Item:
Title
Resolution - Support Durham Becoming a Medicaid Healthy Opportunities Community (10min)
Body
Date of BOCC Meeting: November 12, 2019
Request for Board Action:
Agenda Text
The Board is requested to adopt the attached resolution supporting Duke University in its attempt to get Durham designated a Medicaid Healthy Opportunities Community.
The Center for Medicaid Services (CMS), part of the federal Health and Human Services Administration, is allowing some areas in some states to begin piloting more flexible spending of Medicaid dollars in order to drive positive outcomes in a broader range of social determinants of health. Two to Four Medicaid regions in North Carolina will be selected by NC DHHS to be part of a five year pilot which will allow for flexible spending of up to $650 million (up to $100 million in capacity building for service providers). Eligible beneficiaries, who must have at least one physical or behavioral risk factor as well as at least one social risk factor (see attached PowerPoint for more information), will be available for additional assistance through approved service providers in the areas of housing, food, transportation, and toxic stress / interpersonal violence.
An RFP for this regional selection will become available this month (November 2019). Duke University along with its Medicaid Integrated Network has assembled a coalition of six counties to comprise our regional application. Wake, Vance, Granville, Franklin, and Warren County join Durham County to form "WD4C". Duke Representatives believe the combination of urban and rural counties as well as counties with both generally good and generally very poor health outcomes will make for a compelling application. The attached resolution of support would be submitted along with the official WD4C application. If the WD4C region is selected by the state, supported services would begin to be provided in late 2021.
Representatives from Duke University's Division ...
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