Item:
Title
Approve Submission of a Letter to N.C. Department of Health & Human Services Outlining the Aggregate Percentage Change of 1.42% to Public Health’s Chargemaster Rate
Body
Date of BOCC Meeting: August 24, 2026
Request for Board Action:
Agenda Text
The Board is requested to approve submission of a letter to N.C. Department of Health & Human Services outlining the aggregate percentage change of 1.42% to Public Health’s chargemaster rate.
For Managed Care Medicaid claim activity, Public Health receives Quarterly Separated Directed Payments. The Separate Directed Payment calculation is based on Public Health’s specific Ratio of Costs to Charges (RCC) as determined from the Base Year (State Fiscal Year 2019) Medicaid cost report and trended forward annually for inflation. The rate is annually adjusted if the aggregate price changes (Chargemaster change) are more or less than the allowed inflationary increase. To that end, Public Health attests to periodic chargemaster changes. The letter attached reflects Public Health’s aggregate chargemaster changes to applicable codes between July 1, 2025 and July 1, 2026, which is 1.42%. Public Health reports this percentage to N.C. Department of Health & Human Services.
The Board of Health has approved this amendment.
Alignment with Strategic Plan: This item aligns with Durham County Strategic Goal: Healthy and Inclusive Community.
Resource Persons: Dr. Rodney Jenkins, DrPH, MHA, Public Health Director
County Manager’s Recommendation: The County Manager recommends that the Board approve submission of a letter to N.C. Department of Health & Human Services outlining the aggregate percentage change of 1.42% to Public Health’s chargemaster rate.
Signature
County Manager: ____________________________