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p ~ ~~ a~ <br />S~ <br />•~wa ~ ~~ <br />Ouw <br />North Carolina <br />Department of Health and Human Services <br />101 Blair Drive • Post Office Box 29526 • Raleigh, North Carolina 27626-0526 <br />(919) 733-4534 • Courier #56-20-00 <br />James B. Hunt Jr., Governor <br />July 13, 1998 <br />MEMORANDUM <br />TO: Local Health DirecQtor,.~ <br />FROM; Chris Hoke, J.D. W' <br />Deputy State Health Director <br />SUBJECT: Medicaid Cost Settlemem Reimbursement <br />4 <br />H. David Bruton, M.D., Secretary <br />I am pleased that we are now able to electronically transmit to you Wis week Medicaid cost settlement funds for <br />fiscal years 199495 (you previously retxived partial payment for 199495 -this completes payment for that year) <br />and fiscal year 1995-96. The attached shows the reimbursement detail for your health department. <br />These Medicaid reimbursement funds are required to be budgeted and expended to finther the objectives of the <br />program that generated the receipts. Consistent with this requirement, these Medicaid receipts may be held in <br />reserve for future needs or expended for a variety of public health needs and activities, including but not limited to: <br />expanding the provision of preventive and primary care services m uninsured andunder-insured <br />populations; <br />expanding the provision of support services such as interpreter services, care coordination, home <br />visiting and transportation; <br />Operating expenses, including medical and laboratory supplies, in programs that generate Medicaid <br />revenue; <br />public information, out<•esch, and other population based services; <br />Capital improvement such as building construction, renovation arld repair - if the capital expenditure <br />would benefit public health programs other than programs that generated the Medicaid receipts, a <br />simple cast allocation plan would need to be developed to assure that the Medicaid receipts are used in <br />the program that generated the receipts -for example, if 80°Yo of a new health department building <br />would house the child health program, Medicaid receipts from the child health program could be used <br />to cover 80% of the cost of the new building; <br />automation of clinical, fiscal and administrative operations, if there is a simple cost allocation plan for <br />allocating costs appropriately to the programs that generated the Medicaid receipts; <br />North Carolina.• Host of the 1999 Special Olympics World Summer Games <br />