TITLE
title
CONTRACT WITH ARO COMMUNITY SERVICES INC. FOR IN-HOME AIDE SERVICES
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SPONSOR
sponsor
Sharon Barlow
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BACKGROUND
background
This contract addendum is an In-Home Aide (IHA) services contract between Guilford County and ARO Community Services. The contract and funding/case management is needed to support aged and disabled adults in Guilford County who are vulnerable and at risk for premature placement into a long-term care living situation due to their inability to perform their own personal care needs.
In the event that this In-Home Aid contract is not granted the economic impact would be significant; ranging from the possibility of lost wages for caregivers in order to keep their family member at home, increased costs for long term placement (Medicaid), and it would increase the likelihood of Adult Protective Services reports made to Guilford County. Currently there are 376 individuals waiting for IHA services. The average waiting period for services is 24 - 48 months.
Is the cost reasonable?
Yes. The cost of providing 8 hours per week of In-Home Aide assistance is $720.00 per month, which is a savings of $462.00 per month when comparing the cost to placing an individual in an assisted living facility. The Medicaid rate for an individual in a facility is $1182.00 per month. Providing community based In-Home Aide services saves both the County and State money.
How much was spent last year? Do we need the same amount? (Justification for the amount/increase)
At the beginning of this fiscal year, ARO Community Services Inc 2021-22 contract was $178,481. There is need to increase the contract to $220,000 due to an increase in the number of clients served by this agency.
Is this service mandated?
Yes. According to the NC Social Services Commission, it is mandated that In-Home Aide services shall be provided in every county (10NCAC42H) (10NCAC43L.0207).
How many consumers served last year?
Guilford County Department of Health and Human Services Division of Social Services provided in home aide services for over 274 participants in FY 2020-2021 with Home and Community Care Block Grant (HCCBG) and Social Services Block Grant (SSBG) funding.
The contract amount is $220,000. This amount consists of $189,000 in Federal funds (HCCBG), $8,750 in State funds (SSBG) and $22,250 in County funding.
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BUDGET IMPACT
budget impact
NO ADDITIONAL COUNTY FUNDS REQUIRED
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REQUESTED ACTION
requested action
Approve (Price Only) contract addendum, in substantial form, with ARO Community Services Inc. for in-home aide services, in the amount of $220,000 to be effective May 1, 2022 through June 30, 2022.
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