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File #: 23-0511   
On agenda: 6/6/2023 Final action: 6/6/2023
Enactment date: Enactment #: Agreement No. 23-252
Recommended Action(s)
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement with Total Care Medical Group to perform physical incapacity assessments for General Relief clients extending the term by twelve months from July 1, 2023 to June 30, 2024 and increasing the maximum by $90,000 to a total of $465,000.
Attachments: 1. Agenda Item, 2. Agreement A-23-252 Amendment I to Agreement with TCMG
DATE: June 6, 2023

TO: Board of Supervisors

SUBMITTED BY: Sanja Bugay, Director, Department of Social Services

SUBJECT: Amendment to Agreement with Total Care Medical Group

RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 1 to Agreement with Total Care Medical Group to perform physical incapacity assessments for General Relief clients extending the term by twelve months from July 1, 2023 to June 30, 2024 and increasing the maximum by $90,000 to a total of $465,000.
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will enable Social Services to extend physical incapacity assessments, including exams and related diagnostic tests, for recipients of General Relief assistance. These services are funded entirely with the County General Fund. This item is countywide.

ALTERNATIVE ACTION(S):

Should your Board elect not to approve the recommended action, the County will be out of compliance with General Relief regulations adopted by the Board. These regulations require a
physical incapacity assessment to determine client employability and eligibility for General Relief benefits.

FISCAL IMPACT:

There is no increase in Net County Cost associated with the recommended action. Approval of the amendment will increase the maximum compensation for the Agreement by $90,000 to a total of $465,000, which will be funded with countywide revenues. Actual costs will be determined by the number of evaluation services provided, as compensation is a fee for service. Sufficient appropriations and estimated revenues will be included in the Department's Org 6645 FY 2023-24 Recommended Budget.

DISCUSSION:

On April 23, 2019, your Board approved Agreement No. 19-187 with Total Care Medical Group to perform physical incapacity assessments which included exams and related diagnostic tests for General Relief clients.

General Relief (GR) is a County-funded program that provide...

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