HomeMy WebLinkAboutMINUTES - 10161984 - 1.46 ,-o BOARD OF SUPERVISORS
FROM: R. E. Jornlin, Director
Contra
Social Service Department Costa
DATE: October 9, 1984 County
SUBJECT: APPROVE MULTIPURPOSE SENIOR SERVICES PROPOSAL
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) Q BACKGROUND AND JUSTIFICATION
RECOMMENDATION
Authorize the Social Service Director to submit a proposal for operation
of a case management site for the Multipurpose Senior Services Program (MSSP)
to the State of California Health and Welfare Agency to provide public/private
case management services to frail elderly to prevent or delay long term care
institutionalization and to provide for the return to the community of
elderly persons already imsitutionalized for the period February 1, 1985 to
June 30, 1986 and requiring $968,327 in State and Federal Title XIX funds.
BACKGROUND
On September 14, 1984, the Office on Aging received a Request For Proposal
(RFP) from the Health and Welfare Agency. The purpose of this RFP is to
solicit responses from local governments and private non-Drofit corporations
or a coalition of both to plan, develop, establish, administer funds for,
and operate case management sites for the Multipurpose Senior Services Program
(MSSP) of the California Health and Welfare Agency (HWA) , for the period
February 1, 1985 through June 30, 1986 in the amount of $968,327. The State
is particularly interested in selecting an array of sites which will serve
geographic areas not presently served by the eight existing MSSP sites.
The MSSP is a social/health case management program designed to prevent or
delay long term care institutionalization of the frail elderly and to provide
for the return to the community of elderly persons already institutionalized.
It is limited to serving Medi-Cal eligible persons 65 years of age and older.
The MSSP is designed to provide cost-effective alternatives to long-term
institutional care. Cost-effectiveness is defined .as the Program's demonstrated
ability to provide community-based care for clients at an average monthly public
cost of skilled nursing facility (SNF) or intermediate care facility (ICF) level
placements for comparable individuals.
The MSSP is a result of a four year federally funded Medicaid research project
in California designed to obtain information on ways to prevent unnecessary
institutionalization of the frail , at-risk elderly. The Program is jointly
funded by the State and Federal governments, principally through the Section
CONTINUED ON ATTACHMENT: X _YES SIGNATURE:L9
L RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMPKSDA,fION OF BOARD COMMITTEE
X APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON cto_ er _ _ F IV
APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
X UNANIMOUS (ABSENT T ) 1 HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
ORIG: Social Service Dept. (Attn: Contracts) OCTOBER 16 1984
CC: County Administrator ATTESTED
Auditor-Controller
County Office on Aging Phil Batchelor Clerl: of the Board of
c�uPe,...: �n—S gin' ^^tSr''•T 1a— i-1: 5�,•..,�r-
00136
M382/7-63 BY DEPUTY
Approve Multipurpose -2- October 9, 1984
Senior Services Proposal
2176 Home and Community-Based Waiver authority of Title XIX of the Social
Security Act (Medicaid or, in California, •Medi-Cal"). California also augments
the Program's Title XIX funds with an_ appropriation from the State general
revenues.
Under the three year 2176 Federal waiver and with the Legislature's authoriza-
tion, the MSSP was able to serve a maximum caseload of 1,900 clients during the
first year (FY 1983-84) of the Program and will serve a total caseload of 3,400
clients during the second and current year (FY 1984-85). If the Program con-
tinues to prove cost-effective in the Judgement of the Legislature, the HWA
may be authorized to serve a maximum of 5,400 clients during the third year
(FY 1985-86) of the Federal waiver.
In the current year it is intended that the growth of the caseload from 1,900
to 3,400 clients will be accomplished through the expansion of the existing
eight sites and the designation of as many as ten new sites. These new sites
could be very similar to the existing MSSP sites or, given acceptable justifica-
tions and compliance with the provisions of the program's existing waiver,
variations from the current MSSP design. To the extent possible, MSSP
Contractors must operate the site as an administratively separate unit.
It is assumed that each of the ten new sites would be capable of acquiring and
serving a caseload of 200 clients by June 30, 1986. Expansion in subsequent
fiscal years is an option and contingent upon, among other factors, Federal and
legislative approval for an additional three years.
Upon approval , this proposal will be submitted by the Social Service Department
as the lead agency on behalf of the public and private agencies who have been
participating in the Contra Costa County Long Term Care Pilot Project. These
agencies include the County Social Service Department/Office on Aging, County
Health Services Department, Home Health and Counseling, John Muir Home Care,
Mt. Diablo Rehabilitation Center, Diablo Valley Foundation for the Aging/Support
Services for Elders, and Upjohn HealthCare Services. The proposal being drafted
reflects an attempt to continue the public/private design of our pilot project
within the mandated specifications of MSSP.
SJ/dc
001.37