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MINUTES ORANGE COUNTY BOARD OF HEALTH January 17, 2008 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 January 17, 2008 None IV. Action Items on CONSENT Agenda A. Minutes approval of December 20, 2007 meeting B. 2008 Early Head Start Contract Renewal The Early Head Start contract represents a collaborative relationship to provide family service coordination services to families eligible for and enrolled in Orange County Head Start and Orange County Health Department’s Child Service Coordination Program. The collaboration for one social worker position presents parents with one unified program case coordinator who provides regular contacts to the family n order to identify and follow-up on child and family needs. The Family Service Coordinator supports the development of family self-sufficiency and promotes skill development in the areas of problem solving, decision making and accessing needed health and human services. The contracts have been in existence since 1999 and are renewed annually. Changes in the contract from 2007 include identification of new personnel in key positions and a 3% increase in payment to OCHD, $58,500 per year (#4875 per month) for the services of a Social Worker II. The contract is in effect from January 1, 2008 to December 31, 2008. C. Quarterly Financial Report Letitia Burns, OCHD Business Officer, presented the mid-year financial report and the revenues for the department. The December Medicaid revenues are still posed in the Advances account and have not been distributed to programs. They were not included in the report. Motion to approve the minutes of December 20, 2007 and items on the Consent Agenda was made by Ernie Dodson, seconded by Jessica Lee, and carried without dissent. V. Reports and Discussion with Possible Action A. 2008-2009 Fee Schedule Approval Wayne Sherman reported that per the approved Fee and Eligibility Policy, fees will be adjusted annually by either the general rate of inflation calculated based on the current Consumer Price Index (CPI) or the percent increase in any new Medicaid/Medicare service rate adjustments, whichever is greater. The department has not been notified of any Medicaid rate adjustments as of the meeting date, therefore the current CPI was assessed. As of November 2007, the CPI was 4.3%; therefore, a 4% increase was applied to both Dental and PHSD fee schedules for 08-09. Dr. Summers said that the department is still operating on the original cost study done in 2000. Cost studies are done approximately every five years. A full cost study request will again be included again in the budget submitted for approval. Ernie Dodson asked if it was the lack of funding for a cost study was resulting in the charging of lower rates. Wayne Sherman said there were some comparisons done to similar agencies to arrive at current fees. Several new fees were identified for Personal Health and were noted at the bottom of the fee