11.12.25 BOA Agenda Packet - Laserfiche WebLink

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Orange County Planning and Inspections Department Special Use Permit Application Applicant: Ken and Joanne Wilson, Jubilee Integrated Wellness, PLLC Property: Orange County Parcel 9850093606 Zoning: AR/RB/R1 Proposed Land Use Narrative Overview Jubilee Integrated Wellness PLLC (DBA Jubilee) is a clinical program offering ambulatory day programs for adults of all disability levels as defined by 10A NCAC 27G. Jubilee offers farm-based day programming for adults with mental illness to support their rehabilitation, care, and thriving. The program offers group and individual therapy, yoga, cooking, therapeutic horticulture and animal care, and music therapy, and is billed as an intensive outpatient program (IOP, CPT code S9480). Clients are adults whose lives have been derailed by mental illness, often complicated by repeated hospitalization. These individuals are offered a space to receive holistic, evidence-based care in support of their values, helping them to re-enter the world to pursue their educational, creative, and professional goals. It should be noted that Jubilee is a designated bona fide farm and is already offering these farm-based mental health care services at the identified location (1009 Hi Mar Lane). Currently, these services are billed to insurance as “office-based”, as opposed to “facility-based,” which can only be billed from a licensed facility. The insurance rate for office-based IOP is not adequate to sustain the organization financially, particularly as we pay a living wage to all employees. We are seeking this special use permit for the existing space to receive a fire inspection from the Orange County Fire Marshal, which was previously denied due to the current bona fide farm status. The fire inspection will allow licensure for the program, which is currently operating as an office-based service. Licensure would, in turn, allow Jubilee to seek facility-based contracts with insurers. Many insurers do not cover office-based IOP or pay a rate that is ¼ of that provided for facility-based billing. The SUP and subsequent fire inspection and license would make our services available to a wider range of clients, including those with Medicaid, with whom we cannot contract without a license. There is a notable lack of mental health day treatment services for Medicaid clients in Orange County, and the SUP will allow us to care for an underserved population. Proposed Land Use We are seeking a special use permit to operate a care facility in the AR/RB/R1 zoning districts. Services Jubilee offers ambulatory day programs for adults to support their mental health and well-being. Notably, Orange County currently has one other facility offering in-person intensive outpatient clinical services. That program is located at the intersection of I-40 and Highway 54 and does not offer outdoor content or cooking, nor does it have a specialized program for young adults. Our clinic currently offers two distinct programs. The first is a day program tailored for young adults whose lives have been interrupted by mental illness and substance abuse. These Exhibit B SUP Site Narrative 37