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