Orange County NC Website
MINUTES - Draft <br /> ORANGE COUNTY BOARD OF HEALTH <br /> April 22, 2020 <br /> • Cardinal Innovations manages Medicaid State money; it does not perform any of the <br /> services. It aids in determining how much and to where the funds should be dispersed. <br /> • Children services usually drop during the summer as the problems caused in a school <br /> setting aren't occurring outside of school; while, the number of adults that receive <br /> services remains stable during the year with an average of 650-780 seen any given <br /> month. Those receiving services are only counted once even if they have multiple <br /> diagnoses. <br /> • Mr. Inman presented graphs that displayed Medicaid and State data pertaining to the: <br /> o Number of members served by age and diagnosis <br /> o Members served and expenses by service category <br /> o Members served and expenses amounts — crisis services <br /> • Local Maintenance of Effort (MOE) Funding <br /> o The counties will give monies to support programs per part B of statute § 122C- <br /> 115. Part D stipulates that counties aren't allowed to reduce the amount they <br /> contributed from the previous year; however, they're always able to increase the <br /> amount. <br /> o OC contributes $1.3 million annually which is divided amongst many line items and <br /> entities. <br /> • There are various programs that receive funding. Services that these programs provide <br /> include services to undocumented people, assisting DSS with placements and trauma <br /> focused therapy, crisis and language resource center. The biggest providers are <br /> Freedom House Recovery and UNC Department of Psychiatry. <br /> The BOH members had questions that were addressed by Mr. Inman and Mr. Bruton. <br /> B. 3rd Quarter Financial & Billing Dashboard Reports <br /> Rebecca Crawford, Financial &Administrative Services Director, gave a report on the 3rd <br /> quarter revenue and billing accuracy. Her report is as follows: <br /> • Total Health Department Budget vs. Actuals: <br /> Average YTD monthly revenue in FY19-20 after the third quarter is $220k/month or <br /> $2.OM YTD, representing 56.3% of our overall budgeted revenue for the year. As usual <br /> though, the total third quarter revenue is skewed down due to the majority of state funds <br /> not eligible to be drawn in July (this is typical) and allocations of Medicaid Max funds will <br /> not be transferred into our budget until the end of the fiscal year. Expenses are above <br /> revenues, at 62.7% of the overall budget but on trend with prior fiscal years. <br /> • Total Billing Accuracy: <br /> The medical and dental billing accuracy measure continues to be a challenge as we <br /> work with UNC and the Dental EHR, Eaglesoft, to improve the accuracy of the reporting <br /> system for Health Department revenue and is not included in this quarter's dashboard. <br /> • Dental Earned Revenue by Source: <br /> The FY 19-20 average monthly revenue ($49.4k/month) for the third quarter is above our <br /> budget projection ($45k/month) and our FY 18-19 average of$46.6k/month. We are <br /> seeing the direct impact of adding the additional Dental Hygienist in FY 18-19 and will <br /> potentially exceed our projected annual revenue related to this position ($72,157) since <br /> the dental clinic is fully staffed. The dental clinic will most likely see a more immediate, <br /> negative impact on revenues than the medical clinics as a result of the severely <br /> S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ <br /> April Page 2 <br />