Agenda - 12-18-1990 - Laserfiche WebLink

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ORANGE COUNTY 1 BOARD OF COMMISSIONERS Action Agenda ACTION AGENDA ITEM ABSTRACT Item No, Meeting Date: December 1.9, 1990 SUBJECT: Maternal Care Coordination DEPARTMENT: HEALTH PUBLIC HEARING: Yes Y No ATTACHMENT(S): INFORMATION CONTACT; Maternity Care Coordination HEALTH DIRECTOR'S OFFICE X2412 Grant Application Instructions TELEPHONE NUMBER: for FY 90 -91 Hillsborough -'.32 -8151 Chapel Hill - 968 -4501 Mebane - 227 -2031 Durham - 688 -7331 PURPOSE: To provide maternity care coordination for at least one hundred fifty pre -natal patients receiving Medicaid covered services. BACKGROUND: The N. C. General Assembly has received Maternal Care Coordination systems in North Carolina which demonstratesuthatnthese services rendered for pre -natal patients have had an effect on reducing the infant mortality rate in North Carolina, Therefore, the legislature has allocated $500,000 for FY 90 -91 to create additional Maternal Care Coordination allocated to those health departments which apply on the basis lofGa demonstrated,wun1 e need. The funds are intended to be used as "working capital" to fund new Maternal Care Coordination positions for 3 1/2 months, allowing time for the Medicaid reimbursement to provide sufficient funds for the remainder of the year. The enclosed Maternity Care Coordination Grant Application Instructions includes a report of the number of women covered by Medicaid who delivered in Orange County. This report indicates that 194 women covered by Medicaid who delivered babies between July, 1989 through June, 1990 received no care coordination. This number is in excess of the rninimum number required for a full time maternal care coordination position. Executive Director of the Orange Chatham Comprehensive Service (OCCHS), Moses has indicated that they do not intend to apply for the funds for this has Jr., Likewise, the University Hospital's Department of OB /GYN is not intendingltooapply for this position. Therefore, these Orange Count patients Coordination unless the Health Department applies for thesel funds Yandipr Maternal Care ovies services. Therefore, the Orange County Health Department is seeking authorization1from the Board of Commissioners to apply for the above - mentioned funds and to establish a Social Worker position. The State grant and anticipated Medicaid revenue would more than cover the cost of the position. Therefore, no County funds will be required for this position. The Board of Health is reviewing this proposal at its meeting of December 5, 1990. Upon its approval, an application will be submitted to the State Division of Maternal and Child Health in order to meet the December 14 deadline. However, the application will be made contingent upon approval by the Orange County Board of Commissioners at its neeting on December 18, 1990, RECOMMENDATION(S): Endorse the Orange County Health Department's application for the Maternal Care Coordinator funds, approve the addition of a Maternal Care Coordination position, with continuation of the position contingent upon Medicaid revenue sufficient to cover the cost of the position; and authorize the signature of the Agency Director and the Agency Finance Officer on the statement of assurance which must accompany the application of funds.