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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH August 23, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ August Page 6 The last administrative write-offs were performed by the Board of Health in August 2016 (Personal Health, Dental Health, and Environmental Health) for FY 2015-2016. Personal Health, Dental Health, and Environmental Health continue to participate in the NC Debt Set-Off Program, which allows the county to collect debts on delinquent accounts with a balance between $50 and $4,000 through the customer’s tax refund. The Health Department anticipates collecting payments on delinquent accounts being pursued through the NC Debt Set-Off program; therefore, those accounts are not included in this write-off request. Based on the definitions of uncollectible accounts in the department’s policy, Rebecca Crawford, Director of Financial and Administrative Services, informed the BOH of the uncollectible debt from clients for FY 2016-17 which is displayed in the table below. Division Number of Uncollectable Accounts Write-Off Amount Personal Health 80 $1,401.15 Dental Health 89 $2,348.10 Environmental Health 6 $780.00 Total 175 $4,529.25 We request to administratively move a total of $4,529.25 in uncollectible debt from ‘active’ to ‘inactive’ status for the reasons indicted in the table above. The customer will never be informed that a debt has been written off. If a customer whose account had been determined uncollectible returns to clinic within three years, the delinquent write-off amount will be reactivated and the billing process resumed. Likewise, if a customer requests a non-required service from Environmental Health, the delinquent write -off amount will be reactivated and the billing process resumed. Motion to administratively move a total of $4,529.25 in uncollectable debt from “active” to “inactive” status was made by Susan Elmore, seconded by Jessica Frega and carried without dissent. B. Mid-Year Fee Request Rebecca Crawford, Director of Financial and Administrative Services, presented a proposed fee change to the Board. The Health Department reviews fee schedules on an annual basis through the budget approval process; however, the Nutrition Program was awarded funding from a regional Minority Disease Prevention Program (led by Alamance County) through NCDHHS for FY 17-18 after the FY 17-18 budget was approved. The Agreement Addendum associated with this funding requires that all funding recipients charge program participants a one-time fee of $25 unless a scholarship (i.e. fee waiver) is provided (see Section III.7 of the attached Addendum). As this is a newly identified fee, it is necessary to add it to our fee schedule in an effort to remain in compliance with our Agreement Addendum. The proposed change is detailed below: Name of Fee 2017-18 2017-18 Proposed 2017-18 Budget