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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.
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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 having County staff perform the work, including the following: 1) loss of staff member who performed this work during prior grant years, 2) no existing qualified staff available to take on the remaining work, 3) hiring process would consume much of the remaining grant period, 4) a new position would be limited-term (difficult to fill), and 5) a new employee would need training, also hampering the ability to perform the work in the time available. Work may begin as soon as a contract is signed with MMC as they have the staff available to take over responsibilities and continue to perform the remaining activities for the final grant year.
ALTERNATIVES:
No viable alternatives are available that will meet the requirements of the funding source.
PRIOR BOARD ACTION:
N/A
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
County Counsel
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no Net County Cost associated with this Agenda item. This Agreement is fully funded via a CMSP grant, has been included in the fiscal year (FY) 19-20 budget, and will be included in future budgets for the term of this agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Obtain signature of Chair on original Funding Agreements #4675.
2) Forward one (1) fully executed copy of document to HHSA-Contracts Unit, 3057 Briw Road, Placerville for further processing.
STRATEGIC PLAN COMPONENT:
County Strategic Plan: Good Governance, Healthy Communities
CONTACT
Don Semon, Director, Health and Human Services Agency