HomeMy WebLinkAboutR-2009-172 ALTC 2010 Geriatric Preventative Foot Care Services Agreement [Aging and Long Term Care]RESOLUTION NO. R-2009-172
A RESOLUTION authorizing the City Manager to. execute Performance Agreement No.
2010 with Yakima County, through the Office of Aging and Long Term Care, for the delivery of
Geriatric Preventative Foot Care Services for senior citizens.
WHEREAS, the City of Yakima desires that foot care services be provided to senior
citizens; and
WHEREAS, Yakima County, through its Office of Aging and Long Term Care, is willing
to provide funding to the City for these services in accordance with the attached agreement;
and
WHEREAS, the City Council deems it to be in the best interest of the City of Yakima to
enter into the attached Performance Agreement No. 2010 with Yakima County, through the
Office of Aging and Long Term Care, for the delivery of Geriatric Preventative Foot Care
Services for the purpose of obtaining funding for foot care services for senior citizens, now,
therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIMA:
The City Manager is hereby authorized and directed to execute the attached and
incorporated Performance Agreement No. 2010 with Yakima County, through the Office of
Aging and Long Term Care, for the delivery of Geriatric Preventative Foot Care Services for
senior citizens. The final agreement shall be approved as to form by the City Attorney.
ADOPTED BY THE CITY COUNCIL this 8'h da of December.. 0
ATTEST:
RES NO. R-2009-177 ALTC Gana' tric Footcare 20102d/ms
David Edler, Mayor
PERFORMANCE AGREEMENT NO. 2010 CITY OF YAKIMA
ADMINISTRATION
��,,O��FiiAGREEMENT
THIS AGREEMENT is entered into this 4.v— day of a3Q.0, 2009, by and
between Yakima County, hereinafter denominated the "County", through the Office of Aging
and Long Term Care whose address is P.O. Box 8349, Yakima, Washington 98908, hereinafter
denominated the "Department", and City of Yakima, whose address is 129 North Second
Street, Yakima, Washington, 98901, hereinafter denominated the "Contractor", whose duly
authorized representatives are named in documents on file at the Office of Aging and Long Term
Care.
THE PURPOSE of this Agreement is to provide for the delivery of Foot Care services in
accordance with the terms and conditions set forth in the provisions as listed below:
ADDITIONAL TERMS of this Agreement are set out in and governed by ALTC's "Basic
Agreement." In the event the Basic Agreement is revised, this Agreement shall conform to the
revisions. The City of Yakima shall be an additional party to the Basic Agreement and shall have
all of the rights and privileges of Yakima County Southeast Washington Aging and Long Term
Care contained in said Basic Agreement.
PROGRAM
Foot Care
Title III -B CFDA #93.044
Title III -D CFDA #93.043
SCSA
TOTAL FUNDING ALLOCATION
PERIOD OF AGREEMENT
January 1, 2010 — June 30, 2010
BOARD OF YAKIMA COUNTY
COMMISSIONERS
Resolution No: lam/ 0 - 01 -� 061
Approved As To Form:
ov,,(v
eputy rosecuting Attorney
\t11%C.°101
11/30/2009
AMOUNTS SIGNATURES
$8,189 CITY OF YAKIMA
$7,178
$8,133
$23,500
Dick Zais, Ci
A
City Clerk
City Contract No.
Resolution No.
Date:
YAKIMA COUNTY, Office of Aging
and Long Term Care
i Brow , Director
Date: la pc{ �5
CONTRACT AUTHORIZATION
ATTEST:
Clerk of the Board
Date:
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STANDARD TERMS AND PAYMENT PROVISIONS
SPECIFIC PROVISIONS
I APPLICABLE LAWS AND REGULATIONS
The Contractor agrees that services contemplated or delivered within the terms of this
Agreement and funds administered in the delivery of the specified services shall be
provided in accordance with all applicable Federal, State, and local laws and regulations.
A. CFR Title 45, Subtitle A, Part 74, (Administration of Grants)
B. CFR Title 45, Chapter XIII, Subchapter C, Part 1321 (Older Americans Act)
C. WAC 388-106-1100 through 1120 (Senior Citizens Services Act)
D. Older American Act (PL 109-365)
II PROJECT DEFINITION
Geriatric Preventative Foot Care services are intended to provide early detection of existing
and potential foot problems as well as alleviate dry skin problems, and maintenance of
healthy nails. Services include foot inspection and palpation, foot soaks, nail trimming, and
instructions in foot health maintenance. Referrals for follow-up treatment are made to local
physicians and podiatrists.
