REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  August  14, 2018
CATEGORY:  Consent - Health and Human Services-5.

SUBJECT:

Shasta County Child Abuse Prevention Coordinating Council Agreement

Supervisorial District No. :  ALL

DEPARTMENT CONTACT:  Tracy Tedder, Branch Director, HHSA Business & Support Services, (530) 229-8425

STAFF REPORT APPROVED BY:  Tracy Tedder, Branch Director, HHSA Business & Support Services

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive renewal agreement with Shasta County Child Abuse Prevention Coordinating Council in an amount not to exceed the claimable federal financial participation reimbursement to provide Medi-Cal Targeted Case Management services for the period July 1, 2018 through June 30, 2023.

SUMMARY

Approval of the renewal agreement will allow the County and Shasta County Child Abuse Prevention Coordinating Council (SCCAPCC) to continue to participate in the federal Targeted Case Management (TCM) program which provides partial reimbursement (currently 50%) of costs associated with assisting at-risk individuals in the community through a comprehensive case management program utilizing allowable non-federal matching funds.

DISCUSSION

For many years, Health and Human Services Agency (HHSA) has acted as the Local Government Agency (LGA) for purposes of overseeing and coordinating TCM activities in Shasta County.  HHSA continues this role for TCM funded services including receiving and disbursing funds and contracting with participating entities.  SCCAPCC is currently the only entity to contract with Shasta County for the provision of TCM services.  The goal of TCM is to assist individuals in a defined target population to gain access to needed medical, social, educational, and other services.  The basic components of TCM include: a comprehensive assessment, development of an individualized service plan, linkage and consultation information, assistance with accessing services, crisis assistance planning, and periodic reviews.  TCM provided through SCCAPCC serves pregnant women and families with children under the age of three years in their Parent Partner Program.  While the HHSA does not have direct responsibility for the services delivered, the Parent Partner Program provides valuable, lower level support to prevent child abuse and neglect, thereby intervening before the family would enter the Child Welfare system.It is estimated SCCAPCC will be able to draw down $40,000 in revenue in FY 2018-19 for allowable TCM activities.  This agreement is retroactive due to the delays in the renewal process while determining if funding for TCM services was continued in the state budget and would continue to be utilized within Shasta County.  As the LGA for Shasta County, this mechanism is the only way SCCAPCC can claim matching TCM funding for qualifying activities.  HHSA will provide a TCM Coordinator to support and assist SCCAPCC in completing time studies and cost reports associated with the TCM program.  Additionally, HHSA will provide annual time study and cost report training to ensure compliance with TCM rules, minimize audit exceptions, and provide continuous quality improvement.  HHSA is reimbursed for costs associated with these administrative activities through a separate Medi-Cal Administrative Activities (MAA)/TCM agreement with DHCS.

ALTERNATIVES

The Board could choose not to approve the agreement, which will preclude HHSA from providing SCCAPCC with Federal Financial Participation (FFP) reimbursement for TCM services to sustain valuable programs and services to pregnant women and families in our community and is, therefore, not recommended.

OTHER AGENCY INVOLVEMENT

County Counsel has approved the agreements as to form.  Risk Management and the County Information Technology Department have reviewed and approved the agreements. The recommendations have been reviewed by the County Administrative Office.

FINANCING

HHSA anticipates receiving up to the maximum claimed and allowable FFP reimbursement in federal TCM pass-through funds for SCCAPCC for FY 2018-19.  The total claimed in TCM reimbursement by SCCAPCC for FY 2017-18 was approximately $35,000.  The adopted FY 2018-19 HHSA budget includes sufficient appropriation authority for the anticipated level of activities described in these agreements.  Costs incurred by County staff to administer this program are claimed through the MAA process.  Additional County General Funds are not requested with approval of the recommendation.