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  Consent-Health & Human Services   # 20.       
Board of Supervisors Service Centers  
Meeting Date: 11/17/2020  
Brief Title:    Medi-Cal Navigators Agreement – Amendment 1
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Nolan Sullivan, Service Center Branch Director, Health and Human Services Agency, x2945
Supervisorial District Impact:

Subject
Approve and authorize the Chair to sign the first amendment to Yolo County Agreement No. 20-24 with the California Department of Health Care Services to decrease funding by $541,300 for a new maximum amount of $526,400 to provide services under the Medi-Cal Navigator Program for the period of March 5, 2020 through December 31, 2021, and to revise work plan activities accordingly. (No general fund impact) (Larsen)
Recommended Action
Approve and authorize the Chair to sign the first amendment to Yolo County Agreement No. 20-24 with the California Department of Health Care Services to decrease funding by $541,300 for a new maximum amount of $526,400 to provide services under the Medi-Cal Navigator Program for the period of March 5, 2020 through December 31, 2021, and to revise work plan activities accordingly.
Strategic Plan Goal(s)
Thriving Residents
Reason for Recommended Action/Background
In a Yolo County Board of Supervisors’ meeting on February 25, 2020, the Board approved Agreement No. 20-24 (“Agreement”) with the CA Department of Health Care Services (“DHCS”) for funding in the amount of $1,067,700.  The funding associated with this Agreement was expected to allow HHSA to maintain and grow the Medi-Cal caseload from target populations in Yolo County, provide enhanced services to Yolo County Medi-Cal recipients, cover administrative overhead costs, and supplement the hiring and subcontracting of 1-2 full-time Yolo County Navigator staff persons.
 
In May 2020, Yolo County HHSA received Bulletin 2020-004 from DHCS dated May 18, 2020.  This Bulletin directed all Health Navigator Project (“Project”) participants to suspend or not engage in any new activities under the Agreement, effective May 31, 2020, as a result of an unprecedented shortfall in its FY2020-21 budget due to the impact of the COVID-19 pandemic.  Consequently, HHSA halted activities associated with this funding.
 
Subsequently, HHSA received a further notice indicating that the Project could resume with revisions to the work plan and budget.  HHSA accordingly submitted a budget and work plan to DHCS, revised for a funding level of $526,400.  In October 2020, DHCS provided the attached Amendment reflecting those revisions.
 
Staff requests approval of this Amendment to continue this Project at the revised level of funding.
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Amendment as to form.
Competitive Bid Process
Not required for revenue agreements.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $  
Amount budgeted for expenditure:    $  
Additional expenditure authority needed:    $  
On-going commitment (annual cost):    $  
Source of Funds for this Expenditure
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No general funds are required by this action. This action decreases the previously approved amount of $1,067,700 by $541,300 for a revised total of $526,400 for the period of March 5, 2020 through December 31, 2021.
Attachments
Att. A. Amendment

Form Review
Inbox Reviewed By Date
Nolan Sullivan Nolan Sullivan 11/09/2020 09:39 AM
Financial Services mqader 11/09/2020 10:41 AM
County Counsel Hope Welton 11/09/2020 11:00 AM
Form Started By: kwood Started On: 05/08/2020 02:42 PM
Final Approval Date: 11/09/2020

    

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