III PARTICIPANTS
The Contractor agrees that:
A. The target population for geriatric preventative foot care services are the individuals
age 60 and over who:
1. Need one or more of the program services to avoid additional health
problems or assist with activities of daily living, thereby reducing the need for
other services; AND
2. Are not eligible for or have exhausted other sources of payment for similar
services (Medicare, Medicaid, insurance) or similar services are not available.
As stated in the Geriatric Preventative Foot Care Program Standards. All
persons served should be members of the target population. To the
degree feasible, persons served should meet the vulnerability criteria.
B. There will be written assessment procedures utilized by the Contractor to determine
if the program target population criteria are met by the clients served.
C. The indicators used by the Office of Aging and Long Term Care to assess its
effectiveness at targeting services to individuals who may be vulnerable are:
11/30/2009
Page 1
Low-income
75 years of age or older
Racial or Ethnic minority
Limited or non-English speaking
Living alone
ALTC funding should encourage the effective targeting of services to the vulnerable
elderly by the Contractor. Specific goals to be attained for 2010 are as follows:
Target Group Percentage
Racial or ethnic minorities 19%
Low-income 40%
75 years of age or older 55%
Limited or non-English speaking 6%
Living alone 40%
The Contractor must report on clients served in these categories.
D. Local medical professionals will be available to provide consultation services and act
in an advisory capacity.
E. Clinics will be held monthly at each designated facility that will include, but not be
limited to, low-income housing facilities and senior centers.
F. Participants shall be referred to the Information and Assistance/Case Management
Program as needed.
G. Contractor shall establish a system through which clients of services under this
approved Agreement may present grievances as outlined in the Basic Agreement,
Section XXIV.
H. Services shall be provided throughout Yakima County.
IV. SERVICE SPECIFICATIONS
The Contractor agrees that services provided within the terms of this Agreement shall meet
the following specifications:
A. Efforts will be made to assure access of service to the target
population, to include at least the following:
1. Accessible office or site location;
2. Multicultural, bilingual persons to assist multicultural, bilingual clients in
receiving services;
3. Publicity of program through public service announcements, brochures, etc.
4. Meeting with other service providers/agencies to explain services the
Contractor provides and how referral can be made;
5. Ability to serve individuals with disabilities.
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Page 2
B. Services shall be delivered in accordance with the State of Washington Aging and
Disabilities Services Administration Program Standards and information submitted in
Request for Proposal. The Contractor acknowledges receipt of a copy of said
standards. Services provided shall comply with said standards as presently
constituted or subsequently modified.
V. ANTICIPATED SERVICE LEVELS AND EXPENDITURE RATES
The Contractor agrees that:
A. The levels of service to be provided shall be as described in the Program
Attachments for City of Yakima to this Agreement. Failure to meet the service levels
as defined in the Program Attachments may result in a re -negotiation of the funding
levels provided under the terms of this Agreement.
B. The County may unilaterally reduce the Agreement budget within thirty (30) days of
the close of the quarter by the amount of the projected quarterly expenditures left
unspent at the end of that quarter. The County shall submit to the Contractor
notification of intent to recapture unspent funds and a modification to the budget
reflecting the adjusted changes in the Agreement.
VI. ADMINISTRATIVE AGREEMENTS:
A. Access by the County: The Contractor shall provide access at all reasonable times
for the County to monitor and/or evaluate the provisions of services under this
Agreement. The County may, with prior permission from the participant and
knowledge of the Contractor, interview a certain percentage of participants to
ascertain their experiences with the program.
B. Records and Reports: The Contractor agrees to:
1. Maintain program records and reports, including statistical information, and to
make such records available for inspection by the County in order for the
County to be assured that contracted activities remain consistent with the
terms of this Agreement and the currently approved SE/ALTC Area Plan
which shall be kept on file at the ALTC office. The Contractor further agrees
to provide such information as requested by the County within the time
limitations established by the County;
2. Submit the monthly report showing service level provided by the tenth day of
each month following the month during which the services were provided. A
quarterly report must be submitted by the end of the month following the
end of each quarter.
3. Complete and submit such additional reports as are required by the County
within the specified time frames, providing the Contractor is given a written
request for the reports thirty (30) days prior to the due date.
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Page 3
C. Inventory: The Contractor agrees to:
1. Submit to the County vendor invoice(s) at the same time with the monthly
billing before County reimbursement of expenditures of authorized equipment
items of $5,000 or more;
2. Complete at least once a year physical inventory, using forms provided by the
County, of all equipment purchased under this Agreement.
