Orange County NC Website
ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: December 15, 1998 <br />Action Agenda <br />Item No. g- rn <br />SUBJECT: Medicaid Maximization Funds <br />DEPARTMENT: Health PUBLIC HEARING: (Y/1~ <br />BUDGET AMENDMENT: (Y/1~ <br />ATTACHMENT(S): <br />Letter(s) from NC Department of Health and <br />Human Services <br />INFORMATION CONTACT: <br />Rosemary L. Summers, Health Director <br />Extension 2412 <br />Allocation Plan <br />TELEPHONE NUMBERS: <br />Hillsborough 732-8181 <br />Chapel Hill 968-4501 <br />Durham 688-7331 <br />Mebane 227-2031 <br />PURPOSE: To accept the Medicaid maximization funds allocated to Orange County for the period <br />October 1994-September 1997. <br />BACKGROUND: Beginning in 1994, the federal government required each state to "set aside" a <br />portion of annual Medicaid earnings as a potential cushion against overspending those funds. Since <br />that time, the federal government has not used all of the withheld funds . Last yeaz, Orange County <br />received a portion of the federal cost settlement funds for fiscal yeaz 1994-95. Those funds were <br />used to purchase equipment and furnishings for the Health Department offices and clinics at <br />Southern Human Services Center. <br />The allocation recently received by the Health Department includes the remainder of 1994-95 and <br />full year reimbursements for federal fiscal years 1995-96 and 1996-97. These funds aze re-allocated <br />based on Medicaid earnings for the year and aze very dependent on federal and state Medicaid <br />performance. <br />As with all Medicaid reimbursement, the funds aze required to be budgeted and expended to fiuther <br />the objectives of the program that generated the receipts. Funds may be expended for a variety of <br />public health needs and activities or they may be held in reserve for future needs of the department. <br />The memoranda from the State on page 4 of this abstract provides information related to the <br />expenditure of these funds. The funds aze not to replace current budget allocations for these <br />program azeas. The total amount of funds allocated to the Orange County Health Department for <br />the period October 1994 -September 1997 is $235,481. <br />A proposed spending plan is included on page 3 of this abstract. The proposal includes expending <br />funds for non-recurring items. Priority has been given to replacing older equipment, meeting <br />OSHA requirements, and possibly redesigning clinical space. <br />