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MINUTES-Final ORANGE COUNTY BOARD OF HEALTH August 24, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ May Page 5 Motion to administratively move a total of $5,672.90 in uncollectable debt from “active” to “inactive” status was made by Susan Elmore, seconded by Jessica Frega and carried without dissent. VII. Reports and Discussion with Possible Action A. BOH Policy Review Coby Austin, Director of Programs and Policy, began by informing the BOH members that the BOH is required to review their Policies and Procedures each year to meet accreditation standards. Ms. Austin briefly summarized the recommended updates which are: I.E. Fee and Eligibility Policy Staff recommends making the following revisions to the Fee and Eligibility Policy for the purpose of clarification and to be in compliance with federal Medicaid requirements: - Residency Requirements (Section IV.A.): The Residency Requirements section was revised to replace “is” with “may” regarding whether any Orange County resident or non-resident can/will be eligible for services. This change was made to clarify that non-residents are not automatically eligible for all services (certain Communicable Disease services, etc.) and to clarify that only Orange County residents qualify for the Family Home Visiting program. - Fees for Services (Section VI.O.): The Fees for Services section was revised to add language explaining that Medicaid patients will be charged only the cost for OCHD to purchase 340b drugs (a federal drug pricing program that reduces the cost of certain medications for eligible healthcare providers only). Since 340b drug pricing changes quarterly, the department will be reviewed and set annually based on an average purchase price throughout the year. This additional section is required in order to remain in compliance with DHHS and our ability to bill for Medicaid reimbursement for these drugs. OCHD typically purchases Family Planning related 340b drugs only. I.H. Complaint Policy Staff recommends streamlining the current BOH Complaint Policy by 1) removing the language about the procedure for handling a general complaint from the Board of Health policy manual, and 2) including that language in the complaint section of the Health Department’s Administrative Policy and Procedure manual, alongside other existing complaint forms and procedures. Background: The NC Local Health Department accreditation benchmarks include a standard to have written policies and procedures in place for handling of complaints related to enforcement of laws, rules and ordinances. Policy H of the Board of Health Policy Manual meets that requirement by stating its policy regarding complaints. However, it would be most efficient to locate the procedures and forms for implementing that policy in the Health Department’s Administrative Policy and Procedure manual.