D. Contractors Meeting: The Contractor agrees to have a representative attend
meetings of the Office of Aging and Long Term Care Contractors and Long Term
Care Planning Committee.
E. Program Publication: The Contractor agrees that:
1. The program shall be publicized on a regular basis, with all publicity and
printed material identifying the Southeast Washington Office of Aging and
Long Term Care as a funding agency;
2. All material distributed with regards to publicizing the program contain a
statement assuring non-discrimination. Following is the wording suggested:
The City of Yakima does not discriminate in providing services on the grounds
of race, creed, color, religion, national origin, gender, age, marital status, or
the presence of any sensory, mental, or physical handicap.
3. Materials publicizing the program must be printed in other appropriate
languages in counties that have a specific minority 60+ population of two
(2%) percent or more of the general 60+ population.
F. Additional Remuneration Prohibited: Neither the Contractor nor any of its officers,
employees, agents or representatives, shall solicit, impose any fees, or accept any
remuneration whatsoever from clients, friends, relatives, or representatives of any
clients for services performed for that client under this Agreement other than the
client matching monies or donations (see Section I). In the event that this provision
is violated, the County shall have the right to assert a claim against the Contractor
on its own behalf and/or on behalf of the client.
G. Private Pay: The Contractor, who offers to the general public on a private pay basis
a service comparable to the service described in this Agreement, must assure that
the County is not charged more for the service than the private pay fee. The
responsibility lies with the Contractor to justify that a service provided at a different
rate is not comparable to this service.
H. Maintenance of Funding Sources: The Contractor agrees that:
1. The County funds are not used to replace funds from any other existing
program funding;
2. It will continue or initiate efforts to obtain support from private sources and
other public organizations for this service;
11/30/2009
Page 4
3. It will utilize new funding sources for this service if they become available
through the County and it will make any changes necessary to meet the
requirements of the new funding sources.
Fees and Donations: The Contractor agrees that:
1. It will assure that older persons have the opportunity to contribute to all or
part of the cost of the service, but service will not be denied if participant
cannot or does not wish, to contribute;
2. It shall utilize client donations to meet project expenses before using State or
Federal funds;
3. It shall provide that the methods of receiving fees, donations and
contributions from individuals shall be handled in such a manner so as not to
publicly differentiate among individuals;
4. All project income derived from the provision of services described herein or
incorporated by reference herein or derived or generated through program
fund-raising activities or profits earned from fixed rate service shall stay with
the project and shall be used to provide increased levels or improved quality
of service to the target population.
The state requires that rates charged to others cannot be less than the
program charges the state for the same services (usual and customary fee).
The unit rate charged to the county must equal or exceed the rate billed the
state for the same service or the state must be charged the lower rate.
J. Monitoring/Assessment Procedures: The Contractor agrees to:
1. Monitor both its fiscal and program status monthly and assess its
performance on program objectives and activities covered under this
Agreement on an ongoing basis.
2. Monitor and assess on an ongoing basis the performance of any
subcontracting agencies, and insure that funds made available are expended
only in accordance with the specific provisions of this Agreement.
3. Recognize that the County will monitor and assess the activities and progress
of all programs covered under this Agreement on an ongoing basis. Said
monitoring and assessment will be accomplished through, but not limited to,
review of program and financial reports, on-site visits (service delivery and
administrative sites), conference with program administrators and staff, and
visits by members of the Office of Aging and Long Term Care (ALTC) staff
and ALTC Advisory Council. Monitoring may include assessing performance
based on information submitted in the Request for Proposal (RFP). Prior
notice of all such visits will be provided.
11/30/2009
Page 5
4. Authorize and/or participate in any program or fiscal evaluations or studies
conducted by the County or DSHS. Prior notice will be provided as well as
final reports of evaluations or studies.
5. Conduct a self-evaluation of the program annually. The self-evaluation shall
include a survey of at least 10% of clients utilizing the service. The
Contractor shall take steps to correct deficiencies found during the internal
monitoring. Monitoring reports shall be made available to the County upon
request.
K. DISCLOSURE OF PERSONAL INFORMATION
The Contractor shall not disclose the contents of any Client records, files, papers
and communications except as necessary for the administration of programs to
provide services to clients as stated in RCW 74.04.050, or its successor or
replacement statute or as authorized by law. Other pertinent federal and state
statutes and laws that protect Client records include the Public Records Act,
codified as chapter 42.56 RCW, WAC 388-01-030 and chapter 388-01 WAC, the
Health Insurance Portability And Accountability Act of 1996 (" HIPAA'), and chapter
70.02 RCW. As required by RCW 74.04.060 The Contractor shall treat information
accessed under this Agreement with the degree of confidentiality required by the
federal Social Security Act.
