Minutes 06-13-2017-2 - Laserfiche WebLink

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Travis Myren said yes. He referred to the contracted services on slide 3, where New Destinations is the housing program. He said there is an on site program manager there to insure bills are paid and utilities current. Rick Bruton from Cardinal Innovation said rates have been renegotiated with the existing provider, who will now remain and continue to provide services. Chair Dorosin asked if the enhanced rate means that Cardinal Innovations is going to pay providers more in order to keep the facilities open. Rick Bruton said yes. Chair Dorosin referred to the first slide - contracted services - where there are two Department of Social Services (DSS) line items at the bottom. He asked if these services are paid to DSS and then contracted out, or if these services are in- house. Travis Myren said these are contracted providers through Cardinal Innovations, but serving DSS clients. Nancy Coston, DSS Director, said these services may or may be contracted through Cardinal Innovations. She said the goal is to find the best fit to provide these needed services, and it is still a work in progress. Commissioner Price asked if there could be clarification provided regarding allocation from the University of North Carolina (UNC). Travis Myren said those were funds that were going to the hospital for services provided in the emergency room. He said these services will still be provided, but written off as bad debt if a patient is unable to pay, rather than using MOU funds. Commissioner Price asked if there is a cap that the hospital will accept. Travis Myren said no. Commissioner Burroughs referred to the behavioral health study and asked from where it was generated. Dorothy Cilenti, Interim Health Director, said the Health Department originally requested a physician in its budget, but decided on a consultant first in order to determine how best to serve children in the school systems. Travis Myren resumed the PowerPoint presentation: • Child Support Services, Pg. 95 • Total expenditure budget - $1,062,393 • No significant budget changes Commissioner Rich asked if page 96 could be further explained. Erica Bryant, Deputy Director of Child Support, said the collected monies go to the families, unless they are receiving Temporary Assistance to Needy Families (TANF), in which case the funds go to reimburse the State. She said the statement on page 96 meant that, during the recession, many obligations were reduced to a lower amount; and many families have not recovered since then, and the obligations remain lower than they should be. Commissioner Rich asked if the levels have come back up since recession. Erica Bryant said the money is given to the families successfully, and the number of support collections has steadily increased; but the amount due has remained low. She said in very recent months, some obligations have begun to rise again, but this is not happening across the board. Travis Myren resumed the PowerPoint presentation: • Health Department, Pg. 362 • Total expenditure budget - $9,854,522 • Finance and Administrative Services Division • Secure patient voice and texting system - $13,844