Agenda - 03-23-2015 - Agenda - Laserfiche WebLink

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30 • North Carolina was the last state requiring county financial participation in all Medicaid services and in 2007, the Gen- eral Assembly phased out the county funding participation in exchange for assuming 1/2 cent county sales tax. Counties continue to pay for Medicaid eligibility process and local pro- gram administration. HH -2: Support the current model of public mental health ad- ministration, ensure adequate state funding for services and facilities at the local level, and structure appropriate county participation in governance. • The state is restructuring community mental health servic- es, converting existing local management entities into man- aged care organizations charged with overseeing a capitated funding model. The state has maintained these new struc- tures within the public arena administered and controlled by public agencies. • State and federal policy changes have reduced statewide resources to support crisis services, mental health manage- ment, and psychiatric hospital capacity, and the state is con- sidering several models of care and administration moving forward in its Medicaid reform efforts. • Counties seek a continued constructive voice in mental health policy and administration as partial funders of the public mental health system and as community representa- tives of mental health clients and their families.