1. The Contractor shall limit access to client data to The Contractor and any
subcontractor staff whose duties specifically require access to such data in
the performance of their assigned duties. Contractor staff shall not access
any individual client data for personal purposes. Clients shall only be
permitted to access their own data.
2. The Contractor shall not use or disclose any information concerning any
DSHS client for any purpose not directly connected with the administration
of The County's responsibilities under this agreement except by prior
written consent of the DSHS client, his/her attorney, parent or guardian.
3. The Contractor may disclose information to The County or to DSHS for
purposes directly connected with the administration of their programs. This
includes, but is not limited to, determining eligibility, providing services, and
participation in an audit. The Contractor shall disclose information for
research, statistical, monitoring and evaluation purposes conducted by
appropriate federal agencies and DSHS. DSHS must authorize in writing
the disclosure of this information to any other party not identified in this
section.
L. DISSEMINATION TO STAFF
Prior to making information available to new staff and annually thereafter, The
Contractor shall ensure that staff accessing the Personal Information or PHI under
this agreement are trained in HIPAA and use disclosure of PHI requirement an
understand:
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Page 6
1. Confidentiality of Client Data
a. Client Data is confidential and is protected by various state and
federal laws. The basis for this protection is the individual's right to
privacy as outlined in the HIPAA Privacy Rule — 45 CFR 160 to 45
CFR 164.
b. Personal Information means demographic and financial information
about a particular individual that is obtained through one or more
sources (such as name, address, SSN, and phone numbers). RCW
42.56.230 lists the information that is exempted from public
inspection and copying.
2. Use of Client Data
a. Client data may be used only for purposes of these contracted
services, directly related to providing services to the client or for the
operation of aging and long-term care programs.
b. Any personal use of client information is strictly prohibited.
c. Access to data must be limited to those staff whose duties
specifically require access to such data in the performance of their
assigned duties.
3. Disclosure of Information
a. Client information may be provided to the client, client's authorized
guardian, or a client -authorized 3rd party per WAC 388-01, and the
Long Term Care Manual.
b. Client information may be disclosed to other individuals or agencies
only for purposes of administering DSHS programs.
c. Questions related to disclosure are to be directed to the Southeast
Washington Aging & Long Term Care Director and/or Home and
Community Programs Public Disclosure Coordinator.
d. Any disclosure of information contrary to this section is unauthorized
and is subject to penalties identified in law.
M. SECURITY OF DATA
1. The Contractor shall take reasonable precautions to secure against
unauthorized physical and electronic access to data, which shall be
protected in a manner that prevents unauthorized persons, including the
11/30/2009
Page 7
general public, from retrieving data by means of computer, remote
terminal, or other means. The Contractor shall take due care to protect
said Data from unauthorized physical and electronic access. The data will
be stored on computers with security systems that require individual user
IDs and hardened passwords. Only persons who have signed the
Washington State Notice of Nondisclosure confidentiality form covering this
data share agreement will be able to access the data that The County
shares with the Contractor under this agreement.
2. The Contractor shall remove data received under this agreement from
computer equipment after it's been used for its stated purposes by using a
"WIPE" utility for purging the Data from electronic storage media,
degaussing the media, or physically destroying the media in such a way
that Data cannot be recovered. Media includes, but is not limited to, the
following:
a. Personal computer-based hard drives;
b. Floppy disks;
c. Magnetic tapes (reels or cartridges);
d. Compact Disks (CDs), including CDs from cameras;
e. DVDs;
f. Zip disks;
g. Portable RAM (Compact Flash, etc);
h. Mainframe or mini mass storage (disk platters, arrays, etc);
i. Storage Area Networks (SAN); and,
j. Network Attached Storage (NAS).
3. The Contractor shall ensure disks and/or documents generated in printed
form from the electronic file are properly returned, destroyed or shredded
when no longer needed so unauthorized individuals cannot access client
information. Data destroyed shall include all copies of any data sets in
possession after the data has been used for the purpose specified herein or
within 30 days of the date of termination, and certify such destruction to
DSHS. DSHS shall be responsible for destroying the returned documents to
ensure confidentiality is maintained. The Data provided by DSHS will
remain the property of DSHS and will be promptly destroyed when The
Contractor and its subcontractors have completed the work for which the
information was required, as fully described herein.
