DEPARTMENT: Health
DEPARTMENT HEAD: Dr. Thomas L. Schlenker
COUNCIL DISTRICTS IMPACTED: City Wide
SUBJECT:
Authorizing an Amendment to the YMCA of Greater San Antonio Agreement
SUMMARY:
This Ordinance authorizes an amendment to revise the scope of work and budget for year two of the YMCA of Greater San Antonio (YMCA) agreement through which the YMCA administers diabetes prevention programs for the San Antonio Metropolitan Health District's Diabetes Project related to the Medicaid 1115 Waiver Program. The current agreement amount will not change and remain an amount up to $1,248,500.00 for a term ending September 30, 2016 with the option to renew for an additional one-year period, subject to and contingent upon Medicaid 1115 Waiver funding.
BACKGROUND INFORMATION:
In January 2013, City Council authorized the submission of six project proposals for consideration and funding through the new Delivery System Reform Incentive Payment (DSRIP) arm of the "Texas Healthcare Transformation and Quality Improvement Program" or Texas Medicaid 1115 Waiver. Metro Health carefully selected projects in the following areas: diabetes prevention, children's oral health services, HIV and Syphilis prevention, breastfeeding promotion, teen pregnancy prevention and neighborhood health promotion. All six projects were approved for funding through two phases of approvals in April and September of 2013.
On June 20, 2013, City Council authorized the current agreement with the YMCA. Through this agreement the YMCA administers diabetes prevention programs as part of Metro Health's diabetes prevention Medicaid 1115 Waiver project. The YMCA Diabetes Prevention Program is a nationally recognized program that has been shown to be effective in preventing or delaying the onset of diabetes among individuals at high risk for diabetes. This program was developed and evaluated by YMCA-USA (Y USA) and the Centers for Disease Control and is currently offered by YMCA affiliates in several other U.S. cities. This program has been developed and is licensed by the Y USA for use only by YMCA affiliates and was specifically included in the Metro Health 1115 project proposal.
Through this amendment the YMCA of Greater San Antonio will continue to provide services free of cost to at least 500 participants per year.
ISSUE:
Metro Health is requesting City Council authorization to amend an agreement with the YMCA Medicaid 1115 Waiver project related to diabetes prevention.
ALTERNATIVES:
If this amendment is not authorized, Metro Health would be unable to update the scope of services to clarify future services and compensation in order to meet the needs of the diabetes prevention project.
FISCAL IMPACT:
Metro Health is requesting City Council authorization for an amendment to the YMCA agreement for the administration of diabetes prevention programs with no change to the total contract value. Funding for this agreement is available and budgeted within Metro Health's 1115 Medicaid Waiver FY 2015 budget for the diabetes prevention project and will have no impact to the general fund.
RECOMMENDATION:
Staff recommends approval of an Ordinance authorizing an amendment to the YMCA agreement for the administration of diabetes prevention programs related to the 1115 Medicaid Waiver with no change to the total contract value.