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File #: 19-1437    Version: 1
Type: Agenda Item Status: Approved
File created: 9/18/2019 In control: Board of Supervisors
On agenda: 6/23/2020 Final action: 6/23/2020
Title: Health and Human Services Agency recommending the Board: 1) Approve and authorize the Chair to sign Funding Out Agreement 4675 with Marshall Medical Center, to support the operation of the County Medical Services Program Pilot Project grant, effective upon execution through 06/30/2021 with a maximum funding amount of $135,000; 2) Make findings in accordance with County Ordinance 3.13.030 that provision of such services provided by Marshall Medical Center is appropriate C) due to limited time frames, temporary nature, and schedule for the project or scope of work, the ongoing aggregate of work to be performed is not sufficient to warrant the addition of permanent staff; and 3) Authorize the Health and Human Services Agency Director, or designee, to execute further documents relating to Funding Out Agreement 4675, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management. FUNDING: ...
Attachments: 1. A - Approved CRS 4675 Marshall Medical CMSP 06/23/20, 2. B - 4675 Marshall CMSP 06/23/20, 3. C - CMSP Agreement #333-F1711 06/23/20, 4. Executed Agreement 4675
Title
Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Funding Out Agreement 4675 with Marshall Medical Center, to support the operation of the County Medical Services Program Pilot Project grant, effective upon execution through 06/30/2021 with a maximum funding amount of $135,000;
2) Make findings in accordance with County Ordinance 3.13.030 that provision of such services provided by Marshall Medical Center is appropriate C) due to limited time frames, temporary nature, and schedule for the project or scope of work, the ongoing aggregate of work to be performed is not sufficient to warrant the addition of permanent staff; and
3) Authorize the Health and Human Services Agency Director, or designee, to execute further documents relating to Funding Out Agreement 4675, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.

FUNDING: State funding administered by the County Medical Services Program.
Body
DISCUSSION / BACKGROUND:
The CMSP governing body has approved El Dorado County Health and Human Services Agency (HHSA) to sub-award the funding from Agreement #333-F1711 to continue outreach and engagement activities, with a focus on Latino and Native American persons as well as people experiencing homelessness who are eligible for County Medical Services Program and other publicly funded grant programs.

Marshall Medical Center (MMC) submitted a proposal to extend this practice to additional settings not as easily accessible to HHSA staff members. Specifically, in MMC's emergency department, where the uninsured target population frequently resorts for care, as well as obstetric clinics, wound-care clinics, and the substance-abuse treatment clinic.

The CMSP Pilot Project grant has unspent funds remaining in the grant with limited time to spend them. HHSA has had some specific timing challenges with h...

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