4. The Contractor shall protect information according to state and federal laws
including the following incorporated by reference:
a. Privacy Act 1974 5 USC subsection 552a;
b. Chapter 40.14 RCW Preservation and Destruction of Public Records;
c. Chapter 74.04 RCW General Provisions — Administration;
11/30/2009
Page 8
d. Chapter 42.56.210 RCW Certain Personal & Other Records Exempt
e. 45 CFR 205.50 provides for Safeguarding information for the
Financial assistance Programs and identifies limitations to disclosure
of said information; and,
f. Public Law 99-508 (18 USC section 2510et. Seq. Electronic
Communications Privacy Act of 1986) Part A of Title IV of the Social
Security Act authorizes disclosure of client information and provides
for safeguards, which restrict the use or disclosure of information
concerning applicants or recipients to purposes directly connected
with administration of the program.
N. The Contractor shall indemnify and hold harmless Yakima County for any acts by
the contractor staff related to the provisions of this contract, including the
Disclosure of Personal Information.
0. The Contractor will partner with ALTC's oral health program to promote health and
disease prevention. This may include dissemination of educational materials or
Aging and Long Term Care presentations on oral health.
P. VENUE. Any action, suit, or judicial proceeding for the enforcement of this
Agreement shall be brought in the Superior Court for the State of Washington in
Yakima County, Washington
PAYMENT PROVISIONS
I CONSIDERATION
Payment shall be based on claims for reimbursement as reported on the Office of Aging
and Long Term Care invoice and support documentation and shall be contingent upon the
receipt of all required financial and program reports by the respectively assigned due dates.
The County shall not be held responsible for any financial loss suffered by the Contractor as
a result of performance of services as outlined in this Agreement in the mutually agreed
budget, service delivery standards, units of service and payment standards.
II GENERAL PAYMENTS CONDITIONS
The Contractor agrees to the following standards in satisfactorily performing the terms and
conditions of this Agreement:
A. No payment shall be made for any contracted activity rendered by the Contractor
which is not identified within the terms and conditions of this Agreement and set
forth within a category of the budget.
11/30/2009
Page 9
B. The Contractor shall submit to the County a written request for approval of budget
revision when:
1. The revision would change the scope or objectives of any contracted activity
category;
2. Additional revenue is received for contracted activities within the terms of this
Agreement;
3. The Contractor desires to transfer funds from one budget category to
another. Budget category transfers shall, for the purpose of this Agreement,
be defined as transfers inclusive of those occurring between sub -object
categories when the cumulative amount of all transfers exceeds five percent
(5%) of the County budgeted amount for administration or service delivery.
C. Payments shall be based on the County's receipt of all fiscal and programmatic
reports required by this Agreement to substantiate claims for reimbursement. The
County expressly reserves the right to withhold payment in whole or in part when:
1. The Contractor fails to submit all required documentation, or
2. In the County's judgment, additional information is required to substantiate
the basis upon which claims for reimbursement are made, provided the
request for such additional information is consistent with the requirements of
this Agreement; or
3. Claims for reimbursement are inconsistent with the terms and conditions of
this Agreement; or
4. Claims for reimbursement on unit rate price Agreements exceed the
administrative and service delivery budgets without in-kind contributions by
greater than ten (10%) percent of their respective allotted amount; or
5. Claims for reimbursement on line -item cost Agreements exceed the
administrative and service delivery budgets of County contracted funds by
greater than ten (10%) percent of their respective allotted amount.
D. Program Income: Gross income received by the contractor and/or subcontractors
directly generated by federal funds or a federal grant supported activity or earned as
the result of the grant and/or federal contract.
1. Program income may include, but is not limited to, income from: fees for
services performed, proceeds from the sale, lease or rent of assets which
were acquired using federal funds, contributions/donations from clients,
honorariums, consultant fees, training fees, and the like, earned by staff
11/30/2009
Page 10
when time spent earning such honorarium or fee was charged to federal
funds, and revenue generated from sale of fabricated items.
2. Use program income in accordance with the Department of Health and
Human Services Administration of Grants, 45CFR, Sec. 25. Costs borne by
the program income must be used to satisfy cost sharing requirements.
The County agrees to promptly notify the Contractor of any proposed reduction in funding
by State, Federal, or other officials. The Contractor agrees that upon receipt of such notice
it shall take appropriate and reasonable action to reduce its spending in the affected
funding area so that expenditures do not exceed the funding level which would result if
said proposed reduction became effective.
