To: Charles Winfrey, Human Services Committee Chairperson
From: Michelle Estell, MSA, RS, Health Officer
title
RE: Approval of a contract extension and an amendment with Mott Children’s Health Center for the Kindergarten Oral Health Assessment (KOHA) Program for fiscal year 2027
recommendation
BOARD ACTION REQUESTED:
Approval of an amendment to the contract with Mott Children's Health Center (MCHC) to extend the contract for fiscal year 2027 (October 1, 2026, through September 30, 2027), revise the associated budget, and update program requirements in accordance with Michigan Department of Health and Human Services (MDHHS) guidance.
BACKGROUND:
The Michigan Public Health Code requires that all children entering kindergarten have an oral health assessment prior to starting school [MCL 333.9316]. The Public Health Code also requires that the Michigan Department of Health and Human Services (MDHHS) establish and maintain a dental oral health assessment program in each area of the state served by a local health department (LHD). To accomplish this, MDHHS funds LHDs to conduct oral health assessments. The Genesee County Health Department has contracted with Mott Children's Health Center (MCHC) to provide these services since the KOHA program's inception in 2023. MCHC is a trusted community resource with dental expertise and professional staff in place to go into all local schools and provide oral health screenings free of charge to local families.
DISCUSSION:
The current contract with MCHC runs through September 30, 2026. The proposed amendment extends the contract for fiscal year 2027, covering the period of October 1, 2026, through September 30, 2027, at a cost not to exceed $66,509.00. The amendment also updates KOHA program requirements to reflect current MDHHS guidance. No additional county appropriation is needed.
IMPACT ON HUMAN RESOURCES:
There is no anticipated impact on human resources related to this request.
IMPACT ON BUDGET:
Costs for this contract are budgeted in FY26-27 from account 2211-607.02-801.000, and are not to exceed $66,509.00.
IMPACT ON FACILITIES:
There is no anticipated impact on facilities related to this request.
IMPACT ON TECHNOLOGY:
Standard forms of communication (email, phone, virtual meetings) will continue to be utilized to communicate with MCHC staff.
CONFORMITY TO COUNTY PRIORITIES:
The KOHA program contributes to a healthy, livable, and safe community by promoting early detection of dental issues, improving school readiness, and reducing health disparities. Expanding delivery service to the mobile health unit furthers equitable access to preventive care for children, particularly in underserved areas, while fostering trust and collaboration between public health, schools, and families.
resolution
TO THE HONORABLE CHAIRPERSON AND MEMBERS OF THE GENESEE COUNTY BOARD OF COMMISSIONERS, GENESEE COUNTY, MICHIGAN
LADIES AND GENTLEMEN:
BE IT RESOLVED, by this Board of County Commissioners of Genesee County, Michigan, that the request by the Health Officer to authorize amending the contract between Genesee County and Mott Children’s Health Center, said amendment being necessary to extend the contract for oral health assessment services for the period commencing October 1, 2026 through September 30, 2027, at a total cost not to exceed $66,509.00 to be paid from account 2211-607.02-801.000, and updating KOHA program requirements in accordance with MDHHS guidance, is approved (a copy of the memorandum request and supporting documentation being on file with the official records of the September 16, 2026 meeting of the Human Services Committee of this Board), and the Chairperson of this Board is authorized to execute the contract amendment on behalf of Genesee County.