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3 <br /> 1 Travis Myren said yes. He referred to the contracted services on slide 3, where New <br /> 2 Destinations is the housing program. He said there is an on site program manager there to <br /> 3 insure bills are paid and utilities current. <br /> 4 Rick Bruton from Cardinal Innovation said rates have been renegotiated with the <br /> 5 existing provider, who will now remain and continue to provide services. <br /> 6 Chair Dorosin asked if the enhanced rate means that Cardinal Innovations is going to <br /> 7 pay providers more in order to keep the facilities open. <br /> 8 Rick Bruton said yes. <br /> 9 Chair Dorosin referred to the first slide - contracted services -where there are two <br /> 10 Department of Social Services (DSS) line items at the bottom. He asked if these services are <br /> 11 paid to DSS and then contracted out, or if these services are in-house. <br /> 12 Travis Myren said these are contracted providers through Cardinal Innovations, but <br /> 13 serving DSS clients. <br /> 14 Nancy Coston, DSS Director, said these services may or may be contracted through <br /> 15 Cardinal Innovations. She said the goal is to find the best fit to provide these needed services, <br /> 16 and it is still a work in progress. <br /> 17 Commissioner Price asked if there could be clarification provided regarding allocation <br /> 18 from the University of North Carolina (UNC). <br /> 19 Travis Myren said those were funds that were going to the hospital for services <br /> 20 provided in the emergency room. He said these services will still be provided, but written off as <br /> 21 bad debt if a patient is unable to pay, rather than using MOU funds. <br /> 22 Commissioner Price asked if there is a cap that the hospital will accept. <br /> 23 Travis Myren said no. <br /> 24 Commissioner Burroughs referred to the behavioral health study and asked from where <br /> 25 it was generated. <br /> 26 Dorothy Cilenti, Interim Health Director, said the Health Department originally requested <br /> 27 a physician in its budget, but decided on a consultant first in order to determine how best to <br /> 28 serve children in the school systems. <br /> 29 Travis Myren resumed the PowerPoint presentation: <br /> 30 <br /> 31 • Child Support Services, Pg. 95 <br /> 32 • Total expenditure budget - $1,062,393 <br /> 33 • No significant budget changes <br /> 34 <br /> 35 Commissioner Rich asked if page 96 could be further explained. <br /> 36 Erica Bryant, Deputy Director of Child Support, said the collected monies go to the <br /> 37 families, unless they are receiving Temporary Assistance to Needy Families (TANF), in which <br /> 38 case the funds go to reimburse the State. She said the statement on page 96 meant that, <br /> 39 during the recession, many obligations were reduced to a lower amount; and many families <br /> 40 have not recovered since then, and the obligations remain lower than they should be. <br /> 41 Commissioner Rich asked if the levels have come back up since recession. <br /> 42 Erica Bryant said the money is given to the families successfully, and the number of <br /> 43 support collections has steadily increased; but the amount due has remained low. She said in <br /> 44 very recent months, some obligations have begun to rise again, but this is not happening <br /> 45 across the board. <br /> 46 Travis Myren resumed the PowerPoint presentation: <br /> 47 <br /> 48 • Health Department, Pg. 362 <br /> 49 • Total expenditure budget - $9,854,522 <br />