Orange County NC Website
MINUTES <br /> ORANGE COUNTY BOARD OF SOCIAL SERVICES <br /> March 16,2026 <br /> 11, providing information/resources, gun locks, medication lock boxes, pinwheels, and fun activities <br /> for kids. <br /> 2. Child Welfare Updates <br /> Crystal Wiese, Assistant Director, updated the Board on PATH NC. PATH NC is the new child <br /> welfare technology system that we are transitioning into with a go live date of April 27, 2026. We will <br /> be one of the last 11 counties for intake and assessments, but one of the first 11 for in-home, foster <br /> care, adoptions, licensing, and LINKS. There are lots of trainings staff will need to complete for the <br /> new system, and the State is also rolling out new policies at the same time. Some of the policy <br /> changes for intake are leading to a higher number of immediate response referrals. This doesn't <br /> change the number or flow of cases but will require a much quicker turnaround for initiations. It <br /> could potentially have impacts on our initiation rates that have historically been good; with the new <br /> policy it will require workers to drop everything and go more often. We have seen with other <br /> counties with vacancies this quick turnaround is presenting a problem. Most staff will average 7 full <br /> days of training, and some will need 12 full days depending on what program area they are in. <br /> There are lots of training expectations for April, and at the same time we are also working on data <br /> cleanup for conversion. Final readiness meeting with DHHS is scheduled for next week to ensure <br /> we are prepared for the implementation. So far, we are on track and really like what we have seen <br /> from the product. Counties have had different levels of systems, some paper, some standalone <br /> case management systems. PATH NC will help counties see if cases have crossed county lines <br /> and will help make sure nothing falls through the cracks, especially for the more mobile families. We <br /> have been in CWIS since 2018, and all of our data will convert over since that time. For new <br /> counties, it will be day forward, so no historical information beyond seeing that a family had a case <br /> in another county. So far, we haven't seen or heard any downsides to the system; there is always a <br /> learning curve and some glitches, but when there are, they are being addressed timely. <br /> 3. FIR 1 Updates <br /> Lindsey Shewmaker provided a short update on HR 1. There are no major changes but policy <br /> changes continue to roll out. Counties in NC have fully implemented the program and eligibility <br /> changes for FNS. DHHS at the state level continues to work on the payment error rate that will <br /> ultimately determine how much the state will have to pay for benefits. The state is providing onsite <br /> technical assistance for counties with higher errors rates. We are not one which is good because <br /> we are not considered high risk, but it sounds like the services being provided are good and it is <br /> something we would be interested in receiving. We are right now in the middle of the second year <br /> that the federal government can use to determine the error rates. Orange County doesn't have an <br /> error rate but based on the number of cases that were pulled, we would be at 50%. It all depends <br /> on how many of our cases are pulled for review. They are also doing some work on technology to <br /> try to decrease areas where some of those errors are in. <br /> FNS administrative reimbursement rate will decrease from 50% to 25% in October. We are doing <br /> preemptive work in that space, including sending an email to Travis and Gary requesting to <br /> expedite the CAP plan if we can get it approved and in before October and looking at frontloading <br /> purchasing in the first 3 months to get the larger reimbursement rate. <br /> All the Medicaid changes are coming later this year, and the state continues to get guidance from <br /> the federal government. For example, the new policies go into effort for cases that we start working <br /> in January for March recertification, instead of October for January recertifications. This gives the <br /> state more time to advocate to the general assembly for more funding for technology implantation <br /> and for counties. <br /> 2 <br />