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16 <br /> to child welfare programs, adult protective services, adult guardianship services, child support <br /> and all public assistance programs except Medicaid. <br /> Although Medicaid is not included in the agreements, there is separate legislation with additional <br /> sanctions for any performance issues with Medicaid eligibility. Orange County Department of <br /> Social Services (DSS) has integrated Medicaid with other public assistance programs during the <br /> intake process so performance among these programs is interrelated. Social Services Reform <br /> The Phase I report from the consulting firm has been published. Much of the report focuses on <br /> the plan to provide support and supervision for counties through seven state regional offices. <br /> Organization of county or regional offices will be addressed in Phase II. <br /> Child Welfare Reform The Phase I report from the consulting firm has been published. This <br /> report contains a long list of recommendations including implementing a practice model that <br /> emphasizes trauma informed, evidence based practice by social workers and strong state <br /> supervision. Medicaid Transformation North Carolina recently received approval for its waiver to <br /> move forward with integrated, managed care for Medicaid participants. Although Social Services <br /> will continue to establish eligibility, participants will also need to be informed about selecting a <br /> medical home. Other impacts of managed care will be realized by all Medicaid providers, <br /> including county agencies such as health and transportation. Orange County is in one of first <br /> regions scheduled to implement managed care with some of the Medicaid clients. <br /> During the work session, Social Services will provide additional information about each of these <br /> critical changes as well as anticipated impacts from these changes. <br /> Nancy Coston acknowledged some DSS board members in the audience. She said <br /> there are a lot of things going on in the DSS world, and tonight's presentation will not go into <br /> great detail, and there may need to do some follow up at a later date. <br /> Nancy Coston introduced Crystal Mitchell, Child Welfare Manager, who began the <br /> following PowerPoint presentation: <br /> Health and Human Services <br /> Initiatives and County Impacts <br /> April 4, 2019 <br /> BOCC Regular Work Session <br /> Agenda <br /> • Child Welfare Reform <br /> o Child Welfare Overview <br /> o Policy Changes and Requirements <br /> o Performance Measures <br /> o Plan and Recommendations <br /> • Social Services Reform <br /> o Overview and Update on Reform Plan <br /> o Performance Measures <br /> o Plan and Recommendations <br /> • Other DSS Services, Programs, and Activities <br /> • Medicaid Transformation <br /> Child Welfare Overview <br /> Intake -- Assessment-- In-home services -- Permanency Planning (Foster Care) -- Adoptions <br /> and Licensing — LINKS <br />