Agenda - 04-05-2016 - 5-a - Orange County's Proposed 2016 Legislative Agenda

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Health & Human Services Goals & Guiding Principles HH-8: Seek legislation to require the NC Dept. of Health & Human Services to adjust the current accounting, report- ing and expenditure requirements to allow counties to real- ize the full benefits from consolidation efforts as outlined in HB438. • In 2012, the Legislature gave all counties the option to con- solidate boards of social services and health, and consoli- date agencies to manage human service delivery. Twenty- two counties have initiated some form of consolidation. • To realize the full efficiencies afforded under consolidation, the traditional state oversight and funding processes must be modified to accommodate local organization improve- ments. HH-9: Advocate for implementation of statewide case man- agement system(s) for both Child Welfare and Adult Protec- tive Services. • North Carolina is one of eight states with a county-adminis- tered, state-oversight system of social services. North Caro- lina is the only state where the county is responsible for the full, non-federal share of income maintenance administrative costs. Since the state has had no incentives to build effi- ciencies, productivity tools have been limited to county-built stand-alone systems or through cumbersome mainframe ap- plications. • NCFAST, the state's comprehensive new case management system for counties, is expected to build out case manage- ment capabilities for child welfare and adult services. HH-10: Oppose legislation that would weaken county man- agement of nonemergency Medicaid transport. • North Carolina counties sponsor a coordinated human ser- vices transportation network, serving veterans, elderly citi- zens, children in daycare, and Medicaid recipients within the 2015 Legislative Goals 18 North Carolina Association of County Commissioners