Agenda - 05-21-2013 - 5a - Laserfiche WebLink

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- - 4 1 Holistic view of family 2 New roles for staff 3 • In Orange County, this may result in the creation of resource rooms or other 4 building enhancements 5 6 What do we need to be successful? 7 • Flexibility to use funds for overtime and temporary staff 8 • Additional technology including increased bandwidth and upgrades 9 • Expedited reclassification and recruitment when vacancies occur 10 • Minor building enhancements 11 • Partnerships with other county departments and outside private and nonprofit 12 agencies 13 • Education of clients, providers, partner agencies, and policy makers about 14 possible transition issues 15 16 Nancy Coston said that, regardless of whether Medicaid was expanded or not (it 17 was not expanded in North Carolina) one of the requirements of the Affordable Care Act 18 is a seamless opportunity to apply for Medicaid/Subsidized Healthcare. In North 19 Carolina, this means DSS. She said this means that DSS must have a single way to 20 help people who are not eligible for Medicaid but might be eligible for one of the tax 21 subsidies. This interface is being built from the ground up. She said that DSS is 22 naturally where lower income (250%and below poverty level) folks will come. 23 She said the Affordable Care Act also requires that people be able to apply by 24 phone, in person, on the computer, or by mail. She said that all of this is pushing the 25 effort to get the conversion of NC FAST for Medicaid by October 1, as this is the date 26 Affordable Care Act Subsidies can be accepted. 27 She reviewed the coverage percentage graph on the second Affordable Care Act 28 slide. She said the biggest hole is for the adults without children who make less than 29 $12,000 per year. She said these peo |e are not picked up by Medicaid and cannot get 30 a subsidy because the law did not anticipate Medicaid not being expanded. 31 Commissioner Mckee asked what the option would be for these people. 32 Nancy Coston said that the Department of Health and Human Services will send 33 these people to rural health clinics, like Piedmont Health. 34 Commissioner Pelissier asked if maybe some of the people who will be able to 35 get insurance through the exohange, could go elsewhere so Piedmont Health could help 36 the people who won't get subsidized. 37 Nancy Coston said that is the hope, as this was all built to get more people 38 insured, which would mean less people would have to be covered. She noted however, 39 that Piedmont is a m jor recipient of Medicaid right now, and Piedmont says this is 40 necessary to maintain a business model that works. She said the official word is to 41 clean up Medicaid and then move forward. 42 She said that the people in the 100%to 200% poverty |eve), who do not have 43 health insurance, will get health insurance with a reasonable subsidy. This will be a new 44 insured group as most of these have chosen not to have insurance in the past. 45 Nancy Coston moved to the Work Support Strategies slides. She said this is a 46 philosophy based on what the families need. She said that there will be opportunities, 47 as NC FAST and EPass go live, to let people meet DSS wherever is most comfortable. 48 She said there are minor changes being looked at for next year, including putting 49 computers in the buildings that staff can use in teaching people about online resources. 50 This will help more people utilize that option and free up staff to spend more time with 51 the seniors and others who need the one on onetime. She said that entering