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MINUTES ORANGE COUNTY BOARD OF HEALTH March 23, 2011 Board of Health Minutes Transcription completed by Lisa Smith March 23, 2011 Medical providers of prenatal care to Medicaid pregnant women are also entering contracts with DMA and CCNC to become Pregnancy Medical Homes. The attached Pregnancy Medical Home fact sheet outlines the expectations and incentives to participate in the program. OCHD has signed a contract to be a Pregnancy Medical Home provider in this model. In FY 09-10, we earned $123,397 in the MCC program and $258,038 in the CSC program. The total ($381,435) includes Medicaid earned revenue and cost settlement funds. Based on these numbers and after backing out certain costs, the State has calculated OCHD’s per member per month payment schedule. For March – June 2011, we will be paid $131,479 which will enhance our revenue picture this fiscal year. For FY 11-12, we will be paid $275,272 which is $92,272 over what we originally budgeted. A revised budget has been submitted to the Finance Department. It is important to note that future Medicaid Maximization cost settlement revenues will be smaller by about $100,000 – dollars that historically have been set aside for renovations and capital purchases. In 09-10, we served 148 Medicaid pregnant women. As the number of pregnant women served does not change dramatically per year, we anticipate earning an additional $29,600 as a Pregnancy Medical Home provider ($200 x 148 = $29,600) in FY 11-12. This is factored into the Maternity Medicaid revenue line item. C. Internal Focus Areas for Strategic Plan Chair Vines asked that this item be tabled until the April meeting and it was done without objection by Board members. D. Legislative Items for Consideration The NC Health Director’s Association passed a resolution last week opposing the cuts to Aid to County funds to local health departments. If the Board wishes, it could pass the resolution and ask Commissioners to also pass the resolution and discuss with our legislative delegation. For Orange County, it would mean a loss of $67,502 in Aid to County funds or nearly 10% of our total state and federal allocation. This particular pot of Aid to County funds is the only flexible funding provided by the state, other funds are all categorically earmarked. In addition to this resolution, the Board may wish to consider advocating for the following revenue sources with the General Assembly: 1) Adopt the recommended user tobacco tax (from the NC Alliance for Health) which would offset future health expenditures and would increase revenue that could be directed to local public health. This is a $ 1.00 per user tax. 2) Allow local health departments to charge cost-based fees for public health protection/safety in food and lodging establishments. This would be a way for us to generate more revenue since we have never received more than $ 9,000 from the state program. Rosemary Summers Health Director talked about several new senate bills; Senate Bill 346 that would exempt all cooking schools from food regulations passed its first reading on March 16 the same day it was introduced and has been referred to the committee on Health Care on March 16. Senate Bill 245 Medicaid Billing by Local Health Departments would allow local public health departments, district health departments and consolidated human service agencies to bill Medicaid through an approved Medicaid clearinghouse or through the department of public health. This would provide a means for Health Departments to opt out of HIS. Senate Bill 368