E. Termination of Contract
1. Either party, upon ninety (90) days advance written request, in which case
the two parties shall devise by mutual agreement the conditions of
termination including the effective date and in case of termination in part, the
portion to be terminated.
2. The Director, immediately upon written notice, if funding is withdrawn or
reduced to the extent that the continuation is not in the best interest of the
County.
III BILLING PROCEDURES
A. The Contractor shall submit written claims for reimbursement of contracted activities
provided on the appropriate forms. All payments will be based on contracted
activities provided unless otherwise approved in writing by the County.
B. The County agrees to make payment for contracted activities provided as approved
by the Auditor of Yakima County with County warrants within thirty (30) working
days. This is contingent upon the availability of funds and receipt of the
Contractor's claims for reimbursement by the County by the tenth day of each
month following the month during which the services were provided. No payment
shall be made in the month services are rendered unless otherwise approved by the
County. If the last working day of a month falls on a Saturday, Sunday or holiday,
payment will be made on the last County working day of the month.
11/30/2009
Page 11
IV. UNITS OF SERVICE
A. Definition: A unit of Geriatric Preventative Foot Care service shall consist of
one (1) foot care treatment.
B. There will be 800 unduplicated individuals served by this Agreement. 518
participants shall reside in the upper valley and 282 shall reside in the lower
valley.
C. Anticipated Service Level by Quarter:
Month UV Units LV Units Total
January - March 703 182 885
April - June 704 183 887
Total 1,407 365 1,772
Anticipated Service Levels include 545 additional units funded by donations
and other program income
D. Anticipated Expenditure Rate by Quarter:
Month UV Rate LV Rate Total
January - March $8,750 $3,000 $11,750
April - June $8,750 $3,000 $11,750
Total $17,500 $6,000 $23,500
V. PAYMENT CONSIDERATIONS
As consideration for services, as described in the Specific Provisions of this Agreement and
in accordance with the Budget Provisions of this Agreement, the County agrees to pay the
Contractor a sum not to exceed $23,500 from available funds as submitted on the 2010
Contract Budget Summary. This total sum shall be available during the period January 1,
2010 through June 30, 2010. These funds shall be used to provide Geriatric Preventive
Foot Care services. Payment to the Contractor for this unit rate price agreement shall be
based on the unit rate of $18.89 in the Upper Valley and $20.00 per unit ,in the Lower
Valley, less client donations. Client donations must be spent first before ALTC funds.
11/30/2009
Page 12
ALAlingg8e4rrm
LC
are
Southeast Washington
November 30, 2009
Dick Zais, City Manager
City of Yakima
129 North Second Street
Yakima, WA 98901
Dear Mr. Zais:
Every year our goal has been to have contracts in place to enable us to seamlessly continue our
valuable services throughout the following year. This year you will find that your contract is
only for six months. Due to the state revenue forecasts, the budget uncertainty, and the fact
that your contract contains State only funding (Senior Citizen's Services Act —SCSA) we are not
able to project what will be available for the last six months of fiscal year 2010. Your contract
will be impacted by the legislative decisions yet to be made by the Washington State Legislature
in 2010.
We have been informed by the Governor's staff that although they have no doubt about the
merits of our programs supported by our Senior Citizen's Services Act, there simply is not the
revenue to ensure State funds, such as SCSA or our State funded Family Caregiver Services,
will be protected.
I encourage you to call or meet with your legislators and let them know of the value of Senior
Citizen's Services Act and how it supports your program. I am including a brochure about
Senior Citizen's Services Act. The beauty of SCSA funds is that we are able to support
programs in individual communities where there are service gaps and tailor the dollars to the
need. Throughout our region SCSA dollars have helped to support our nutrition programs
(home delivered and congregate meals) to prevent the need for waiting lists and allowing us to
offer congregate meal sites in all of our counties. Other valuable programs sustained by SCSA
include Foot Care, Adult Day Care, Adult Day Health, Oral Health, Senior Transportation, and
Health Promotion and Disease Prevention Programs. SCSA has also been used to fund
community education opportunities such as wellness conferences and caregiver conferences.
Senior Citizen's Services Act (SCSA) funds are the glue that helps us maintain a broad array of
community services to meet the local needs of our elders. For many seniors, these services
are the lifeline that enables them to remain safely in their homes and in their communities.
Without the support of SCSA, some of our programs will be unable to operate. Please help us
to save these valuable programs.
