Agenda - 6-b - Letter to North Carolina Association of County Commissioners Expressing a Regional Preference for Medicaid Tailored Plans

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3 Draft Language for Proposed Letter April 16, 2019 TO: Commissioners Beale and Graham Co-Chairs of Tailored Plan Region Development Committee FROM: Board of Orange County Commissioners RE: Preference for Tailored Plan Region Thank you for the opportunity to provide input into the Phase II of Medicaid Transformation and the process to recommend the composition of regions for Tailored Plans. The Board of Orange County Commissioners has considered its preference for a Tailored Plan region, and we believe the most effective system would connect Orange County with the other counties in the Research Triangle, namely Durham and Wake Counties. From a service perspective, Orange County shares a regional transportation system, a regional workforce, and a network of providers with Durham and Wake Counties. Orange County conducted a study of the provider network available to residents with behavioral health needs, and many providers used by Orange County residents are located in Durham County. Other non-profit providers also serve residents from Orange, Durham, and Wake Counties. A good example of that is CASA which operates in Durham, Wake and Orange counties to provide housing for people with mental illness. Their operations and client access would be more efficient if Orange County were grouped with Durham and Wake counties. In the interest of the residents we serve, the Board of Orange County Commissioners is requesting to become a part of a Tailored Plan region that includes Durham and Wake Counties. Connecting these counties would provide greater access, more varied services, and better public transportation opportunities than any other alignment. Thank you again for this opportunity to provide input into the Tailored Plan regions. If we can provide any additional information, please contact our County Manager's Office.