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20 <br /> Commissioner Bedford said this goes into effect in 2021, and the County is committed <br /> for 4 years thereafter. She said sending the letter is no guarantee of regrouping, but is an <br /> opportunity to provide input. <br /> Commissioner Bedford said the email from Cl also indicated that it is the oldest and <br /> most mature MCO, and is thus reason to stay with Cl, but she finds this illogical. <br /> Commissioner Marcoplos clarified that sending a letter to NCACC is an opportunity for <br /> the Board to express its will, and the DHHS will make the final decision. He asked if the odds of <br /> success are known. <br /> Commissioner Bedford said in part 1 of Medicaid, Orange County is grouped differently, <br /> but really she has no idea why. She suggested copying the DHHS secretary. <br /> Commissioner Greene said she did not support this last time, but she has now talked <br /> with Commissioner Bedford and feels far more informed this evening. <br /> Chair Rich said she and Commissioner Bedford spoke several times, and she also <br /> spoke with Club Nova, as well as Representative Verla Insko and Representative Graig Meyer. <br /> PUBLIC COMMENT: <br /> Ric Bruton, Cardinal Innovations Healthcare, said he regrets Commissioner Bedford was <br /> not present at the last meeting. He said he would love to speak further with her about the <br /> financial information. He said Medicaid reform is coming in November, and those with mild to <br /> moderate mental health and substance abuse disorders will be transition to commercial <br /> managed care, which will be a big change. He said there will be another change in 2021, and <br /> he does not recommend that the Board add yet another layer of change. He said there is a lot <br /> of potential for disruption, and he feels the community served by Cl would not be in favor of the <br /> Board passing this motion. <br /> Commissioner Dorosin asked if these groupings are changed, would it be in 2021. <br /> Commissioner Bedford said implementation is for 2021. She said Medicaid part 1 will be <br /> implemented in November 2019. <br /> Commissioner Dorosin said he has heard a great deal of dissatisfaction from the <br /> community regarding Cl, and while he was the BOCC representative, he was very disappointed <br /> by how the County was treated. He said he is grateful that the Board of County Commissioners <br /> is willing to take this up, and he supports this change, as it has been an unsatisfactory <br /> relationship. <br /> A motion was made by Commissioner McKee, seconded by Commissioner Bedford that <br /> the Board authorize the Chair to sign a letter to the Committee recommending the composition <br /> of Tailored Plan Regions that communicates Orange County's preference to be in a Region that <br /> includes Durham and Wake counties, and for the Clerk to the Board to submit the letter to the <br /> NCACC committee and copy DHHS secretary, and the legislative delegation. <br /> VOTE: UNANIMOUS <br /> 7. Reports <br /> None <br /> 8. Consent Agenda <br /> • Removal of Any Items from Consent Agenda <br /> 8-d Commissioner Marcoplos <br /> • Approval of Remaining Consent Agenda <br />