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-11.. <br />1 <br />ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />Action Agenda <br />�� <br />ACTION AGENDA ITEM ABSTRACT Item No. <br />Meeting Date: November 20, 1990 <br />SUBJECT: Child Service Coordination Program <br />------------ - - - - -- ____ <br />DEPARTMENT: HEALTH -- PERSONAL PUBLIC HEARING. Yes X No <br />HEALTH DIVISION — -- <br />-------------------------------------------�---- <br />TTACHMENT(S): -- ________ <br />A <br />(1) Memo regarding Medicaid Billing <br />(2) Memo regarding Allocation for <br />Child Service Coordination <br />(3) Child Service Coordination Agreement <br />(4) Local Health Department Budget <br />Revision <br />(5) Brief Description of New Positions <br />Requested <br />(6) Proposed Budget Ordinance Amendment <br />INFORMATION CONTACT: <br />HEALTH DIRECTOR'S OFFICE X2412 <br />TELEPHONE NUMBER: <br />Hillsborough - 732 -8181 <br />Chapel Hill - 968 -4501 <br />Mebane - 227 -2031 <br />Durham - 688 --7331 <br />PURPOSE: To provide child service coordination for High- Priority <br />Infants of the Child Health Program. <br />BACXGROUND: In the original, proposed 1990 -91 budget, the second <br />highest priority need for the Health Department was to improve our <br />ability to provide mandated home visits for the High - Priority Infant <br />clients of the Child Health Program. During budget discussions, we <br />placed the maternal health needs higher, partly because it appeared <br />that additional State funding was going to be made available for the <br />Child Health Program. <br />The Legislature has approved a one -time use of $14,427 in federal block <br />grant funds to start a child service coordination program. Medicaid <br />officials have agreed to provide continued funding through a <br />reimbursement process. Careful and conservative calculations of <br />caseload and potential revenue has resulted in a realistic expectation <br />that the program will be self- supporting. Therefore, County funds <br />should not be needed to support this effort. The attached budget <br />ordinance amendment would authorize the program, recognize anticipated <br />grant revenue of $14,427 and Medicaid reimbursement of $12,600, and <br />appropriate funding for the program in the amount of $27,027 for the <br />remainder of FY 1990 -91. Total program expenses for FY 1990 -91 are <br />projected at $23,527. <br />A task analysis revealed that the existing nursing staff could provide <br />the home visits if the case management and clerical duties could be <br />