MEETING DATE: 4/11/2017
DEPARTMENT: HEALTH AND HUMAN SERVICES AGENCY
DEPT HEAD/DIRECTOR: James Rydingsword
AGENDA ITEM PREPARER: Cynthia Larca
SBC DEPT FILE NUMBER: 130
SUBJECT:
HEALTH AND HUMAN SERVICES AGENCY - J. RYDINGSWORD
Approve Agreement with County Medical Services Program Governing Board for the County Wellness & Prevention Pilot Program in the amount of $225,000.00.
SBC FILE NUMBER: 130
AGENDA SECTION:
CONSENT AGENDA
BACKGROUND/SUMMARY:
The Health & Human Services Agency (HHSA) submitted a proposal for a County Wellness & Prevention Pilot grant with the County Medical Services Program (CMSP) Governing Board in September 2016. The proposed project summary is as follows:
The County of San Benito, led by its Health and Human Services Agency (HHSA), proposes to implement a three –year pilot project for providing local level health and supportive services to CMSP eligible and potentially eligible persons. Our CMSP pilot would address the priority project areas set forth by the CMSP Governing Board; Community Wellness / Prevention and Whole Person Care, including impacting local social determinants. Our County HHSA applies for the CMSP Pilot Grant in order to facilitate participation by health care providers in the CMSP Provider Network and to promote access to health care coverage to lower income, uninsured adults, many of whom may be eligible for CMSP and thereby to enhance utilization of covered preventative and primary care services to new enrollees.
1. Goals: The County HHSA’s overall goal is to improve the general health and wellness of lower income uninsured adults in the community by educating the public about CMSP
Eligibility and benefits. This would include primary care, directing potential CMSP enrollees towards assistance with their applications, and linking such enrollees to local health care service providers who accept CMSP coverage. Our priorities include addressing the needs of the homeless and we believe our goals are in alignment
with the CMSP Board goals for the CMSP Pilot Program.
2. Objectives: The CMSP pilot project’s objectives are as follows: A) The first objective is
to expand the number of health care providers in San Benito County that accept CMSP
as a form of health care coverage. The second objective is to increase CMSP enrollment
among eligible persons. The third objective is to improve CMSP enrollees’ health
conditions and outcomes by facilitating the use of the new Primary Care Benefit.
3. Project Approach and Implementation Plans: Initially our Pilot Project’s primary focus would be on conducting education and recruitment activities to facilitate health care
provider and related health services. From this recruitment activity, the focus would
shift towards conducting outreach and education activities to potential CMSP
applicants and linking them to Public Services for application processing. During this phase of the Pilot Project, the County HHSA through its Public Health Department would begin providing health wellness education as well as linkages to help applicable CMSP
members (including undocumented persons) to utilize their Primary Care benefits. During the final phase of the Pilot Project, efforts would concentrate on maintaining CMSP enrollment and continuing to increase community health and wellness through education and resource linkage. Throughout this process, the CMSP Pilot would collect and analyze data from applications, intakes and assessments in order to conduct evaluations and comply with CMSP reporting requirements. We intend to continue
working on impacting local social determinants, including housing support services.
4. Target Population: The target population are uninsured residents of San Benito County, ages 21 to 64, who are either potentially eligible for CMSP or enrolled in CMSP, as well as those who are potentially eligible for or are enrollees of other public
assistance programs. The full narrative contains the number of the target population to be served over the 3 project years.
5. Key Partnerships: The County’s lead Agency is the County Health and Human Services Agency and would be joined by the other County Departments of Probation, Public Health, and Behavioral Health. Also included is the County Community Services and Workforce Development. In addition, there are several community partners as listed and described in the Project Narrative.
6. Anticipated Outcomes: The County HHSA anticipates that the uninsured population would further decrease by a target of approximately 10% or about 295 individuals within 3 years due to increased enrollment in CMSP or other health insurance coverages. It is anticipated that that the general health and wellness of these CMSP
Members would improve due to their use of preventative and primary health care
Services delivered through the enhanced CMSP provider network.
7. Deliverables: The County HHSA’s pilot project outcomes would be measurable with the following proposed deliverables:
A. Promote awareness of the CMSP Program among the County uninsured:
1. 600 by 12/31/17
2. 900 by 12/31/18
3. 1500 by 12/31/19
B. Increase in the number of health care providers contracting to participate in the CMSP Provider Network from one (1) as of 9/1/16 to two by 9/1/17 and three by 9/1/18 and four by 12/31/19.
C. Increase in the number of CMSP applications received and processed annually as follows: A) 200 by 12/31/17 - B) 350 by 12/31/18 and C) 425 by 12/31/19.
D. Improve the health outcomes of all CMSP Pilot individuals as measured by the health
benefits or services received through surveys, data collection /analysis & interviews.
The Winter Warming Shelter program plan was submitted and approved by your Board on November 22, 2106. This Board action also included the budget augmentation for the Warming Shelter that incorporated the funds from this grant for the fiscal 2016 - 2017 year.
The CMSP Governing Board has now presented HHSA with the grant agreement documents for execution. This grant is for a total of $225,000 over a three year term, March 1, 2017 - June 30, 2020. The funds are to be paid yearly on the following schedule:
Upon execution of the agreement - $75,000
January 1, 2018 - $75,000
January 1, 2019 - $26,250
Upon acceptance of program completion reports - $18,750
This grant includes the role of CMSP Pilot Program Manager. This staff person will be responsible for the day to day operations of the CMSP Pilot Program, from recruitment, intake, assessment, case management and referrals to other medical wellness and prevention programs. The person shall ensure that all required reports are completed and submitted to the HHSA and to the CSMP office. This position will be limited to the term of the grant.
BUDGETED:
Yes