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C.182
To: Board of Supervisors
From: Anna Roth, Health Services Director
Date: June  21, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: Gift Cards and Transportation Vouchers for Clients of the FMCH Programs

APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE

Action of Board On:   06/21/2022
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Rusty Keilch, 925-313-6254
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED:     June  21, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Purchasing Agent to purchase, on behalf of the Health Services Department, gift cards and transportation vouchers totaling an amount not to exceed $246,300 for programs within Public Health's Family, Maternal and Child Health Program for the period from July 1, 2022 through June 30, 2024.

FISCAL IMPACT:

The gift cards and transportation vouchers are 100% funded by the California Department of Public Health and California Home Visiting Program. Funding received for this program includes financial supports for eligible clients that include food, transportation, and other items of care. No County general funds will be used.










BACKGROUND:

Family, Maternal and Child Health Programs within the Public Health Division of Contra Costa Health Services operate evidence-based programs to provide vulnerable women and their children with education, resources, and support during pregnancy and the early years of the child’s life. Several of our programs for pregnant women, new mothers and families receive funding specifically to provide food and other emergency assistance including transportation and items to care for the women and their families.  
  
The Black Infant Health (BIH) Program (5827) receives State general funds through the California Department of Public Health to implement an education and social support model which sponsors prenatal and post-partum support groups for women in West and East County. Client assistance to support group attendance include the following gift cards and transportation vouchers:
  

