HomeMy WebLinkAboutMINUTES - 05211985 - 1.54 1—w511
TO: BOARD OF SUPERVISORS
FROM: Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: wu
SUBJECT: Approval of Standard Amendment #29-202-32 with the
State Department of Health Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chairwoman to execute on behalf of the County, Standard-
Amendment #29-202-32 (State #84-83546 A-3) effective April 1, 1985 with the- State
Department of Health Services to amend Standard Agreement #29-202-28 (effective
July 1, 1984 - June 30, 1985) for family planning services with "a $27,030 decrease
in the contract payment limit to a new totalpayment limit of $77,000.
II. FINANCIAL IMPACT:
Approval of this amendment by the State will result in decreased State funding of
$27,030 from $104,030 to a new total payment limit of $77,000. Sources of funding
for this program are as follows: 38% State 42% County In-Kind
12% Medi-Cal 8% Private Fees
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
For many years the County has provided family planning services to citizens of
child-bearing age who would otherwise be unable to obtain these services. Family
planning services funded through this contract are for persons who request such
services through County facilities. The County must bill any other possible
payment source, such as Medi-Cal, before seeking reimbursement from the State for
services provided. This contract is a method for reimbursement rather than a.
straight reimbursement contract.
Over the years the State has allocated a specific amount each year for the County's
family planning contract. This amount is the maximum reimbursable amount, and the
State has consistently reduced the amount of State money encumbered through a
contract amendment shortly before the end of'each contract term based on the actual
amount of reimbursement provided. According to the State, family planning funds
are very limited and, due to contracting constraints and population shifts, some
agencies run out of funds before the end of the fiscal year while other agencies
(such as Contra Costa County) leave an unexpended balance. Once the contract-
period
ontractperiod ends, unexpended funds are reverted back to the State General Fund and'*can-
not be used to cover deficits for other agencies. By monitoring expenditures, the
State shifts funds from one agency to another through the amendment process.
Exhibit D, Paragraph 8 of Contract #29-202-28 includes a contract condition '
that reductions will be made when indicated.
DG:sh
Attachments
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMME TION OF BOARD 06MMITTEE
APPROVE OTHER
SIGNATURE(S) lm-_.
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I 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 SUPERVISOJaS ON THE DATE SHOWN.
'ORIG: Health Services (Contracts) ��;Z I
D D
CC: County Administrator ATTESTED 70
Auditor-Controller Phil Batch lor, Clerk of the Board of
State Dept. of Health Services Supervisors and County Administrator
M382/7.63 BY DEPUTY
Family Planning Amendment
#29-202-32
Page 2
On May 22, 1984 the Board approved Contract #29-202-28 with the State Department of
Health Services for family planning services during FY 84-85. Subsequent amend-
ments #29-202-29 and #29-202-30 were approved on October 16, 1984 and January 15,
1985. The purpose of Standard Amendment #29-202-32 is to decrease the maximum
amount payable to the County from $104,030 to a new total payment limit of $77,000
effective April 1;- 1985. This decrease in State funding does not increase the
County cost. Family planning services are mandated by the State.
The Board approved submission to the State of Funding Application #29-202-31 on
February 5, 1985 for continuation of the Family Planning Program during FY 85-86.
This document has been approved by the Department's Contracts and Grants
Administrator in accordance with the guidelines approved by the Board's Order 'of
December 1_, 1981 (Guidelines for contract preparation and processing, Health
Services Department).
The Board Chairwoman should sign eight copies of the contract, seven of which
should then be returned to the Contracts and Grants Unit for submission to State
Department of Health Services.