ALAMEDA COUNTY HEALTH CARE SERVICES

AGENCY AGENDA.__June 22, 2010 ALEX BRISCOE, Director

AGENCY ADMIN. & FINANCE June 1, 2010 1000 San Leandro Blvd, Suite 300

San Leandro, CA 94577 Tel: (510) 618-3452 Fax: (510) 351-1367

The Honorable Board of Supervisors County Administration Building 1221 Oak Street Oakland, CA 94612

Dear Board Members:

SUBJECT: Approval of the Ryan White Care Act Part A Fiscal Agent Agreement Amendment II between Contra Costa County and Public Health Department, Office of AIDS Administration

RECOMMENDATION:

Approve and authorize the President of the Board to sign in original signature five (5) copies of the second Fiscal Agent Agreement Amendment between Contra Costa County and Alameda County Public Health Department, an increase of $7,831 from $1,294,179 to $1,302,010, for the period March 1,2009 through February 28, 2010, Purchase Order #PHSVC 5376, Procurement Contract #3860 to provide comprehensive HIV/AIDS Care arid treatment services.

SUMMARY! DISCUSSIONIFINDINGS:

On October 13, 2009 your Board approved the Ryan White Part A Fiscal Agent agreement amendment between Contra Costa County and Alameda County Public Health Department in the amount of $1 ,294,179 for the period March I, 2009 through February 28, 2010. The Public Health Department is requesting a second amendment to the contract. The total federal award has not changed from the first amendment to the second and continues to be for $5,833,009. The percent allocated to Contra Costa also has not changed and remains at 25.8%. The total amount identified to be allocated in amendment I was $1,294,179 and is now stated to be $1,302,010; a total amount difference of $7,831 - all for which can be accounted for in the increase to quality management, page 2, section III of Exhibi t A

Quality management (QM) activities are mandated by the funding source to ensure that the services provided are consistent with current HIV Standards. Alameda County, as the grantee, receives 5% of the total grant amount for its QM activities, of which $ 15,000 was initially given to Contra Costa County. For this year's allocation, $ 30,352 of the QM dollars was not spent, which represents QM savings. Contra Costa County is to receive 25.8% of this amount which is $ 7,831. Their budget in

The Honorable Board of Supervisors Page 2 of2

the revised Exhibit A on Page 2 for Quality Management reflects the additional amount (from the original $ 15,000 to $ 22,831).

Your Board is therefore requested to approve the Fiscal Agent contract agreement amendment II for an increase of $7,831 from $1,294,179 to $1,302,010.

FINANCING:

The funding for this contract is included in the FY 2009-10 adjusted budget. There is no impact on the net County cost.

Very truly yours,

cc: Auditor-Controller County Counsel

Ref.:

Ryan White CARE Act Part A Agreement Amendment II

Reference is made to the Agreement made and enlered into on the day or ---t.. by and bctwL'eD the County of Alameda llnd the County of Contra Costa.

Snirl Agreement is hereby amended as follows:

1. Page 1, Paragraphs 3 and 6, shall he modified respectively to read: 2£-528"'8 9~

"'WHEREAS, tbe Secretary of tbe United States Department of Health and Human Services, acting through tbe Hcnlth Resources and Services Administration, has awarded S 5,833,009.00 to the Oakland Transitional Geographical Area in accordance with the provisions of the HJV Emergency Relief Grant Program of the Act, to be disbursed over the period of March 1,2009 tbrough Februarv 28. 2010 to provide essential services, and;"

"'WHEREAS, both the Health Resources and Services Administration and the Alameda/Contra Costa HIV Collaborative Community Planning Council stipulate that 25.80 perceot of the funds awarded to the Oakland Transitional Geographical ArC8 for direct services (plus an udditional S J5,000 for QuaJity Marulgcment) be allocated to Contra Costa Count~' and, further, tbat Contra Costa County has been allocated $ 1,302,010.00 from the period of March 1, 2009 through Februarv 28, 201O!'

2. Page 1, Item 2-A, shall be modified to rcad:

"A. Remit payment (Q Contra Costa County within tcn (10) working da)'s of receipt of each invoke. The total amount payable to Contra Costa Count)' shall not exceed $ 1.302,010.00 for the period of March 1,2009 througb Februarv 28, 2010."

3. Exhibit A shaJi be replaced by the attached Exhibit A (Revised).

4. Exhibit H shall be replaced by the attacbed Exhibit B (Revised).

E.\.cept .lS herein amended, said Agreement is continued in full force and effect.

This Amendment is effective us of tbe .L.. day of March. 2009 .

COUNTY OF ALAMEDA COUNTY OF CONTRA COSTA

BY

Prcsidcrlt, Board of Supervisors President, Board of SUllC,,,isors

7, Dale Dale

Approved as to Form

County Counsel approval notR::.'d E. w~nlY Conns.1 req uired per 9/12/06 Board Order

BY

OcflU~' County Counsel

__~.....:....J~,-,-,,\O,--- _ Date Date

--­CON T RA COS T A HEALTH SERVICES

EXHIBIT A

L-~~~

Contra Costa Health Department

Ryan White HIV Treatment and Modernization Act (CARE A):""-__ _~__---'­

March 2009 - February 2010

---'_--'

revised Dec 1, 2009

Services are provided to Contra Costa residents in accordance with Ryan White HIV Treatment and

Modernization Act requirements for HIV services.

