Agenda - 03-06-1996 - IX-B - Laserfiche WebLink

Browse Search

1 2 The attached letter of February 19, 1996, commits the Department of Family Medicine to cover the ' daily operating expenses for the position including telephone, office space, basic supplies and computer support without a claim on the revenue unless a year end review shows a surplus of revenue over health department expenses. It is appropriate for the OCHD to provide this service for the following reasons: 1. The service fits within the priorities we have set for reducing poor pregnancy outcomes such as low birth weight, prenatal and infant mortality. This has been the number one or two priority in our last three community diagnoses. 2. We have developed expertise in the area of case management and outreach services. 3. We have a similar arrangement with UNC Hospitals prenatal clinic through which we have outstationed a maternity care coordinator to provide MCC services. The grant from DEHNR provides up front funding of$12,500 to allow an MCC to be paid while the caseload builds up and the Medicaid reimbursement begins to flow. The attached revenue and expense analysis demonstrates that the projected monthly Medicaid revenue is expected to cover the cost of a social worker at grade 67, step 3B. The up front funding will give us time to generate revenue at a level sufficient to support the position. Therefore, no county funds are requested to supplement the grant and the revenues. The Department of Family Medicine has asked for a one year commitment to test the feasibility of this arrangement. Therefore, we are requesting a permanent time-limited position for one year, the continuation of which will be contingent upon the Medicaid revenue projections being realized and the Department of Family Medicine being willing to continue the partnership. Recommendation: The Manager recommends: 1. That the grant of$12,500 be accepted and the contract amendment with DEHNR be authorized for signature. 2. That the Health Department be authorized to enter into an agreement with the UNC Department of Family Medicine to provide MCC services to their prenatal clients for a trial period of one year the continuation of which is contingent upon a review of the first year's experience. In concurrence with the request of Family Medicine in their letter of January 29, 1996. 3. In concurrence with the request of Family Medicine in their letter of January 29, 1996, that a permanent, time-limited position be approved for a period of 12 months commencing with the date of hire which is projected to be on or about May 1, 1996, to be reviewed as to outcome effectiveness financial feasibility before it is renewed.