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/ Me-n�- 3 <br /> �.swre North Carolina <br /> Department of Health and Human Services <br /> " Division of Public Health <br /> 1330 Sr-Mary's Street •1916 Mail Service.Center• Raleigh,North Carolina 27699-1916 •Courier 56-23-01 <br /> R David Bruton,M.D.,Secretary•Ann F.Wolfe,M.D.,M-P.H.,Direaor <br /> MEMORANDUM <br /> TO: Local Health Directors <br /> 49 Q <br /> _. FROM: Ann F.Wolfe,MD,MPH <br /> DATE: January 12,2000 <br /> RE: Medicaid Cost Settlement 1997-98 <br /> I am pleased that we are now able to electronically transmit to you this week Medicaid cost settlement funds <br /> for fiscal year 1997-98. The attached shows the reimbursement detail for your health department. <br /> These Medicaid reimbursement funds are required to be budgeted and expended to further the objectives of <br /> the program that generated the receipts. Consistent with this requirement,these Medicaid receipts may be <br /> held in reserve for future needs or expended for a variety of public health needs and activities,including but <br /> not limited to: <br /> expanding the provision of preventive and primary care services to uninsured and under-insured <br /> populations; <br /> expanding the provision of support services such as interpreter services,care coordination,hoine <br /> visiting and transportation; <br /> operating.expenses,including medical and laboratory supplies,in programs that generate Medicaid <br /> revenue; <br /> public information,outreach,and other population based services; <br /> capital improvement such as building construction,renovation and repair-if the capital expenditure <br /> would benefit public health programs other than programs that generated the Medicaid receipts,a <br /> simple cost allocation plan would need to be developed to assure that the Medicaid receipts are used <br /> in the program that generated the receipts-for example,if 80°/a 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 800/a of the cost of the new building, <br /> automation of clinical, fiscal and administrative operations,if there is a supple cost allocation plan for <br /> allocating costs appropriately to the programs that generated the Medicaid receipts; <br /> Any other reasonable public health expenditures,if there is a simple cost allocation plan for allocating <br /> costs appropriately to the programs that generated the Medicaid receipts. <br /> If you have any questions,please feel free to call Steven Gamer at 919-715-5265 or Dennis Harrington at <br /> 919-733-4981. <br /> cc:County Finance Officer Aft <br /> v..�.a..d.. ........ .. <br />