ORD-2000-034 Budget Amendment #10

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2 Health Department 2. The Dental Health division of the Health Department has received an increase in Smart Start funding from the Orange County Partnership for Young Children. The additional $25,000 enables the department to provide dental educational activities and screenings to children at daycare facilities throughout the County. Last year more than 1,900 children received through this program. The attached Smart Start Grant Project Ordinance (attachment 2 of this abstract) provides for this program. 3. The Health Department recently received their allocation of Medicaid maximization funds from the State totaling $89,342. As required by the federal government since 1994, each state "sets aside" a portion of annual Medicaid earnings as a contingency to avoid over expenditures. The funds are referred to as "federal cost settlement funds". Should the federal government not need to use the withheld funds, it reimburses the funds to the State on an annual basis. There are several requirements regarding use of the funds: • Funds are required to be budgeted and expended to further the objectives of the program that generated the receipts; • Funds may be expended for a variety of public health needs and activities or they may be held in reserve.for future needs of the department; • Funds are not to replace current budget allocations for these program areas. The attached memorandum from the Division of Public Health outlines the guidelines (attachment 3). With the most recent allocation from the State, the department has received almost $325,000 in Medicaid maximization reimbursements. The department plans to use these funds for non- recurring items and give priority to replacing older equipment, meeting OSHA requirements, and possibly redesigning clinical space. Attachment 4 of this abstract, Health Department Medicaid Maximization Capital Project Ordinance, provides for the receipt of the additional funds. No County dollars are required in order to receive these funds. Sheriff 4. The Sheriff's Department has received a grant from the Department of Justice to purchase bulletproof vests for its employees. The Department used the $6,000 grant to continue its vest replacement schedule and replace bulletproof vests for twelve of its employees. No county match is required for receipt of these funds. (see column 4, page 4 of this abstract) Outside Agencies 5. On April 17, 2000, the Board of Commissioners approved the receipt of additional Office of Juvenile Justice(OJJ) funds. The funds, totaling $9,185 will provide monies for the Orange/Chatham Intensive Services Program. This program assists youths between 10 and 17 years old';that have been referred from the Juvenile Court system in both counties. No County match is required for the receipt of these funds. Orange County receives the State funds and "passes them through" to the receiving agency. (See column 5, page 4 of this abstract). Miscellaneous Function 6. On April 11, 2000, the Board awarded a contract for professional services associated with the Student Generation Rates and Impact Fee Studies. The cost of the studies is not to exceed $53,400. Funding for the studies totaling $23,000 was included in the original 1999-00 budget. At the April 11 Board work session, the Commissioners approved an appropriation of$30,400 from their contingency account to cover the entire cost of the studies. (See column 6, page 4 of this abstract).