MEMORANDUM

The Department of Human Services requests authorization to modify the above contract to provide Title XIX-Targeted Case Management (TCM) Medical Reimbursement Services for the Division of Family and Children's Services. The TCM funding for this contract is for the period of 7/1/02 to 6/30/03. The amount of TCM funding for Asian Perinatal Advocates (APA) is not to exceed $85,189.

Background

You will recall that you approved modifications at your January 23, 2003 meeting to add TCM funding to two contracts. At that time, we advised you we were reviewing other contracts for eligibility for TCM funding, and would bring additional contract modifications to you for consideration at future meetings.

As previously noted, the Targeted Case Management (TCM) Program is an optional federal Medi-Cal benefit under Title XIX that DHS has not taken full advantage of to date. We have now worked out an accepted method for accessing Title XIX funding, under which we are able to use non-federal funds already in this contract to leverage Title XIX funds for services that are TCM-eligible. The TCM Program provides specialized case management services to Medi-Cal recipients in a defined target population to gain access to needed medical, social, educational, and other services. TCM services include:

TCM funding is passed through the State of California to the San Francisco Department of Public Health (DPH). Recognizing both the unique relationship that DHS has with Medi-Cal-eligible individuals and the expertise of DHS contractors in assisting Medi-Cal-eligible individuals to access needed services, DPH has agreed to work with us to claim these funds on our behalf.

Description of Modification

APA will use these funds to pay for a Medi-Cal Specialist who will be responsible for implementing outreach initiatives in the community, conducting initial assessments of clients and coordinating the TCM program for APA. Funding will also pay for a part-time TCM Data Entry Specialist.

Funding

Title XIX TCM funds will be the funding source for this contract modification.

MEMORANDUM

The Department of Human Services requests authorization to renew the contract with Moore, Iacofano, & Goltsman (MIG) Inc. for assistance in the implementation of the Family-to-Family Initiative. The contract will begin February 1, 2003, and end June 30, 2003, for an amount not to exceed $46,304.

Background

In the Winter of 2000/2001, the Department of Human Services, Family and Children Services (FCS) Division, applied for and received a grant from the Annie E. Casey Foundation to implement the Family-to-Family Initiative in the City and County of San Francisco. The Family-to-Family Initiative will reconceptualize, redesign, and restructure the San Francisco foster care system. The Initiative has the goals of 1) reducing the number of children served in institutional and congregate care, 2) shifting resources from institutional and congregate care to family foster care and family-centered services, 3) decreasing the lengths of stay in out-of-home placement, 4) increasing the number of planned reunifications, 5) decreasing placement disruptions, and 6) reducing the total number of children served away from their relatives.

The San Francisco effort to implement the Family-to-Family Initiative uses five strategic implementation teams to address the following five strategies:

· Recruitment, training and support of families (foster and relative) caring for children;

· Building partnerships with community-based organizations and neighborhood resources, particularly in areas with high referral rates;

· Family Team Decision-Making: a multifaceted process of placement planning involving a collaborative effort by foster parents, social workers, birth families, agency representatives and community members;

· Self-evaluation: monitoring outcome data to maximize effectiveness and identify areas needing improvement.

· Resiliency: Assisting FCS staff to successfully integrate the system changes resulting from Family-to-Family Implementation

DHS has been contracting with Moore, Iacofano, & Goltsman since November of 2001 for assistance in the implementation of the Family-to-Family Initiative.

Services to be provided

The Contractor will provide guidance to the Department's Family-to-Family Coordinator in all aspects of the planning process. The Contractor will provide assistance in the implementation of team meetings, facilitation of the Management Team Retreat and Co-Chair Facilitation Training. The Contractor will assist the Coordinator in problem solving and will provide technical assistance in the areas of communication, planning and overall coordination skill building. The contractor will provide ad hoc reports and recommendations as appropriate.

Contractor Selection

Contractor was selected as a result of RFQ #206 issued in September of 2001. Contractor has extensive experience in assisting Santa Clara County with their implementation of the Family-to-Family Initiative. The Annie E. Casey Foundation recommended this Contractor through a letter of reference.

Contractor Performance

The Department is very pleased with the Contractor. Reports have been timely and helpful and the technical assistance has been critical in helping the Department move forward with implementation of the Initiative.

Funding

This contract will be funded entirely through the grant from the Annie E Casey Foundation.

Attachments

# Authorization Request

# Appendix A

# Appendix B

MEMORANDUM

*Dept. of Public Health Funds

The Department is requesting authorization to renew the following contracts, which are funded through a grant from the U.S. Dept. of Housing and Urban Development's (HUD) 2002 McKinney Supportive Housing Program (SHP). The total HUD funded amount of the seven contracts, which cover a three-year period, will not exceed $6,945,655. The contractors renewing their funding with HUD are:

Baker Places also receive additional Department of Public Health funding, which is not included in the allocated HUD dollar amounts.

