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37 <br /> Health & Human Services Goals & Guiding Principles <br /> • North Carolina was the last state requiring county financial <br /> participation in all Medicaid services and in 2007, the Gen- <br /> eral Assembly phased out the county funding participation in <br /> exchange for assuming 1/2 cent county sales tax. Counties <br /> continue to pay for Medicaid eligibility process and local pro- <br /> gram administration. <br /> HH-2: Support the current model of public mental health ad- <br /> ministration, ensure adequate state funding for services and <br /> facilities at the local level, and structure appropriate county <br /> participation in governance. <br /> • The state is restructuring community mental health servic- <br /> es, converting existing local management entities into man- <br /> aged care organizations charged with overseeing a capitated <br /> funding model. The state has maintained these new struc- <br /> tures within the public arena administered and controlled by <br /> public agencies. <br /> • State and federal policy changes have reduced statewide <br /> resources to support crisis services, mental health manage- <br /> ment, and psychiatric hospital capacity, and the state is con- <br /> sidering several models of care and administration moving <br /> forward in its Medicaid reform efforts. <br /> • Counties seek a continued constructive voice in mental <br /> health policy and administration as partial funders of the <br /> public mental health system and as community representa- <br /> tives of mental health clients and their families. <br /> www.ncacc.org I (919) 715-2893 <br /> 15 <br />