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File #: 13-0526    Version: 1 Name: 2013-14 KCSL Healthy Babies Agmt
Type: Agreement Status: Passed
File created: 7/2/2013 In control: Board of Sedgwick County Commissioners
On agenda: 7/24/2013 Final action: 7/24/2013
Title: AGREEMENT WITH THE KANSAS CHILDREN'S SERVICE LEAGUE (KCSL) TO IMPLEMENT PROGRAM SERVICES UNDER THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE) IN THE HEALTHY BABIES PROGRAM AT THE HEALTH DEPARTMENT. Presented by: Claudia Blackburn, Director, Sedgwick County Health Department. RECOMMENDED ACTION: Approve the agreement and authorize the Chairman to sign; and establish budget authority as provided in the financial considerations section of this request.
Attachments: 1. 2013-14 HB KCSL Agmt - $340K.pdf, 2. 2013-14 KDHE Healthy Babies Grant Award Agmt - $2.106m.pdf, 3. 2013-14 KCSL & KDHE Healthy Babies budgets.pdf, 4. 2013-14 Matching Funds Overview.pdf

Title

AGREEMENT WITH THE KANSAS CHILDREN'S SERVICE LEAGUE (KCSL) TO IMPLEMENT PROGRAM SERVICES UNDER THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE) IN THE HEALTHY BABIES PROGRAM AT THE HEALTH DEPARTMENT.

Presented by: Claudia Blackburn, Director, Sedgwick County Health Department.

 

RECOMMENDED ACTION:  Approve the agreement and authorize the Chairman to sign; and establish budget authority as provided in the financial considerations section of this request.

 

Body

Background:  KCSL is a statewide not-for-profit agency providing a continuum of programs and services, advocating for children, and collaborating with other public and private agencies for increased effectiveness, efficiency and quality.  KCSL serves over 40,000 children a year statewide.

KCSL has been providing Healthy Families home visitation services across Kansas since 1996, and is currently offering the program in 10 Kansas counties.  Healthy Families Sedgwick County was awarded funding in January 2010 and they began serving families in March of 2010.

The Health Department's Healthy Babies Program (HB) and Healthy Families America (HFA) work hand-in-hand to wrap services around at-risk families, addressing physical, mental, social and emotional needs of the families we serve.  Since 2000, the average annual number of births in Sedgwick County has been 7,814 and research shows (Wiese & Daro, 1995) that at least 25% (or 1,954) of those families would have multiple risk factors and could benefit from Healthy Babies and/or HFA services. 

 

Enrollment for both programs occurs optimally during the prenatal period.  The Healthy Babies program provides services until the baby is two years old; HFA provides services until the child is three years old, or up to five years of age, when necessary.  While the focus of the HB prenatal and parenting education program is on improving birth outcomes among at-risk moms, the focus of the KCSL HFA program is to prevent child abuse, promote positive parenting, enhance school readiness and improve child health among high-risk families.  Weekly home visitation, case management, 24/7 crisis support and child health and development screenings are priority services provided to each enrolled family.

Like HB, the HFA home visitor helps with goal-setting and educates on a variety of topics, such as:  infant and child physical and mental health and development, parent and child bonding and interaction, money management, problem solving, the completion of school, job hunting, housing assistance and connection to community resources.  Studies show families who participate in such programs are less likely to require the intervention of social services later in a child's life.   

 

Analysis: Healthy Babies partnered with the former Kansas Health Policy Authority (KHPA) for nearly a decade (2002-2011) to promote best practices in providing prevention/early intervention services to high risk prenatal and delivered moms in Sedgwick County.  On July 1, 2011, KHPA was transferred to the KDHE through an executive reorganization.  In support of the Healthy Babies program, KDHE is renewing their agreement with Sedgwick County for the 2013/2014 contract year.   

 

Alternatives: The funding for this contract comes from a contract the Health Department has with the KDHE for the draw-down of Medicaid funds.  Only a state, city, county, special purpose district or other governmental unit has taxing authority or has direct access to tax revenues and may certify matching funds.  Therefore, the only way KCSL can access this funding stream is via an agreement with a government agency.  If the Health Department does not contract with KCSL, the alternative is for KCSL to contract with another government agency who meets the above criteria or to not contract with anyone for this funding stream.

Financial Considerations: Funds will be managed through 38109-274/381095-14 (KCSL) and 38059-274/380595-14 (KDHE).  This agreement will be effective for the period of July 1, 2013 through June 30, 2014. 

 

Total annual funding under this agreement shall not exceed $2,106,000.00, said amount comprising the County's certified matching funds of $1,053,000.00 and the Federal Financial Participation (FFP) amount of $1,053,000.00.  A total of $1,766,000.00 ($883,000.00 County's certified matching funds and $883,000.00 FFP) will be allocated to the Healthy Babies Program and $340,000.00 ($170,000.00 County's certified matching funds and $170,000.00 FFP) will be allocated to the Healthy Families Program via this sub-contract with KCSL. 

 

The $170,000 match comes through the United Way of the Plains to Sedgwick County and Sedgwick County reimburses KCSL; the remaining $170,000 comes as a Federal match to Sedgwick County which is used to reimburse KCSL for the total expenses on a quarterly basis, not to exceed $340,000/annually.KCSL will be responsible for submitting KDHE-required quarterly and annual data and narrative reports as well as certified match reports to the Health Department who will then compile their data with the Health Department's data and submit it to KDHE.  The Health Department will send quarterly payments to KCSL based on timely receipt of reports, match availability and receipt of funding from KDHE.       

 

Legal Considerations:   This agreement is governed by K.S.A. 65-241 et seq. and K.S.A.75-7411. The Medicaid provisions that are applicable to this agreement are contained within 42 C.F.R. 433.50 et seq. Approval is by simple majority vote.

Policy Considerations:  N/A

 

Outside Attendees:  No

 

 

Multimedia Presentation:  Yes

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