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MINUTES ORANGE COUNTY BOARD OF HEALTH July 28, 2005 Board of Health Minutes Transcription completed by Anne Miles Cassell 3 July 28, 2006 Practice Resident for FY 2006 and forward to the Commissioners for approval was made by Jessica Lee, seconded by Moses Carey, and carried without dissent. E. Behavioral Health Counseling Contract: CHCCS (new) In the past year, Jennifer Sharpe, the Licensed Clinical Social Worker at the health department began providing behavioral counseling services to children and adolescents referred to her by school nurses in both school systems. The Chapel Hill Carrboro City Schools have requested additional services to be provided primarily for students identified by student services teams in three middle schools in the system who are at-risk for or exhibiting behavioral issues. Due to prior commitments, the health department currently does not have the capacity to divert Ms. Sharpe’s resources to provide the level desired by the school system. CHCCS has identified a one-time source of funds through the Safe Schools money allocated to school systems to pay for these services. The Health Department will hire a part-time temporary licensed clinical social worker specifically to provide these services for the 05-06 academic year. The contractor will be supervised by the Family Home Visiting Supervisor. The maximum amount available is $15,000 for the year. It is anticipated that this will pay for slightly less than half time services for the school year. The Health Director discussed this project with the Social Services Director to determine whether this service should be provided through that department rather than the Health Department. It was mutually agreed that these services should be coordinated through the Health Department at this time. Motion to forward the agreement for Board of Commissioners approval subject to county attorney review was made by Tim Carey, seconded by Alice White, and carried without dissent. F. Acceptance of Medicaid Cost Settlement Funds The Cost Settlement is calculated by the Medicaid Division based on the average cost across the state in local health departments to provide a particular service. Health departments receive payment based on the provision of each service and their reported costs. Only the federal portion of Medicaid is eligible for the adjustment, therefore the reimbursement is calculated only on the federal share of Medicaid. Since Medicaid rates are not at a level to fully reimburse the departments, there is an adjustment made each year to more closely capture the full cost of providing services to the Medicaid population. Reimbursement of these funds usually occurs a year after the completion of an audit by the state of service costs for the FY. These funds are placed in a special account that allows the department to expend these funds for capital, furnishings or renovations in the program areas that they were earned in. The department generally uses these funds only for emergency purposes or for planned long-term purchases. In the past, these funds have been used to renovate the clinical space in Whitted and to purchase new equipment and furniture for that space. It is anticipated that this fund will be needed to manage the local costs for data conversion and other expenses as the state switches to a new system to replace the current HSIS data system. The Medicaid Cost Settlement for FY 03-04 services is a reimbursement of $190,805.22.