Agenda - 12-18-1990 - Laserfiche WebLink

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- 3 As part of a $10.3 million initiative to reduce North Carolina's high infant mortality rate, the 1990 rene_1 Assembly appropriated $500,000 to the Division of Maternal and Child Health to increase the number of Medicaid recipients receiving maternity care coordination services. The appropriation will be used as seed funding for local health departments, comm=ty health centers, and other qualified providers to employ additional full -tire or -tine maternity care coordinators. It is anticipated that these positions will become self -- supporting through the generation of Medicaid earnings. In Fiscal Year 1989- -90, 40 percent of the 28,000 deliveries funded by Medicaid were to women who received care coordination services. With expansion of Baby Love Program benefits to pregnant wcu en up to 150% of poverty in January 1990, pregnant teenagers in April 1990 and pregnant women up to 185% of poverty in October 1990; it is estimated that the Medicaid Program will cover 35,000 deliveries per year - an increase of 25 %. • � Grants will provide approximately three and one -half months of salary and fringe benefits for additional maternity care coordination staff. Awards will be based upon $8,750 per full -time positi on. Prorated amounts will be awarded for part -time positions. Three and one -half months is the approximate amount of time needed to train a new maternity care coordinator and to generate the revenue necessary to support their position. The maxis = amount that will be awarded is $17.50 0 per county. The level of funding requested should be c nwxzurate with the additional number of Medicaid recipients to be served. An appropriate caseload for a full -time Maternity Care coordinator is approximately 150 clients RM year. If the total amount of funds requested exceeds the $500,000 available, approved applications front counties with excessive rates and numbers of infant deaths will be given priority. roved a ligation not funded due to insufficient funds will be criven riori consideration in - 1991 -92, when another $500,000 in start-up grants will be made available. The application must include a signed statement from the agency director and finance officer. 'the statement must provide assurances that (1) grant funds will be used to establish new care coordination position(s) and,/or increase the percentage time of existing part-time positions and (2) that the revenues generated by care coordination staff will be used to support their salaries in the current and subsequent fiscal years. -A sample assurance statement _ (Attacmlent I) is included in the application package. Agencies that fail to comply with these conditions or to serve additional numbers of Medicaid recipients to with the funding provided, will not be considered for maternity care coordination grants - ire- future fiscal years.