AXIS COMMUNITY HEALTH (#2024586)

Docusign Envelope ID: 561334F4-4433-43FE-A104-OE7BB8C651F2 Docusign Envelope ID: 6FB15333-3C4F-4E4D-9559-AA973F4B6F7C EXHIBIT A CITY OF PLEASANTON HOUSING & HUMAN SERVICES GRANT (HHSG) PROGRAM BETWEEN CITY OF PLEASANTON AND Axis Community Health JULY 1, 2025 THROUGH JUNE 30, 2025 Project No. 2024586 Enrollment Specialist The project to be undertaken by Axis Community Health shall involve: In 2024, more Californians need help enrolling in healthcare for the first time and re -enrolling in public health insurance due to the Medi-Cal redetermination process. There are two main challenges regarding healthcare insurance enrollment. Firstly, the Medi-Cal redetermination process may lead to individuals losing their healthcare coverage, requiring them to re -enroll in eligible insurance plans. Secondly, new rules permit enrollment for individuals previously ineligible for Medi-Cal. However, the enrollment process is intricate, posing difficulties for many to navigate independently, Our Enrollment Specialist can assist both groups by determining their eligible insurance options and guiding them through the enrollment process for public health insurance. During this grant period, Axis Community Health will provide services to at least 90 unduplicated Pleasanton clients. The project shall conform substantially to the scope of work described above. [However, the targets and service goals noted in the application may be adjusted proportionately to reflect a reduction in funding between the amount requested and the amount approved.] Any request to modify the scope of the project shall be submitted to the City of Pleasanton's HHSG administrator in the form of a letter. Requests shall be processed as follows: a) If the proposed change is in substantial conformance with the original project scope as determined by the City's HHSG program administrator, the change may be approved by City staff, b) If the proposed change is in partial conformance with the original project scope as determined by the City's HHSG program administrator, the change will be submitted for review and approval by the City's Human Services Commission and/or Housing Commission. c) If the proposed change is not in conformance with the original project scope as determined by the City's HHSG program administrator, the change will be submitted for review and approval by the City's Human Services Commission and/or Housing Commission and then submitted for approval by HUD in the form of a change to the Annual Action Plan. Page 7