CONTRACTOR SELECTION

HUD is currently funding all of these projects through the McKinney Supportive Housing Program. The contractors reapplied as part of the City's consolidated application process and were awarded continued funding for the next year. These three-year renewals are based on HUD funding availability.

CURRENT SERVICES PROVIDED

Arriba Juntos' HOMEWORC Project provides an employment-training program specifically designed to give homeless front-line staff and volunteers working in the homeless service industry the skills to advance into positions of higher responsibility and greater compensation. HOMEWORC includes training for its participants over a 17-week period. The Project's four phases include:

Baker Places' 4^th Avenue House is a medically managed, residential detoxification program serving 200 unduplicated San Francisco adult residents (ages 18-64) annually, who are currently or imminently homeless. This program is housed in a licensed, 10-bed, family-style facility, located in a residential neighborhood in the Inner Sunset. The facility includes sleeping quarters, counseling and social rooms, kitchen and dining area, toilet and shower facilities and staff offices. Clients receive services to detoxify from alcohol, stimulants, opiates or other drugs. To participate in the program, potential residents also must have been medically cleared to rule out need for hospitalization.

Bar Association of San Francisco's Volunteer Legal Services Program provides integrated legal and social services for people who live in shelters or on the streets, with an emphasis on serving veterans. The purpose of this program is to move people out of homelessness and into housing and greater stability. The Volunteer Legal Services Program will serve a total of 2,040 people over the three-year contract period.

Catholic Charities' Childcare Vouchers 1 Program

Goodwill Industries' San Francisco Training Partnership Program bridges the gap between homelessness and independence by assisting homeless people to enter the work force in a relatively short period of time. The San Francisco Training Partnership Program is a flexible, employment focused program emphasizing consumer choice and offering outreach, assessment, short-term training, life skills instructions, paid transitional employment, significant supportive services, job placement and follow-up. These services are individually customized to meet the unique needs of 165 homeless veterans and ex-offenders over the three-year contract period

Treasure Island Homeless Development Initiative (TIHDI) provides employment and residential support services to homeless families and individuals on Treasure Island. This projects supports 60 permanent family housing units and 56 individual transitional housing units. TIHDI is the lead agency in a collaborative composed of the following agencies: Treasure Island Homeless Development Initiative, Catholic Charities, Community Housing Partnership, Swords to Plowshares, Haight Ashbury Free Clinics, and Walden House. This project also includes a Job Broker system, which places and retains its participants in jobs on Treasure Island.

Young Community Developers' Homeless Employment Labor Program (HELP) provides employment preparation skills, occupation specific skills, job placement and job retention services to 150 homeless individuals. Help targets the homeless in San Francisco's southeast region and has three service locations, which include sites at the Northern California Service League and Arriba Juntos.

The attached Appendix A's (Scope of Services) provides greater detail of each program's services, goals and objectives.

The contractors met or exceeded most of their objectives for the contract period. The attached monitoring reports provide additional information on each contractor's performance during their current operating periods. A few contractors were not able to meet some of their objectives during the past year. Efforts have been made by the contractor to correct any problems or difficulties in achieving the objectives in the future. All changes to the objectives have been reviewed and approved by HUD. The Department recommends the contracts be renewed for the upcoming three-year period. The contract terms differ and are determined by the original start date of each program.

BUDGET

The attached budget forms summarize each program's costs as required by HUD. These budget forms follow HUD's format since HUD requires that the program costs be separated into three main areas: supportive services costs, housing operation costs and administrative costs. HUD requires that half of the five percent allowance for administrative costs be passed through to the contractors. They are therefore divided as follows: 2.5% for the contractor and 2.5% the Department. The attached budgets detail the annual program costs provided by HUD and other sources as well as the contractor's portion of the administrative costs for these renewal grants.

Attachments

Monitoring Report, page

Appendix A - Scope of Services, page

Appendix B - Budget, page

Baker Places

Monitoring Report, page

Appendix A - Scope of Services, page

Appendix B - Budget, page

Bar Association of San Francisco

Monitoring Report, page

Appendix A - Scope of Services, page

Appendix B - Budget, page

Catholic Charities

Monitoring Report, page

Appendix A - Scope of Services, page

Appendix B - Budget, page

Goodwill Industries

Monitoring Report, page

Appendix A - Scope of Services, page

Appendix B - Budget, page

TIHDI

Monitoring Report, page

Appendix A - Scope of Services, page

Appendix B - Budget, page

Young Community Developers

Monitoring Report, page

Appendix A - Scope of Services, page

Appendix B - Budget, page