P.O. Box 8349 • Yakima, WA 98908
(509) 965-0105 (Voice/TDD) • Fax (509) 965-0221 • 1-800-572-7354
Web Page: www.co.yakiina.wa.us/altc
Southeast Washington Counties:
Asotin • Benton • Columbia • Franklin • Garfield • Kittitas • Walla Walla • Yakima
My hope is that at the end of the legislative cycle, ALTC will be able to modify your contract and
include the full amount of SCSA funds necessary for you to be fully operational in 2010.
However, you may want to calibrate the outcome of an SCSA cut, and what that would mean to
your service.
1 am available to answer any of your questions. Thank you for your terrific service to our
elders.
Sincerely,
Lori Brown
ALTC Director
SE Washington Aging & Long Term
A LTC ga I leg e r m
Southeast Washington
Care
CSA News
Volume 1, Issue 1
December 2009
FOR MORE INFORMATION
Contact Cathy Knight at
the Washington Associa-
tion of Area Agencies
(W4A):
(360) 485-9761
W4Aaginciwashinoton.org
Inside this issue:
SCSA Community 2
Partnerships
Hope Options
Inside Story
Inside Story
Inside Story
2
4
Protect The Homecare Solution
What is SCSA?
The Senior Citizens Ser-
vices Act (SCSA) was passed by
the legislature in 1977 to build a
system of community-based ser-
vices to help seniors stay home
and avoid costly institutional care.
The network of services created
through SCSA meets these goals
in an extraordinarily cost effective
manner. At its current funding
level of $9 million:dollars per year,
SCSA provides an incredible re-
turn on that investment in the ser-
vices it funds directly and leverage
of retching funds.
What Does SCSA Funding Di-
rectly Support?
Success Story
SCSA is a critical funding
source for Senior Information and
Assistance, Nutrition, Transporta-
toin, Footcare, Adult Day Care, Adult
Day Health, Health Promotion and
Bathing Assistance. Senior I&A is
the starting point for older adults and
their caregivers, providing informa-
tionand support related to services,
including long term care planning
andfinancing optionS.. The service
is especially helpful forseniorsnot
eligible for Medicaid to learn of op-
tions in the Communi
The broad array of services
supported by scsA helps people
remain in their tidmes end commu-
nity and supportswellness.
Mrs C is 81 years old. Her husband died in the 60's and
she has no children. Her only relatives live across the
country and do not visit. A bank employee called Senior
I&A when Mrs C began writing overdrafts on her check-
ing account. An 18A specialist talked with her and found
she would be out of money in a few months. She helped
Mrs C make changes to her insurance policy, apply for
Medicare, housing assistance & free medications. Over
time, as Mrs. c's memory and cognitive ability declined,
the I&A specialist helped her secure an apartment in
public housing, Meals on Wheels, and a volunteer to
assist with errands and household tasks. Without I&A
intervention and support, Mrs. C would very likely have
needed institutional care, at much greater cost.
Volume 1, Issue 1
December Page 2
How Does $155,879 in SCSA Beco
through Community Partnerships?
SCSA is the primary funding
source that gives Area Agencies
on Aging the flexibility to lever-
age community resources for
service systems tailored to
local community needs.
AAA's, along with their partners
in every part of the state, utilize
these funds to provide services
that local communities believe
are most important, and those
they are most willing to support
with additional local funds.
The Hope Options program in,
Snohomish County is an exam-
ple of how these valuable re-
sources have been used to tailor
services to meet local commu-
nity needs. SCSA funding
helped develop and sustain the
Stabilized Housing for the
Mentally 111 Program, a partner-
ship between the Everett Hous-
ing Authority and Snohomish
County Long Term Care & Ag-
ing. Known as Hope Options,
the program promotes stable
housing and support for seniors
60+ who have mental health or
e $508,379
behavioral problems and are at
risk of losing their housing.
With $155,879 provided with
SCSA funding for operational
costs, the program provides a
Geriatric Mental Health Special-
ist who delivers intervention and
crisis resolution counseling. With
the modest investment of SCSA
funds to initiate the program,
Everett Housing Authority pro-
vided 40 Section 8 vouchers and
7 Project based housing vouch-
ers with a value of $352,500.
Mr. A was referred to Hope Op-
tions by the Snohomish County
Veterans Assistance Program.
He is a 63 year old
Vietnam Vet (Marines
1967) whose wife had
recently died. He was
facing eviction due to
confusion and inability
to pay his rent and
maintain.a safe and sanitary
household. His income was
$271/rnot.• A. was ap-
"With case
management
assistance, his income
increased...."
proved for
case man-
age rnent
anciSeCtion
8,housing
the day fol-
lowing re-
ferral to the program. With
case management assistance
his income increased to
$2000/month through SSDI.
