HomeMy WebLinkAboutMINUTES - 06081993 - 1.81 f
TO: BOARD OF SUPERVISORS Z o �
FROM: Mark Finucane, Health Services Director , ; ; Contra
' Costa � /I
County
DATE: May 25, 1993
SUBJECT: ADULT DAY HEALTH CARE SERVICES
SPECI[F7C REQUEST(S)OR RECOM64ENIATION(S7&BACKGROUND MID.A1STFI ATION
RECOMMENDATION:
1 . Authorize the Chair of the Board of Supervisors to send a letter of intent
to provide Adult Day Health Care services through the Health Services
Department at the George Miller Centers to the California State Department
on Aging.
2 . Request an exception to Section 7840(B) of the State Department on Aging
Adult Day Health Care Regulations to establish an advisory board to the
Adult Day Health Program, which would advise the Miller Center Director
and the Board of Supervisors on the program operation and budget of the
Adult Day Health Center as required by Section 78405(C) (2) of the
Regulations .
BACKGROUND:
The George Miller Centers East and West serve 120 disabled individuals from
throughout Contra Costa. . The total budget of the Miller Centers is $1 . 9
million which is almost completely offset by revenue from the Regional Centers,
leaving a minimal County cost of approximately $75,000 (FY 1992/93) .
In addition to funding through the Regional Centers, the George Miller Centers
may be eligible for Medi-Cal funding for some of its programs as an Adult Day
Health Center. Bringing this additional Medi-Cal funding to the Miller Centers
will allow us to expand services and programs, and at the same time diversify
our funding sources making the Miller Centers less vulnerable to possible cuts
in Regional Center funding.
This board action would initiate an application by the Health Services
Department to provide adult day health care and bill Medi-Cal, and establish
an advisory board for that program as required by State regulations . The
program will not actually be implemented until the Health Services Department
staff determine that the program would meet Medi-Cal requirements and lower
county costs .
FISCAL IMPACT:
The potential fiscal impact would be to bring an additional $200, 0.00 to provide
additional services to the disabled community. This diversification of funding
will have the net effect of decreasing net county cost to operate the Miller
Centers while providing additional services .
CONSEQUENCES OF NEGATIVE ACTION:
This State and Federal funding source for high risk clients in Contra Costa
County would not be available, and we would be unable to expand rvices at the
Miller Centers without incurring County costs .
CONTINUED ON ATTACHMENT: YES SIGNATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
SIGNATURE(S): p /�
ACTION OF BOARD ON O 7 3 APPROVED AS RECOMMENDED _ OTHER
VOTE OF SUPERVISOR
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT_____j 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.
Contact Person: Wendel Brunner, MD 313-6712
CC: CAO ATTESTED
Wendel Brunner, MD3 Public Health PHILPATCHELOR, CLE43K OF THE BOARD OF
Health Services Director SUFIERVISORS AND COUNTY ADMINISTRATOR
BY 0 DEPUTY
The. Board of SupervisorsContra r I Clerk Batchelor
Board
and
County Administration BuildingCosta County Administrator
651 Pine St., Room 106 (510)W_2371
Martinez, California 94553 County
Tom Powers.1st District
Jeff Smith,2nd District
t
Gayle Bishop,3rd District
Sunne Wright McPeak 4th District
Tom Toriskson.5th District
.. '"
May 25 1993
tw..r.oi.%r
Charlene Welty, Chief
Adult Day Health Care Branch
State of California Department on Aging
1600 R Street
Sacramento, CA 95814
Dear Ms . Welty:
This letter represents Contra Costa County's intent to provide
adult day health care services through the Health Services
Department at the George Miller Center East and George Miller
Center West facilities . The intent is contingent on the following:
1 . Assessment of the individuals currently served at the George
Miller Centers East and West.
2 . Determination by the Health Services Department that there is
a sufficient number of individuals authorized for adult day
health care services to warrant the establishment of the adult
day health care programs . -
Additionally, the Contra Costa County Board of Supervisors is
requesting an exception to Section 78405 (b) of the State
Department on Aging, Adult Day Health Care Regulations .
The requested exception is to establish a special board composed as
described in Section 78405 (b) to review the operation of the
program and budget and make recommendations to the Board of
Supervisors and George Miller Centers Director, as described in
Section 78405 (c) (2) . The completed adult day health care board
of directors/special board (Form #ADH009 ) is included in the
application packet.
Sincerely,
Tom Torlakson, Chair
Board of Supervisors
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