HomeMy WebLinkAboutMINUTES - 03261991 - 1.34 To: BOARD OF SUPERVISORS 1-034
r-ROM: Mark Finucane, Health Services Director Contra
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: March 14, 1991 County
SUBJECT: Approve Standard Agreement #29-391-1 with the State
Department of Health Services for the AIDS Medi-Cal Waiver Program
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair to execute on behalf of the County, Standard
Agreement #29-391-1 (State #90-11419) effective January 1, 1991 through December
31, 1991 with the State Department of Health Services (Office of AIDS) for an
exemption under the AIDS Medi-Cal Waiver Program, to allow the Health Services
Department Home Health Agency to provide direct home health care services to AIDS
Medi-Cal Waiver Program clients.
II. FINANCIAL IMPACT:
Approval of this Standard Agreement with the State will allow the Department's
Home Health Agency to provide direct home health care services to AIDS Medi-Cal
Waiver Program clients. Payment is provided for specific services at established
Medi-Cal rates. The total funded amount will be determined by the number of
"slots" awarded and services provided.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND: .
Current staff of the Public Health Division AIDS Program is experienced in
providing case management services for people with HIV Disease in Contra Costa
County. The AIDS Program currently provides case managed care to persons with ARC
and AIDS through the State-funded Pilot Care Project. The AIDS Medi-Cal Waiver
Program goals are to lessen the financial cost of care for people with AIDS and
ARC, which are historically driven by hospitalizations and other institution-based
care, and to provide the most humane and appropriate levels of care in the most
appropriate setting for the client. Participation in the program allows the AIDS
Program to offer case managed home and community-based care to a greater number
of clients in the county.
The nurse case manager of the AIDS Program will determine a client's eligibility
for the program. If found eligible, the case manager, along with the client and
other providers of care, will develop a care plan that will be regularly assessed
and updated. Services which will be provided by contract agencies will include
skilled nursing care by a registered nurse and licensed vocational nurse,
psychosocial counseling, attendant care, homemaker services, and minor physical
adaptations to the home. The case manager will work closely with California
Children's Services and the Maternal, Child and Adolescent Program to assure the
Medi-Cal supplement for foster parents of eligible children.
The Board Chair should sign eight copies of the agreement, seven of which should
then be returned to the Contracts and Grants Unit for submission to the State.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM N ATION OF BOAR COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
X 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 SUPERVISORS ON THE DATE-SHOWN.
CC: Health Services '(Contracts) ATTESTED MAR 2 6 9991
Auditor-Controller (Claims)
State Department of Health Services � Phil Batchelor, Clerk of the Board of
$UpeiIvWrsaW Gw1y Admin'IsUator
M3e2/7-83 BY
DEPUTY