to, information, referrals and/or arranging for outpatient medical care, skilled nursing, medication management, diagnosis and treatment of common medical and mental conditions, and addressing nutrition issues to include direct food purchases as well as support to local food banks in El Dorado County. El Dorado County Ryan White services are subcontracted to Sierra Foothills AIDS Foundation, an agency with which we have a longstanding and successful relationship.

Reason for Recommendation: El Dorado receives Federal sponsored Ryan White program funding through Sacramento County, the fiscal agent for the five (5) county Transitional Grant Area (TGA). This contract is retroactive to April 1, 2007; however, Amendment III documents were not received until November 18, 2008 from Sacramento County and staff immediately began preparing for Board approval.

Action to be taken following Board approval:
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