Agenda 10-19-2021; 8-b - Fiscal Year 2021-22 Budget Amendment #2

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2 Health Department 2. The Orange County Health Department has received the following additional funds: • COVID-19 CARES Grant — At its September 1, 2020 Virtual Business Meeting, the Board of County Commissioners approved the funding of $54,514 in CARES grant funds for temporary part-time nurse and Certified Medical Assistants in support of the COVID-19 pandemic response. As of June 30, 2021 only $44,764 had been spent, leaving $9,750 to be spent. This budget amendment allows for the appropriation of the remaining grant portion, $7,855, to cover cost of a temporary part-time nurse to perform surveillance, case follow-up and epidemiologic linkage among cases and clusters in Orange County. The grant period runs through April 22, 2022. This amendment provides for the appropriation of these funds for the above stated purposes. Funding will also reimburse personnel expenses by $1,895, and decreases the fund balance appropriation in the General Fund by that amount for the reimbursement of personnel funds the department will realize. • Enhancing Detection Activities Grant — $716,623 in federal pass through grant funds to support the COVID-19 pandemic response. Funding will be used to support temporary part-time staff to perform surveillance, case follow-up and epidemiologic linkage among cases and clusters in Orange County, as well as rental vans for mobile vaccine clinics and other vaccine and tracing supporting activities. The grant service period is June 1, 2021 to May 31, 2022. This amendment provides for the appropriation of $166,732 of these funds. $549,891 will reimburse personnel expenses and decreases the fund balance appropriation in the General Fund by that amount for the reimbursement of personnel funds the department will realize. • Regional Prevention Support Teams — $193,842 in additional funding from a federal pass-through grant to support the COVID-19 pandemic response with Orange County as the fiscal agent. The grant service period is June 1, 2021 through May 31, 2022. $186,342 of the funding will be used to support additional temporary staff to provide infection control education in congregate living facilities across Orange, Alamance, Caswell, Chatham, Durham, Guilford, Person, Randolph, and Rockingham counties, now to include family care and behavioral care facilities. $7,500 of the funds will be used for operating costs to support these positions. This amendment provides for the appropriation of these funds. • Medicaid Cost Settlement— Receipt of$1,422,105 in Maximization funds from the North Carolina Department of Health and Human Services, Division of Health Benefits, related to the final 2020 Medicaid Cost Settlement report. Local Health Departments submit an annual Medicaid Cost Settlement report to North Carolina Department of Health and Human Services to reconcile the state portion of the amount of Medicaid reimbursement owed to each Health Department for the cost of providing medical and dental services to Medicaid recipients. Medicaid Cost Settlement payments, as one time payments, are budgeted toward capital improvements like renovations of parts of Health Department facilities that serve Medicaid eligible patients. $14,000 of these funds will be appropriated in the General Fund for the purpose of stocking the Mobile Dental Clinic. This will allow the Health Department to purchase needed supplies to begin offering patients care in the Chapel Hill area. $372,732 was included in the Fiscal Year 2021-2022 Approved