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TO: BOARD OF SUPERVISORS
.� Costa
FROM: Danna Fabella, Interim Director �'••. County
Employment and Human Services Y
John Cottrell, Director
In Home Supportive Services,lPublic Authority = J b
DATE: September 12, 2006
SUBJECT: Establish Public Authority Registry Liaison Classification and One Position in the In Home
Supportive Services (IHSS) Public Authority
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
ESTABLISH the classification of Public Authority Registry Liaison and add one position in the In Home
Supportive Services (IHSS) Public Authority of the Employment and Human Services Department at pay level
equivalent to 255-1384 ($4,042.9444,914.22).
FINANCIAL IMPACT:
The position can be added without a budget increase. Federal funding covers approximately 50% and the
remaining 50% is split 65% State and 35% County. Total cost, including salary and benefits, is estimated to be
$101,000 annually.
BACKGROUND:
IHSS provides the intake and assessment of need, the Medi-Cal unit determines eligibility, the Public Authority
assists with a registry of providers and enrolls both the consumer and provider into the program. Provider time
sheets are processed by IHSS payroll and the state writes and mails checks. Any one or all of these steps are
extremely important in insuring that consumers are receiving timely and professional service and providers
being paid in a timely manner. Contra Costa County IHSS currently serves over 6,000 consumers with over
5, 900 providers.
Recently Federal and State mandated changes in Medi-Cal eligibility and IHSS regarding consumer Share of
Cost/Point of Sale (SOC/POS) have further exacerbated the problem of hundreds of phone calls into all
departments. Due to these changes, IHHS consumers and providers are confused and angry about the
complexity and changes the system brings. 'Providers are not receiving anticipated revenue, which is creating a
host of financial hardships. Social Worker Icaseloads are already too burdensome and the various departments
are not equipped to handle the dramatic increase in phone calls and requests for service. Dedicated staff is
needed to act as a case liaison across various departments.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
I
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
—4U!rPROVE OTHER
SIGNATURE(S): "�`—
ACTION OF BOA ON XJ'yGXr��Yf 1 Lk -WLAQ APPROVED AS RECOMMENDE6 OTHER
I
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT V10r1t- ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
li
ATTESTED
JOHN CULL N,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact: DANNA FABELLA,.EHSD
JOHN COTTRELL, IHSS 6-1257
EHSD(CONTRACTS UNIT)-EB
COUNTY ADMINISTRATOR BY �_, ,DEPUTY
AUDITOR-CONTROLLER