TITLE
Recommendation to authorize City Manager, or designee, to execute any necessary amendments to the current agreements between the City of Long Beach and Los Angeles County, in a total amount of $567,766, to provide Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) non-medical case management and benefits specialty services for the period of April 1, 2011 through March 31, 2013; and increase appropriations in the Health Fund
(SR 130) in the Department of Health and Human Services (HE) by $140,000. (Citywide)
DISCUSSION
Since 1998, Los Angeles County has contracted with the City of Long Beach Department of Health and Human Services (Health Department) to provide Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) clinical services. The medical outpatient program provides medical services to approximately 300 patients annually and strives to interrupt or delay the progression of HIV/AIDS disease and promote optimal health for the client. Services include: diagnosis, treatment, counseling, and referrals for appropriate specialty services.
Case management services include an individual client assessment to ascertain their physical, psychosocial, environmental, and financial needs, and to facilitate their access to the appropriate service provider. The program serves approximately 250 individuals with HIV/AIDS infection who are medically indigent and would have no other means of accessing care. The Health Department also actively collaborates with and obtains referrals from service organizations and agencies beyond traditional HIV/AIDS case management service delivery systems, including but not limited to: substance abuse, mental health, specialty services, and social service organizations.
Benefits specialty services focus on assisting a client's entry into, and movement through, care service systems outside of the Federally-funded Ryan White Programs service delivery network. It is the primary responsibility of the specialists to ensure that their clients are receiving all the benefits and entitlements for which they are eligible. The proposed amendments to the agreements with Los Angeles County include: non-medical case management services, in an amount not to exceed $427,766 for the period from April 1, 2011 to March 31, 2013, and benefits specialty services, in an amount not to exceed $140,000 for the period from April 1, 2011 to March 31, 2013.
This matter was reviewed by Deputy City Attorney Linda Trang on May 26, 2011 and by Budget Management Officer Victoria Bell on May 27, 2011.
TIMING CONSIDERATIONS
City Council action is requested on June 14, 2011, as the Health Department has been providing services under these amendments since April 1, 2011, but will be unable to recover costs until the amendments are approved.
FISCAL IMPACT
The total amount of the agreements totals $567,766 for the period of April 1, 2011 through March 31, 2013. Funds for non-medical case managements services have been appropriated, however, an appropriations increase of $140,000 is requested for the benefits specialty services, and is included in the recommendation. There is no impact to the General Fund, no City match, and no net impact to jobs associated with the recommended action.
SUGGESTED ACTION
Approve recommendation.
Respectfully Submitted,
RONALD R. ARIAS, DIRECTOR
HEALTH AND HUMAN SERVICES
APPROVED:
PATRICK H. WEST
CITY MANAGER