Human Services Agency: Economic Self Sufficiency (7220P and 7210P)

Program Outcome Statement

Provide public assistance services to low-income individuals and families, access to nutritional assistance, and enrollment into health insurance benefits for San Mateo County residents.

Program Services

The Economic Self Sufficiency (ESS) branch provides core, essential safety net services to individuals and families in San Mateo County. Services include the following:
  • Health insurance enrollment through the Affordable Care Act (ACA)
  • Nutritional assistance through CalFresh
  • Supplemental cash assistance to eligible families with children through CalWORKs
  • Temporary cash assistance to eligible individuals and families without children through General Assistance and cash assistance to legal immigrants through the CAPI program


The Economic Self Sufficiency branch of the Agency is responsible for providing timely eligibility determination of all public assistance programs. ESS manages the health insurance enrollment under the Affordable Care Act and provides health insurance access to thousands of residents in San Mateo County. The ESS branch offers direct client services at five regional offices across the County and operates a call center to assist clients over the phone.
  • Over 131,000 individuals receive health insurance benefits through Medi-Cal and more than 26,000 individuals have access to CalFresh nutritional assistance.
  • Over 1,500 families with little or no income currently receiving cash assistance through the CalWORKs program.
  • Over 500 individuals are receiving general assistance to help meet basic needs of food, housing, utilities, and other necessary living expenses.

Percent of Public Assistance Applications Processed Within State Standards for Timeliness is increasing

Percent of Residents Receiving CalFresh Benefits from Total Estimated Population Below 125% of the Poverty is decreasing

Annual Cost Per Client Managed for Public Assistance Program Eligibility meets target

FY 2018-19 Mid-Year Story Behind Performance

Percent of Public Assistance Applications Processed within State Standards for Timeliness

In four of five program areas, HSA is projected to exceed the State standard of 90% application timeliness. Medi-Cal application processing timeliness is 3% below the target. ESS continues to seek efficiencies and proactively shifted resources prior to Medi-Cal Open Enrollment to mitigate the impacts of high volumes of applications.

Percent of Residents Receiving CalFresh Benefits from Total Estimated Population Below 125% of the Poverty Limit

The percent of residents receiving nutritional assistance through CalFresh is estimated at 36%. ESS will continue to focus on fighting food insecurity in our community and is currently developing a new CalFresh Outreach Plan to expand and enhance current efforts, this will include the Mobile Outreach Vehicle.

Cost per Client Managed for Public Assistance Program Eligibility

The estimated Cost per Client in FY 2018-19 is $450, which meets the target.

Future Priorities

  • Continue utilizing Quality Assurance to reduce program error rates, focus staff training, and achieve Federal and State application timeliness
  • Implementing CalFresh community outreach (specifically targeting Supplemental Security Income (SSI) recipients) and utilizing the Mobile Outreach Vehicle
Author: Deanna Abrahamian,                                  Contact Email:               Last Updated: 01-25-2019  
Director of Economic Self Sufficiency