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11 <br /> VOTE: Ayes, 6 (Commissioners Bedford, Dorosin, Fowler, Greene, McKee, Price); Nays, <br /> 1 (Commissioner Hamilton) <br /> Chair Price asked if Commissioner Hamilton wanted to make any comments about her <br /> nay vote. <br /> Commissioner Hamilton said she would like the 15 days to inform residents to be <br /> changed to 25 days. <br /> b. Approval of a Resolution Authorizing the Submittal of a Request to the Secretary <br /> of the Department of Health and Human Services to Disengage from Cardinal <br /> Innovations Healthcare and Realign with Alliance Health <br /> The Board voted to approve a resolution authorizing submittal of the request to the Secretary of <br /> the Department of Health and Human Services to disengage from Cardinal Innovations <br /> Healthcare and realign with Alliance Health to administer Medicaid and uninsured behavioral <br /> health and intellectual/developmental disability services for Orange County residents. <br /> BACKGROUND: <br /> North Carolina General Statutes and the North Carolina Administrative Code authorize and <br /> prescribe the process through which a County may seek permission to disengage from one <br /> Local Management Entity/Managed Care Organization (LME/MCO) and realign with another. <br /> The final decision making authority rests with the Secretary of the North Carolina Department of <br /> Health and Human Services (DHHS). <br /> The Board of Commissioners and County staff have completed all of the formal measures that <br /> will be included as supporting documentation in the request to the Secretary of DHHS: <br /> • The Board approved the County's Intent to Disengage on November 5, 2020. <br /> • Formal notice of the Intent to Disengage was transmitted to the Secretary of the North <br /> Carolina Department of Health and Human Services, the Co-Chairs of the Joint <br /> Legislative Oversight Committee on Health and Human Services, and the affected <br /> counties on November 16, 2020. <br /> • The Board of Commissioners approved a Disengagement Plan on February 16, 2021. <br /> This Plan created a Realignment Committee consisting of County officials and agencies, <br /> Alliance Health and Cardinal Innovations Healthcare representatives, and other <br /> appropriate stakeholders. <br /> • The County also opened a sixty (60) calendar day public comment period and posted <br /> those comments for an additional thirty days following the public comment period. <br /> Public comments can be reviewed at http://orangecountync.gov/2684/LMEMCO-Public- <br /> Comments In addition to the comments posted, the County received a letter of support <br /> from the Orange County National Alliance on Mental Illness. <br /> • The Alliance Health Board of Directors approved a resolution for Orange County to <br /> realign with Alliance Health on March 4, 2021. <br /> • The Board of Commissioners approved a Continuity of Services Plan on April 6, 2021. <br /> This Plan outlines how the management of Medicaid and uninsured behavioral health <br /> and intellectual/developmental disability services will transition from Cardinal Innovations <br /> Healthcare to Alliance Health. <br /> • A formal notice to providers was distributed to the forty-one (41) providers that serve <br /> Orange County on May 4, 2021 to insure each provider is aware of the realignment <br /> process. This notice also invited comments and questions. <br />