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2 <br />PBH. Applications must be received by May 20 2011. Following continued assessment by <br />OPC management with extensive discussion by the OPC Board, the vote was unanimous to <br />seek authorization from the three boards of county commissioners to re-engage in negotiations <br />to merge with PBH. <br />On April 18, 2011 the Person County Board of Commissioners and the Chatham County Board <br />of Commissioners each reviewed and approved the OPC Board recommendation to pursue <br />negotiations to merge with PBH. <br />The Orange County Board of Commissioners received an updated report from OPC LME <br />Director Judy Truitt in work session on May 10th. Ms. Truitt provided a summary of events and <br />responded to questions. Note that OPC, along with the Five County and Alamance-Caswell <br />LMEs are each petitioning the State to merge with PBH. Their addition, if approved by their <br />boards of county commissioners and subsequently the State, would enable PBH to encompass <br />a total population of 1,390,224, with 193,391 Medicaid eligible individuals (3 years of age and <br />older). Below is the specific breakdown of each county within the proposed expansion of PBH: <br />PBH member counties: Cabarrus, Davidson, Rowan, Stanly & Union <br />Total population: 744,402 (including birth to 3) 714,749 (excluding birth to 3) <br />Medicaid eligible individuals: 96,558 (excluding birth to 3) <br />Five County member counties: Vance, Franklin, Warren, Granville & Halifax <br />Total population: 236,449 (including birth to 3) 227,760 (excluding birth to 3) <br />Medicaid eligible individuals: 48,831 (excluding birth to 3) <br />Alamance Caswell member counties: Alamance & Caswell <br />Total population: 173,713 (including birth to 3) 167,138 (excluding birth to 3) <br />Medicaid eligible individuals: 25,630 (excluding birth to 3) <br />OPC member counties: Orange, Person & Chatham <br />Total population: 235,660 (including birth to 3) 227,963 (excluding birth to 3) <br />Medicaid eligible individuals: 22,372 (excluding birth to 3) <br />Attachment A provides a summary update from OPC including DHHS parameters guiding <br />waiver expansion and working partnerships. Attachment B is a Frequently Asked Questions <br />document on the possibility of OPC joining PBH. Attachment C outlines additional steps <br />underway by OPC to inform and involve consumers, families and community at-large on merger <br />potential <br />FINANCIAL IMPACT: There is no financial impact associated with authorizing formal merger <br />negotiations between OPC and PBH. <br />RECOMMENDATION(S): The Manager recommends the Board authorize merger negotiations <br />between OPC and PBH in accordance with State sanctioned 1915 (b) (c) Medicaid waiver <br />expansion. <br />