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7 <br /> April 2, 2019 <br /> Petition from Commissioner Bedford <br /> RE: Email from Kevin Leonard, Executive Director of NCACC dated 3/29/19 to provide input by <br /> 4/17/19 on recommended regions for "Tailored Plans" within Medicaid transformation <br /> I petition that the Manager and Board provide input in writing to input .ncacc.org by <br /> Wednesday April 17, 2019 for Orange County regional preference regarding the Tailored Plans. <br /> An earlier map of regions has been developed for those with substance abuse and mental <br /> health needs who will have their physical and mental health services integrated into Prepaid <br /> Health Plans as part of the first phase of Medicaid transformation to a managed care structure. <br /> The participating contracts were announced Feb 4, 2019. First launch set will be in November. <br /> People with intellectual/developmental disabilities, those with more challenging behavioral <br /> health needs, and some other special populations will be served by "Tailored Plans" under the <br /> Medicaid transformation. The regions are being drawn and will be in place for four years. <br /> NCACC has been asked to provide input for the map. <br /> Orange Co should consider stating a preference to be in the same region as Durham and Wake <br /> counties. <br /> For example, CASA operates in Durham, Wake and Orange counties to provide housing for <br /> people with mental illness. Their operations and client access would be more efficient if Orange <br /> Co were grouped with Durham and Wake counties. Generally, Orange Co residents would <br /> have greater access to more and more varied services along with public transportation if our <br /> county were grouped with Durham and Wake. <br /> Commissioner Dorosin asked if Orange County is grouped with anyone currently. <br /> Commissioner Bedford said the Charlotte area. <br /> Chair Rich said the gentleman, who presented to the SWAG, called his efforts <br /> "treecycling". She said he cuts down trees in larger chunks (12-14 feet), so that they can be <br /> repurposed. She said Commissioner Marcoplos is now Chair of the SWAG. <br /> Chair Rich thanked the HRC for the event on Sunday, and thanked the Sheriff and both <br /> deputies here tonight, who were also present on Sunday. She also thanked Rabbi Jen <br /> Feldman, who could not attend the event. She said she, the Rabbi, and a member of the HRC <br /> met prior to the event, and the conversation was helpful. <br /> Chair Rich said the Internet is spotty in the facility tonight. <br /> Chair Rich said she also attended the women's event in Raleigh, and she drove Ms. V <br /> (one of the local women who were recognized) to this event. She said she is a freshman at the <br /> University of North Carolina, and is a lovely, inspiring young lady. <br /> Chair Rich said she worked with Fred Battle on the OWASA board, and he was always <br /> very concerned about wasting water and leaky pipes that resulted in high water bills. <br /> Commissioner Price said in addition to a proclamation for Fred Battle, she would also <br /> like to send something to the family. She said Fred had a present throughout Orange County, <br /> and his legacy is great, and there is much work to be done to honor it, and continue his work. <br /> 4. Proclamations/ Resolutions/ Special Presentations <br /> a. Sexual Assault Awareness Month Proclamation <br />