Approved Minutes of February 22, 2023

Browse Search

MINUTES ORANGE COUNTY BOARD OF HEALTH February 22, 2023 Stewart continued by noting that it's affecting patients as some facilities aren't accepting Medicaid. Dr. Stuebe added that some facilities aren't accepting certain PHPs. B. FY 2023-24 Budget Quintana Stewart, Health Director, presented the Board with a summary of the proposed FY 2023-2024 budget for the Health Department. The Health Department will request a County General Fund budget in FY 23-24 of$8,431,535. This represents an increase to the FY 23-24 base budget of$34,380. The total increase in expenditures is $522,523 from the FY 23-24 Base Budget. • $257,578 comes from additional expenses for two fully funded state/federal programs. • $62,535 is primarily an increase in client transportation, training, medical supplies, pharmacy supplies, and interpreter services (of this $22,812 is training that was inadvertently left out of base and is being reinstated into the budget). • $202,410 is for an additional 3.575 FTE positions across multiple divisions Staff project a $488,143 increase in revenues for FY 23-24. This includes an overall increase in state/federal funding of$470,362. The balance of the revenue increase comes from Environmental Health fees, the bulk being a new credit card processing fee that will mostly impact contractors. The proposed total expenditure budget is $12,672,202 and the proposed total revenue budget is $4,240,667. The County General Fund request of$8,431,535 is less than 1% change from FY 23-24 base. New Staff Requests The Health Department requests 3.575 FTEs in personnel. Due to changes with Orange County Public Transit Department, the original cost-sharing of the MDC Driver position never came to fruition. The Dental Division requests to fill the other 0.5 FTE in order to mobilize the Mobile Dental Clinic. This position will be offset with $15,000 from Contract Services. Due to Medicaid Transformation, the Health Department requests 2.0 FTE in personnel to aid in processing Medicaid claims: 1.0 FTE for a Billing Technician which will assist with EPIC work queue processing and 1.0 FTE for an Accounting Technician II to assist with revenue collection and recording. Medicaid Transformation has resulted in a significant increase in the number of claims processed as well as number of denials that must be resubmitted. Currently a Billing Specialist processes claims and processes revenue collection and recording. By moving this to an Accounting Technician II, all of the Billing staff can concentrate on processing claims and denials. The OA II — Nutrition position is currently at a .925 FTE. The Health Department requests the additional .075 FTE to make this position a full 1.0 FTE not dependent on grant funding. The Health Department also requests a 1.0 FTE IT Support Specialist as the Department's IT and informatics demands have only continued to increase. The Department is in need of in- house technical support. S:\Managers Working Files\BOH\Agenda&Abstracts\2023 Agenda &Abstracts/ February Page 3