Item:
Title
Budget Ordinance Amendment No. 19BCC000057- Social Services Budget Reduction of $1,161,500 for Medicaid Transportation and $150,000 for Medicaid Cost Settlement Funds in FY2018-19
Body
Date of BOCC Meeting: June 10, 2019
Request for Board Action:
Agenda Text
The Board is requested to reduce the Medicaid Transportation budget by $1,161,500.00 because Durham County has now been fully integrated into the State NC FAST system for transportation. Moving forward Durham County will no longer issue provider payments as this is a state function. All payments to vendors providing Medicaid Transportation now are issued by the state via the NC Fast system so the Department is no longer required to budget an expense and revenue line for this service. Effective November 1, 2019, all Medicaid clients enrolled in the new Medicaid Managed Care program will have their transportation services provided through their pre-paid health plan. DSS will continue to coordinate the transportation of Medicaid clients not enrolled in a standard plan with payments being issued still by NC Fast.
The Board is also requested to reduce Medicaid Cost Settlement revenues budgeted by $150,000 because Durham County is not eligible to receive Medicaid Cost Settlement funds anymore.
Medicaid Transportation (5300642000 - 5200174800; 4300313800)
$1,200,000 Total
$ 8,000 Mandated service to transport clients by stretcher or wheelchair to medical appointments
$ 30,500 DSS purchase bus passes for Medicaid clients for medical appointment
$1,161,500 Reduce budget by this amount
Medicaid Cost Settlement (5300643000 - 4300339000)
$ 150,000 Total
The FY2019-20 County Manager recommended budget has also been reduced by these amounts.
Alignment with Strategic Plan: Goal 2: Health and Well-being for All which decrease health disparities within the community and Goal 3: Safe and Secure Community to improve outcomes for vulnerable, children, youth and adults.
Resource Persons: William Rose, Director and Rhonda Stevens, Assistant Director.
County Manager’s Recommendation: The County Manager recommends that the Board approve Budget Ordinance Amendment No. 19BCC000057 to reduce the Social Services budget $1,161,500.00 in Medicaid Transportation and reduce Medicaid Cost Settlement revenues $150,000 for FY2018-19.
Signature
County Manager: ____________________________