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SOCIAL SERVICES / HEALTH SERVICES AGENCY
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Requested Action(s)
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a) AGREEMENT - Request approval and authorization for the Social Services Director, or Designee, and the Health Services Agency Executive Director to sign the Interagency Memorandum of Understanding (MOU), for the purpose of providing nursing services to the Social Services Adult Services branch for the rates as listed in Exhibit “D”, with maximum compensation not to exceed $52,548, effective 7/1/26 and shall terminate 6/30/27
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Financial Impact:
The cost of this contract has been anticipated in the 2026/27 budget and is budgeted as an expense in account 5013-532300, Professional and Special Services Other. Costs are charged to either APS or IHSS based on the ratio of referrals within a quarter. These programs receive enhanced federal financial participation. APS and IHSS are funded separately with federal, state and realignment revenues. No General Fund contribution is requested to fund this contract.
Background Information:
This is a renewal. The Public Health Nurse (PHN) assigned to the Adult Services division works at 25% Full Time Equivalent (FTE) to provide nursing services for elders and dependent adults who are Adult Protective Services (APS) clients and In-Home Supportive Services recipients. Examples of services to APS clients include assessment of neglect or abuse issues; liaison with physicians; assistance in obtaining placement in Skilled Nursing facilities; referral for health care. Examples of services to IHSS cases include assessment of need for personal care; assessment of medication management issues; referral for health care. The PHN consults with Social Workers and provides written assessments and recommendations. The compensation amount covers a percentage of the PHN and Supervising PHN's salaries and benefits in addition to direct operating costs.