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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: June 1, 1992 <br />SUBJECT: Maternity Care Coordination Position <br />DEPARTMENT: HEALTH <br />ATTACHMENT(S): <br />None <br />1 <br />Action Agenda <br />Item No.ZL2 <br />PUBLIC BEARING: Yes X No <br />INFORMATION CONTACT: <br />HEALTH DIRECTOR'S OFFICE X2411 <br />TELEPHONE NUMBER: <br />Hillsborough - 732 -8181 <br />Chapel Hill - 968 -4501 <br />Mebane - 227 -2031 <br />Durham - 688 -7331 <br />PURPOSE: To convert a temporary maternity care coordinator position to permanent <br />time - limited until June 30, 1993. <br />BACKGROUND: <br />1) on January 6, 1992, the Board of Commissioners authorized the health <br />department to apply for additional state funds to increase maternity care <br />coordination services. The department has received confirmation of a grant award <br />of $8,750. These funds would allow the department to employ a temporary <br />maternity care coordinator to provide services to additional medicaid recipients. <br />Medicaid revenue for the maternity care coordination services would be sufficient <br />to continue the position. <br />2) on March 24, 1992, the Board of Commissioners approved a budget ordinance <br />amendment to accept the grant award. <br />3) Recruitment of a professional social worker is proving difficult for <br />a temporary position without benefits. Therefore, the department requests that <br />the permanent, time- limited position be created by the commissioners to <br />facilitate filling this needed position. <br />4) The need for the position has been previously documented. The health <br />department's record in increasing medicaid revenues has been demonstrated, <br />however, the department will provide a report of the revenue generated by this <br />specific position with the 1993 -94 budget to assess whether the position should <br />be continued. <br />RECOMMENDED ACTION: The Manager recommends that the temporary maternity care <br />coordination position be converted to a permanent, time - limited position through <br />June 30, 1993. The continuation of this position for FY 93 -94 would be evaluated <br />based on the medicaid revenue generated by the position and the caseload demand <br />experience. <br />