BOH minutes 042110 - Laserfiche WebLink

Browse Search

MINUTES ORANGE COUNTY BOARD OF HEALTH April 21, 2010 Board of Health Minutes Transcription completed by Anne Miles Cassell 13 April 21, 2010 across the state received notification from DMA stating that significant Medicaid costs would be disallowed for FY04-05 secondary to their audit findings. Subsequently two additional departments received letters. The impact of these Medicaid audit findings do not just impact the health departments receiving notice, it impacts the entire local public health community for cost settlement payments. If these Medicaid audit findings prevail, local public health will loose millions of dollars for services provided to citizens across the state beginning with FY05. It is important for all local health directors, Boards of Health, County Managers and County Commissioners to recognize the impact on local cost settlement reimbursement for public health programs across the state. The Association voted to approve a supplemental dues request of $1,000 for all 100 counties to assist in the appeals process. It was agreed that each county should pay an additional $1000 for FY09-10 to support the Associations efforts to appeal DMA’s decision. The Health Department paid this additional amount by reducing other expenses to cover this additional charge. Steve Yuhasz asked if we knew what the payback amount would be for Orange County if the lawsuit was unsuccessful. Letitia Burns stated that the information was not available at this time. Wayne Sherman said that the auditors had not responded back to the Health Director as to what they are disallowing to date. Staff recommended the Board consider sending a letter of concern to Commissioners regarding this situation. The Board took no action on this item. G. Final Report Dental Services Options Angela Cooke presented the Option Financial Spreadsheet provided for Board information and it contained 6 options for delivering dental clinical services by the county. The following factors were considered in making a recommendation for which option to pursue: • Provides dental clinical services to both Medicaid and uninsured Orange County residents • Preserves access to comprehensive dental services for Medicaid and uninsured residents • Efficiencies of service delivery • Distribution of current patients • Current county financial status for providing services Based on these factors the staff recommended the Board consider the following: Recommendation 1: Exercise Option 2 beginning July 1, 2011. Option 2 is a single 8 chair clinic at the Whitted Building utilizing the current staff complement, transitioning those being served at Carr Mill to the Whitted site by providing transportation vouchers. This allows sufficient time for renovation of Whitted for dental after the personal health clinical space is renovated and allows for an orderly transition from providing services at Carr Mill prior to the lease expiration October 2011.