BOH minutes 042309 - Laserfiche WebLink

Browse Search

MINUTES ORANGE COUNTY BOARD OF HEALTH April 23, 2009 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 April 23, 2009 The Department has received notification of additional Federal funding. The Federal Title X (Family Planning) has approved a second allocation of bonus funding for all local health departments. These funds must be spent by May 31, 2009 or they will revert back to the state. The state allocation committee has approved the method of distribution, which includes a base amount for all counties and an additional amount determined by performance (client visits). The total amount allocated for this second round for Orange County is $3,157. These funds may be used for any approved Family Planning expenditures. Due to the increased need for interpreters in the clinics, we propose to use this money in Professional Contract Services for interpreter contract costs. Motion to accept items on the Consent Agenda was made by Sharon Freeland, seconded by Steve Yuhasz, and carried without dissent. V. Reports and Discussion with Possible Action A. Receipt of Medicaid Cost Settlement Funds Each year the Health Department receives a cost settlement based on the previous year’s Medicaid claims. The cost settlement is only on the federal portion of the Medicaid payment and is intended to provide the agency the difference between the actual costs of providing the service versus the reimbursement amount. North Carolina Division of Public Health performs the annual cost reimbursement analysis to determine the amount each county will receive. The Association of Local Health Directors has agreed that costs across the state will be averaged and then determined on a basis that is either above or below the cost for each service code. Orange County Health Department has received funds annually for all programs that earn Medicaid reimbursement since 1998. The amount of funds varies from year to year based on the costs across the state and the reimbursement levels for various services; our average has been around $200,000 annually. These funds are placed in a capital account and are utilized for renovation projects and emergency equipment needs. These funds must be used by programs that actually earned the revenue (child health, family planning, dental, maternal health, etc.). For 09-10, the State, with Health Director Association concurrence, is withholding $3 million from the 07-08 settlement funds to balance the state budget. This will preserve the recurring fund gains we have recently made in Aid to County Funds. The allocation for Orange County Health Department for the 07-08 settlement year (including our share of the proposed reduction) will be approximately $272,760.34. We had a substantial service count increase for the 07-08 year with a corresponding increase in our settlement amount. We will be requesting to budget approximately $250,000 for limited renovations to Whitted and SHSC after the Department of Social Services moves, to enable us to continue to provide services until a final decision is made regarding the Mayo Street property in 2012. The remaining funds will be placed in the capital