Mr. A now has an informal
caregiver that visits approxi-
mately three timesper
week to assist with cooking,
cleaning, and personal care.
Page 3 December Volume 1, Issue 1
SCSA Money is Leaven for the Loaf
Most federal grants and dem-
onstration projects require ap-
plicants to provide matching
funds. Without SCSA funds
from our state, Washington
Area Agencies on Aging and
other community services
would not be able to capture
federal grants.
SCSA is critical for leveraging
funds for federal grants and
demonstration programs. Fed-
eral grants matched with
SCSA provide such services
as Meals on Wheels, Senior
'ansportation, Chore Ser -
;es, Health Promotion, Medi-
cation Management, and oth-
ers.
SCSA supports community co-
ordination capacity resulting in
better access to community
services, streamlining systems
through strategic planning that
addresses the needs of folder
adults as well as children and
young families.
Federal Demonstration Pro-
grams also come with matc
requirements. Communities
are able to participate primarily
because SCSA resources are
available to leverage grant dol-
lars. Currently, a few of the
demonstration programs avail-
able in Washington include:
.
Program,
Nursing Home Diversion
' • . .
Description .
Provides flexible services to middle income adults to prevent
or delay need for Medicaid -funded services and skilled nurs-
ing facility care. i
Dementia Partnership
Provides special services and support for caregivers and their
loved ones with dementia through specially trained consult-
ants and services.
Aging & Disability Research
Centers
Provides a "one-stop" access point for all community mem-
bers needing assistance to plan their long term care and
avoid the need for Medicaid.
Chronic Disease Self-
Management
Evidence -based programs teach individuals with chronic ill -
ness to better manage the difficulties in their lives and avoid
unnecessary healthcare interventions.
Page 4 December Volume 1, Issue 1
SCSA Funds Help Prepare Washington for the.
Changing Demography and the Age Wave
Washington State is a leader in the development of cost effective community-based long term care
services. SCSA funds have allowed us to work with federal programs and policymakers to prove
through demonstration programs that community-based care not only works, but is less than half
the cost of institutional care.
Washington State 60+ Adults
1970-2030
2500000
2000000
1500000
1000000
500000
0 1970 1976 1982 1988 1994 20002006 2012 2018 2024 2030
The first Baby Boomers
will be eligible for Medi-
care in two years. Fol-
lowing them will be a
legion of older adults,
may of whom will need
long term care ser-
vices. Now is not the
time to eliminate our
access to federal
grants by cutting re-
sources used for lever-
aging, match, and inno-
vative community ser-
vices.
We count on our
elected officials to understand the importance of efficient, effective, community -driven services.
SCSA funding has not kept pace with the growing number of seniors and the effect of inflation on
the cost of services. Supporting Senior Citizens Services Act funding is one way to assure that our
state continues to provide high quality care for the oldest and frailest citizens of Washington State.
12
SCSA Allocations per Capita (60+
$s
$6
$4
$2
so
Seriesl
1998 2001 2003 2005 2007 2009
ITEMTITLE:
BUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDA STATEMENT
Item No.
For
For Meeting of: December 8, 2009
A Resolution Authorizing an Agreement with Yakima County, through the
Office of Aging and Long Term Care (ALTC) for the 2010 Geriatric
Preventative Foot Care Services Program
SUBMITTED BY: Chris Waarvick, Director of Public Works
Ken Wilkinson, Parks and Recreation Manager
CONTACT PERSON/TELEPHONE: Ken Wilkinson, 575-6020
SUMMARY EXPLANATION:
Attached is a resolution authorizing an agreement with the Yakima County, through the Office of
Aging and Long Term Care (ALTC) for a preventive foot care services program for senior
citizens at the Harman Center. This agreement allocates $23,500 for geriatric foot care for the
first six months of 2010.
The goal of the Geriatric Foot Care Program is to provide basic preventative foot care for frail,
elderly adults. This service has been offered since 1990.
Resolution X Ordinance Other X (Specify) Agreement
Mail to: Aging & Long Term Care, Post Office Box 8349, Yakima, WA 98908 Phone: 965-0105
Funding Source: Aging and Long Term Grant
APPROVED FOR SUBMITTAL: City Manager
STAFF.RECOMMENDATION: Staff respectfully requests adoption of the resolution
authorizing execution of the Performance Agreement with Yakima County, through the Office of
Aging and Long Term Care for the Geriatric Foot Care Services Program at the Harman Center.
• BOARD/COMMISSION RECOMMENDATION:
COUNCIL ACTION: