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1 <br /> ORANGE COUNTY <br /> BOARD OF COMMISSIONERS <br /> ACTION AGENDA ITEM ABSTRACT <br /> Meeting Date: April 16, 2019 <br /> Action Agenda <br /> Item No. 6-b <br /> SUBJECT: Letter to North Carolina Association of County Commissioners Expressing a <br /> Regional Preference for Medicaid Tailored Plans <br /> DEPARTMENT: County Manager's Office <br /> ATTACHMENT(S): INFORMATION CONTACT: <br /> Draft Language for Proposed Letter Travis Myren, Deputy County Manager <br /> 919-245-2308 <br /> PURPOSE: To authorize the Chair to sign a letter to the North Carolina Association of County <br /> Commissioners expressing Orange County's preference to align its Medicaid Tailored Plan <br /> Region with Durham and Wake counties. <br /> BACKGROUND: In February 2019, the North Carolina Association of County Commissioners <br /> was asked by the North Carolina Department of Health and Human Services to assist with <br /> phase two of Medicaid transformation by coordinating and facilitating a process to develop <br /> recommended regions for Tailored Plans. <br /> The Association has organized a committee to coordinate recommendations. The Committee <br /> consists of county commissioner representatives from each Managed Care Organization (MCO) <br /> region. This Committee has invited stakeholder input on the composition of Tailored Plan <br /> regions. The deadline to provide input is April 17, 2019. <br /> At the April 2, 2019 regular Board meeting, a petition was made requesting that the County <br /> communicate Orange County's preference to be part of a Tailored Plan region that also includes <br /> Durham and Wake counties. Staff has attached draft language for a proposed letter addressing <br /> that interest. It is proposed that the Board formally authorize the Chair, on behalf of the Board, <br /> to sign a letter expressing the County's preference, and that the Clerk to the Board submit the <br /> letter before the April 17 deadline. <br /> FINANCIAL IMPACT: No financial impact is associated with authorizing the Chair to sign the <br /> communication. <br /> SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable <br /> to this item: <br /> • FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY <br /> The fair treatment and meaningful involvement of all people regardless of race or color; <br /> religious or philosophical beliefs; sex, gender or sexual orientation; national origin or <br />