Minutes - 10-17-2000 - Laserfiche WebLink

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The Board considered a petition from the North Carolina Department of Transportation for abandonment of Virginia Cates Road in Hillsborough Township from the State-maintained Secondary Road System. Commissioner Jacobs said that the several times he has been to the Occoneechee Mountain, there have been people fishing in the pond that is on Virginia Cates Road, and he asked about the park's policy on access to the pond. Craig Benedict said that he would investigate this further. The primary reason for the closing of the road is to be able to cut off public access to the park after hours. A motion was made by Commissioner Jacobs, seconded by Commissioner Halkiotis to approve a petition from the North Carolina Department of Transportation for abandonment of Virginia Cates Road in Hillsborough Township from the State-maintained Secondary Road System. VOTE: UNANIMOUS e. Dental Clinical Fees Increases The Board considered approving dental clinical fee increases for certain procedures. Commissioner Brown asked about the services offered in the dental clinic and who uses the program. Health Director Rosemary Summers said that the dental clinic can be used by anyone in the County. One of the clinics is in Carr Mill Mall in Carrboro and the other one is in Hillsborough at the Health Department. The clear focus is on the Medicaid population and people who cannot access dental services otherwise. Most of the patients are children, although adults are taken on an emergency basis. Only three percent of the current patient load is full pay patients. The clinics serve about 15% of the children that are on Medicaid. The rest of the children that are on Medicaid are served by Piedmont Health Services and by the dental school. There are now three private providers that take Medicaid children in Orange County. Commissioner Brown asked about the fee increases and Rosemary Summers said that the State Medicaid program was restructuring the way it provides reimbursement. In the past, one flat fee was received for a package of services every time a Medicaid client came in. Now, each individual service will have to be billed separately. The reimbursement rate is somewhat lower, depending on the services received. A motion was made by Commissioner Brown, seconded by Commissioner Gordon to adopt the dental clinic fee schedule as presented. VOTE: UNANIMOUS 9. ITEMS FOR DECISION -REGULAR AGENDA a. Policy on Planning and Funding School Capital Projects The Board considered adopting a policy on planning and funding school capital projects. John Link summarized this agenda item. He said that the draft in Attachment 1 is what the staff is proposing that the Board adopt. Attachment 3 is an effort to capture the concerns and ideas expressed by school superintendents and/or board members during the process. All parties have not agreed to Attachment 1, but it addresses a number of concerns raised by the school boards and staff since last March. Commissioner Brown made reference to page two, and the pre-planning phase, and providing money for design work before siting a facility. Budget Director Donna Dean said that the Chapel Hill-Carrboro City School Board has previously asked for up front money to plan and design a school. Commissioner Brown said that it concerns her that money would be given for design of a school when a site has not been identified. Chair Carey made reference to page 7, item #6 and the statement that, "School systems will not expend or encumber for planning of any project until the Board of County Commissioners has approved the plan concept." He said that this statement assumes that the Board has to approve a certain amount of money for the basic planning before the concept plan is done. Commissioner Brown would like to define specifically what one would spend money for, when it would be spent, and how much.