at the november 8 meeting, there's a presentation by health homes done by chris frlannery. using the existing med-i-cal infrastructure, full implementation will occur on january 1, 2019. this is an intensive case management model that focuses on high-risk individuals. through case management for individuals with chronic care conditions, mental health conditions, putting them at higher risk for emergency utilization, the focus was to keep them out of the emergency rooms, having their care coordinated and providing health and well-being. also offers support to the families and the patients and referral resources. so we anticipate this will ol out through the health plan and they will be utilizing their health network. any questions? >> president serina: thank you. case report? okay. no old business. any new business? we will begin with item a, requesting authorizization to modify the existing grant agreement with self-help for the 'emmederly for the provision of adult daycare for older adults and adults with disabilities during the period july 1, 2016, through june, 30, 2019,