  • 400 Target gift cards with a $25 value, totaling $10,000. BIH participants may be eligible to receive these gift cards as a welcome baby gift upon enrollment, for incentive for participation/completion of prenatal group, upon completion of two Life Planning Sessions, and/or upon completion of the Satisfaction survey. An additional gift card is allowable if clients express an emergency need, when presented at a case conference by FHA, and approved by the BIH coordinator, as funds of last resort.
  • 200 Walmart gift cards with a $25 value, totaling $5,000. Participants may be eligible to receive these gift card if an emergency need must be addressed and when presented at a case conference by FHA, and approved by the BIH coordinator, as funds of last resort.
  • 200 Lucky Supermarket gift cards with a $50 value, totaling $10,000. Participant may be eligible to receive these gift cards if an emergency need must be addressed and when presented at case conference by FHA, and approved by BIH coordinator, as funds of last resort.
  • 200 Arco gift cards with $25 value, totaling $5,000. Participants may be eligible to receive these gift cards if an emergency need must be addressed and when presented at a case conference by FHA, and approved by BIH coordinator, as funds of last resort.
  • 60 of each type of voucher AC Transit ($5), BART ($5), CCCTA ($2), Tri-Delta monthly ($57), Tri-Delta daily ($3.75), West-Cat ($3.50) for a total of $4,575. Participants may be eligible to receive transportation assistance if they express an emergency need. Such need must be presented at case conference by FHA, and approved by BIH coordinator, as funds of last resort. Need to supply transportation support for our participants to and from group sessions.
The Nurse-Family Partnership (NFP) Program (5799) is funded by the CDPH MCAH California Home Visiting Program and provides intensive home visiting services provided by Public Health Nurses throughout the pregnancy until the child’s second birthday. Client assistance to include the following gift cards:
  • 296 Walmart gift cards with a $25 value, totaling $7,400. NFP clients may receive a gift card as a welcome gift upon enrollment, at 6 month breastfeeding continuation, at program completion (≥ 2 years), and/or if needed to address an emergency need. Such need must be presented at case conference or 1:1 supervision meeting by Public Health Nurse and approved by the NFP Nurse Manager.
  • 75 Arco gift cards with a $25 value, totaling $1,875. Each client may receive a gift card per program phase (Pregnancy, Infancy and Toddlerhood), and must be presented at case conference or 1:1 supervision meeting and approved by NFP Nurse Manager.
In addition, the Nurse-Family Partnership (NFP) Program (5799) is funded by the Maternal, Infant, and Early Childhood Home Visiting (MIECHV), American Rescue Plan Act (ARPA) funding. This funding is to be used solely for the purpose of supporting CHVP MIECHV-funded home visiting programs, including staff supported by CHVP MIECHV funds and participants enrolled in CHVP MIECHV-funded Nurse-Family Partnership (NFP) home visiting models. Client assistance to include the following gift cards:
  • 693 Walmart gift cards with a $200 value, totaling $138,600. Eligibility criteria: As designated by the American Rescue Plan (California Home Visiting Program, California Department of Public Health), funds can be used toward providing prepaid grocery cards to Maternal Infant Early Childhood Home Visiting (MIECHV) NFP clients for the purpose of meeting the emergency needs of the family. Each client will receive 1 card upon completion of program family assessment timepoint periods: 1) 5-7th pregnancy encounter, 2) 36th week gestational age encounter, 3) infant birth encounter, 4) infant 6 month encounter, 5) toddler 3rd visit encounter, 6) toddler 18 month encounter, 7) toddler 24 month encounter.
  • 400 Walmart gift cards with a $25 value, totaling $10,000. Eligibility criteria: 1) each NFP client will receive 1 card as a welcome gift upon enrollment, 2) each eligible client will receive a card at 6 month breastfeeding continuation, 3) each client will receive a card at program completion (≥ 2 years), and 4) clients can receive 1 card if they express an emergency need. Must be presented at case conference or 1:1 supervision meeting by Public Health Nurse and approved by NFP Nurse Manager.
  • 360 Arco gift cards with a $25 value, totaling $9,000. Eligibility criteria: Client can receive 1 card per program phase (Pregnancy, Infancy and Toddlerhood) if they express an emergency need. Must be presented at case conference or 1:1 supervision meeting by Public Health Nurse and approved by NFP Nurse Manager.
The NFP CalWORKS Home Visiting Initiative Programs (5831) in partnership with Employment and Human Services Department Workforce Services Bureau aims to address the unmet needs for home visiting/parenting services of CalWORKs population. Client assistance to include the following gift cards:
  • 400 Walmart gift cards with a $25 value, totaling $10,000. Eligibility criteria: 1) each NFP client will receive 1 card as a welcome gift upon enrollment, 2) each eligible client will receive a card at 6 month breastfeeding continuation, 3) each client will receive a card at program completion (≥ 2 years), and 4) clients can receive 1 card if they express an emergency need. Must be presented at case conference or 1:1 supervision meeting by Public Health Nurse and approved by NFP Nurse Manager.
  • 300 Target gift cards with a $25 value, totaling $7,500. Eligibility criteria: Clients can receive 1 card during each program phase (Pregnancy, Infancy, Toddler) if they express an emergency need. Must be presented at case conference or 1:1 supervision meeting by Public Health Nurse and approved by NFP Nurse Manager.
  • 150 Arco gift cards with a $25 value, totaling $3,750. Eligibility criteria: Each client can receive 1 card per program phase (Pregnancy, Infancy and Toddlerhood). Must be presented at case conference or 1:1 supervision meeting by Public Health Nurse and approved by NFP Nurse Manager.
The California Home Visiting (5793) State General Expansion Funding to be utilized solely for the purpose of implementing or expanding Nurse-Family Partnership Home Visiting Programs. Client assistance to include the following gift cards:
  • 350 Walmart gift cards with a $25 value, totaling $8,750. Eligibility criteria: 1) each NFP client will receive 1 card as a welcome gift upon enrollment, 2) each eligible client will receive a card at 6 month breastfeeding continuation, 3) each client will receive a card at program completion (≥ 2 years), and 4) clients can receive 1 card if they express an emergency need. Must be presented at case conference or 1:1 supervision meeting by Public Health Nurse and approved by the NFP Nurse Manager.
  • 130 Arco gift cards with a $25 value, totaling $3,250. Eligibility criteria: Each client can receive 1 card per program phase (Pregnancy, Infancy and Toddlerhood). Must be presented at case conference or 1:1 supervision meeting and approved by NFP Nurse Manager.
The Perinatal Equity Initiative (PEI) (5844) aims to improve birth outcomes in the African American communities and was established with the passage of California State Legislature’s AB 1810. Contra Costa Health Services - Family, Maternal & Child Health (FMCH) Program has been funded to accomplish planned community developments which includes developing a fatherhood program to support fathers and families in the African American community and improve birth outcomes and early childhood development. Support is also available to develop a community-based doula program providing prenatal, birth and postpartum one-to-one support for black women. Client assistance to include the following gift cards:
  • 200 Target gift cards with a $25 value, totaling $5,000. Plan and/or eligibility criteria: 1) each PEI community member will receive 1 Target voucher as a support for their family during the perinatal period and to encourage engagement in the PEI Community Advisory Board. Each community member receives a card for attending and actively participating in the quarterly meetings, required by CDPH/MCAH.
  • 32 Food Maxx gift cards with a $50 value, totaling $1,600. Eligibility criteria: Participants can receive food & transportation assistance if they express an emergency need to the PEI Coordinator. Must be presented at PEI Monthly Team meetings by assigned service provider of doula or fatherhood program, and approved by PEI coordinator, as funds of last resort, to assist with hardship regarding food insecure families and transportation needs to essential health and social services.
  • 100 Arco gift cards with a $50 value, totaling $5,000. Eligibility criteria: Participant can receive I card if they express an emergency need to attend Community Advisory Board quarterly meetings. Must be approved by PEI coordinator, as funds of last resort.

CONSEQUENCE OF NEGATIVE ACTION:

If this request is not approved, the department will not be able to utilize funding specifically allocated for food, emergency assistance and transportation needs of clients. The inability to provide these financial supports may negatively impact the health and well-being of vulnerable women and their children living in our County.

CHILDREN'S IMPACT STATEMENT:

Family, Maternal, and Child Health Programs achieve all 5 Children's Impact Statements: Children Ready for and Succeeding in School; Children and Youth Healthy and Preparing for Productive Adulthood; Families that are Economically Self Sufficient; Families that are Safe, Stable and Nurturing; and Communities that are Safe and Provide a High Quality of Life for Children and Families.

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