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molinmEN=11 <br /> ORANGE COUNTY <br /> BOARD OF COMMISSIONERS 008 <br /> Action Agenda <br /> Item <br /> ACTION AGENDA ITEM ABSTRACT <br /> Meeting Date: November 17, 1987 <br /> SUBJECT: Expanded Public Assistance Programs <br /> DEPARTMENT: Social Services PUBLIC HEARING Yes X No <br /> 711 <br /> 7AICIMENT(S): <br /> INFORMATION CONTACT: <br /> Martha Pryor-Cook <br /> TELEPHONE NUMBER: <br /> NONE <br /> Hillsborough - 732-8181 <br /> Chapel Hill - 968-4501 <br /> Mebane - 227-2031 <br /> Durham - 688-7331 <br /> PURPOSE: To authorize creation of two Eligibility Specialist I positions that are <br /> needed. to implement a mandated expansion in the Medicaid and AFDC public assistance <br /> programs. <br /> BACKGROUND: New legislation enacted by the 1987 session of the North Carolina General <br /> Assembly extends Medicaid and AFDC coverage to additional groups. Effective October 1, <br /> 1987, Medicaid covers pregnant women and children under age two, whose family income is <br /> equal to or less than 100% of the federal poverty guidelines. Effective January 1, 1988, <br /> coverage is extended to person who are 19, 20, and 21 years old, in accordance with <br /> federal rules and regulations; and to certain intact families when the head of household <br /> is unemployed. These intact families will also be eligible to receive AFDC-Unemployed <br /> Parent benefits. By March 1 , 1988, qualified health care providers may make initial <br /> eligibility determination for poor pregnant women prior to referring them to the <br /> department of social services for the application process. <br /> Two additional eligibility workers will be needed to implement these program expansions. <br /> In recognition of this need for administrative support, the General Assembly appropriated <br /> 1.5 million for each year in the 1987 - 89 Biennium for public assistance administration. <br /> Orange County's share of these funds is $9,004.00 to match an equal amount of federal <br /> funds for a total of $18,008.00. <br /> Two eligibility workers can be employed by the department, effective January 1, 1988, at a <br /> cost of $20,080.95. The cost to the county will be $1,036.48 which is available within <br /> the agency's existing budget. <br /> RECOMMENIDATION: Authorize the creation of two Eligibility Specialift I positions <br /> effective January 1, 1988. , s <br />