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1 <br /> ORD-2021-026 <br /> ORANGE COUNTY <br /> BOARD OF COMMISSIONERS <br /> ACTION AGENDA ITEM ABSTRACT <br /> Meeting Date: November 4, 2021 <br /> Action Agenda <br /> Item No. 8-f <br /> SUBJECT: Fiscal Year 2021-22 Budget Amendment #3 <br /> DEPARTMENT: Finance and Administrative Services <br /> ATTACHMENT(S): INFORMATION CONTACT: <br /> Attachment 1. Year-to-Date Budget Rebecca Crawford, (919) 245-2152 <br /> Summary Gary Donaldson, (919) 245-2453 <br /> PURPOSE: To approve a budget amendment for fiscal year 2021-22. <br /> BACKGROUND: <br /> Department of Social Services <br /> 1. The Department of Social Services is mandated to receive and process applications to <br /> determine Medicaid and Food and Nutrition Services eligibility under NC General Statute <br /> 108A-54. Additionally NC General Statute 108A-70.39-42 outlines performance <br /> expectations for counties regarding Medicaid timeliness and accuracy and sets out <br /> consequences for failing to meet those expectations including loss of funding. There have <br /> also been increasing audits, and these can result in significant paybacks if eligibility is not <br /> correctly determined. Currently, one supervisor is responsible for managing up to 20 staff <br /> and this span of control is not conducive to continuing to meet these expectations. <br /> The Department of Social Services has seen an increase in cases in both Medicaid and <br /> Food and Nutrition Services during the pandemic. As such, the department is requesting <br /> to reclassify and increase a vacant 0.5 Full Time Equivalent (FTE) Community Social <br /> Services Technician into a 1.0 FTE Human Services Supervisor I to meet these needs. <br /> The increase in FTE will be funded by a net increase of Medicaid revenue of $9,925, and <br /> reallocations of funds within the department. <br /> SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are <br /> applicable to this item: <br /> • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY <br /> The creation and preservation of infrastructure, policies, programs and funding <br /> necessary for residents to provide shelter, food, clothing and medical care for <br /> themselves and their dependents. <br /> • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION <br /> AND INEQUITY <br />