Agenda - 03-19-1985 - Laserfiche WebLink

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a 0 . . • -,•,; - 117:: POTENTIAL INCREASE IN MEDICAID (AFDC) -STAFF The State Division of Social Services predicts increases in caseloads for Children's • Medicaid staff (AFDC). • .. . TREND:* • • . - 1 • . . . . • Liberalization of Medicaid policy to provide coverage for additional populations ' • by removing most eligibility requirements except financial need. i.• . BUDGET REQUEST -FOR 1985-86: We would like to alert the Commissioners to the potential need for an additional • . Eligibility Specialist I position. Predictions of caseload increases in the past have been unreliable, therefore, we feel it advisable to use the interven- ing months until June 1985 as an experience factor prior to requesting a :. • . position addition. 1 1 ' • JUSTIFICATION: . • The Medicaid Program has been revised to provide coverage to several new groups • of eligibles. This change is expected to have a significant impact on the client population and the manpower needs of the AFDC unit. The changes have • . extended coverage to: 1) Certain newborns . i 1 . , • . 2) Children in intact families when both1:parents are able-bodied • . • 3) Children living with non-specified relatives/adults 4) Children in private, non-profit adoption/child caring agencies . . I ' 5) -A larger number of pregnant women. 4 ' The State office has indicated in DMA Letter No 11-85 that Orange County's increased eligible population is estimated at approximately.350 persons. Such an increase in clients would require the addition of a full timeeligibility specialist, to the AFDC Unit. The changes were effective 1-1-85, so we have not had enough time to determine the long range impact. We should be able to do so and make staff recommendations be- fore the budget is finalized. I . V. INCREASE IN MILEAGE FOR PERSONAL VEHICLE USE 1 . 1 . The county fleet of vehicles is inadequate to meet staff demands for travel. Payment has not been adjusted since 1981. . . . . BUDGET REQUEST FOR 1985-86: - ' Increase mileage payment for personal vehicle use to- 25 per mile. . JUSTIFICATION: . • . . . During the fourth quarter of 1984 our agency had 48 employees who drove their personal vehicle on agency business. We have two full-time and two part-time vehicles assigned. The demand for motor pool vehicles is heavy and it is almost impossible to obtain one without notice of a week or more. The lack of automatic transmission vehicles eliminate use by some staff. . .,