Budget and Service Priorities

I. Core Services

Early Intervention Services

To provide HIV early intervention services including HIV counseling and testing at high risk

clinics and/or PCRS to high risk residents of Contra Costa. $ 38.900

Case Management

To provide medical case management services, including: coordinating $ 772.522 access to medically appropriate levels of health care, treatment adherence,

partner counseling and referral, case conferencing, etc., to at least

500 people with HIV/AIDS in Contra Costa

Mental Health

To coordinate and provide mental health assessments, counseling and referral

follow up services to at least 50 people with HIV in Contra Costa. $ 54,298

Substance Abuse

To coordinate access to care and provide assessments, substance abuse

counseling and treatment for at least 100 people with HIV in Contra Costa. $ 134,717

Oral Health Care

To prOVide dental services to at least 15 eligible low income residents

$ 21,500

Ambulatory Outpatient Primary Medicol Care

To prOVide ambulatory medical core to eligible undocumented and indigent

individuals. est at $1000/person x 5 individuals $ 16,461

Tne maximum allowable for cores services is 1.045,898 1

EXHIBIT A, PAGE 2

Contra Costa Health Department

Ryan White HIV Treatment and Modernization Act (CARE A)

March 2009 - February 2010

revised Dec 1, 2009

n. Support Services

Food

To provide food bank and nonfood commodities, congregate meals, food $ 111.281 vouchers and home delivered meals to at least 200 eligible Contra Costa residents.

Housing Assistance

To provide emergency housing assistance payments consistent with standards of care

for at least 6 Contra Costa residents $

Legal Advocacy

To provide allowable legal services to ensure ongoing benefits coverage for

at least 80 people with HIV in Contra Costa. $ 72,000

Transportation

To provide transportation vouchers and van transportation assistance to

medical and social service appointments to at least 55 eligible Contra

Costa residents $ 40.000

Health Education/Risk Reduction

Provide 12 health education and risk reduction presentations in group format to

HIV positive individuals. $ 10,000

The maximum allowable for support services is 233.281 I III. Quality Management

Chart reviews, data profile developments, etc. Implement on-going QM

processes and plans.

The maximum allowable for quality management is: 22,831 I

TOTAL APPROVED BUDGET (numbers are rounded) 1,302,010 I allowable $ 1,302,010

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-./':~--CONTRA COSTA

HEALTH SERVICES EXHIBIT B

ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY

OFFICE OF AIDS ADMINISTRATION QUARTERLY INVOICE

Ryan White Treatment and Modernization Act (CARE Part A)

Revised Dec 1, 2009

Contractor: Contra Costa Health Services Department Contract No:

Date:

Check Payable To:

Contra Costa Health Services Department

Public Health Accounting

50 Douglas Drive. Suite 320

Martinez, CA 94553

Attn: Maria Soguindel

925/957-5482

SERVICE APPROVED BUDGET

3/1/09 ­ 2/28/10

CURRENT

PERIOD

BILLED TO

DATE

UNEXPENDED

Core Services $ 1,045,898

Support Services $ 233,281

Quality Management $ 22,831

TOTAL BUDGET $ 1,302,010

Net Amount Payable by Alameda County: $

I certify that the information contained herein is true and correct in all respects

and in accordance wIth the terms and condition of this contract and the

financial records of this organization.

AIDS Program Director

Signature and Title of Authorized Agent

Approved for Payment:

Contracts Management Director / Program Manager

C.56

To: Board of Supervisors

Contra From: William Walker, M.D., Health

Services Director Costa

CountyDate: February 8, 2010

Subject: Amendment Agreement #28-528-39 with the County of Alameda

RECOMMENDATION(S):

Approve and authorize the Health Services Director, or his designee (Wendel Brunner, MD), to execute, on behalf of the County, Amendment Agreement #28-528-39 with the County of Alameda, effective March I, 2009, to amend Agreement #28-528-37 (as amended by Amendment Agreement #28-528-38), to increase the total payment limit by $7,831 from $1,294,179 to a new total of $1,302,010 and to make technical adjustments to the agreement, with no change in the original tenn of March 1,2009 through February 28, 2010.

FISCAL IMPACT:

This agreement will result in an increase in the amount of funding by $7,831 to a new payment limit of $1,302,010, from the County of Alameda, as the Grantee of federal funds under the Ryan White J-IIVIAIDS Treatment Modernization Act of 2006, Part A. No County match is required.

BACKGROUND:

The U.S. Department of Health and Human Services has designated the County of Alameda as "Grantee" for the purpose of administering the Ryan White HIV/AIDS Treatment Modernization Act of2006, Part A funds for coordination of essential services to COWlty Costa County residence with H1V disease and their families.

P APPROVE I OTHER

[7 RECOMMENDATION OF CNTY ADMINI STRATOR I RECOMMENDATION OF BQARDCOMMITTEE

Action of Board On: 0212312010 F APPROVED AS RECOMMENDED r OTHER

Clerks Notes: VOTE OF SUPERVISORS

I hcn:by cen ,ty Ihallb i. IS a lnJ 0 ""d corre<:! copy 0 f all "cOOn taken and enlered on Ibe min" Ie, of m. Board 0rSUpeMson; on lb. dale shown,

AYES ~"~_ J NOES -- ~_. -~ ATTESTED: February 23,2010 David J Twa, County Admlnistralor and Clerk of the Board ABSENT -.-, : ABSTAIN ,-----j of Supervisors

I -l

RECUSE i By: June McHuen, Deputy - -'

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, BACKGROUND: (CONT'O)

On June 16,2009, the Board of Supervisors approved Agreement #28-528-37 (as amended by Amendment Agreement #28-528-38) with the County of Alameda, as the Grantee of Federal Ryan White HIV/AIDS Treatment Modernization Act 0[2006, Part A fW1ds, for the period from March 1,2009 through February 28,20 I0, for coordination of essential services to County Costa County residence with HIV disease and their families.

Approval of this Amendment Agreement #28-528-39 will increase payment to the County, for continuation of services to people with HIV and AIDS and make technical adjustments to the Agreement with no change in the term through February 28, 2010.