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HomeMy WebLinkAboutAgenda - 12-02-1996 - 13d I Orange County Board of Commissioners Agenda Item Abstract Meeting Date: December 2, 1997 Action Agenda Item SUBJECT: Additional Medicaid Caseworker for UNC Hospitals Department: Social Services ATTACHMENT (S): INFORMATION CONTACT: Letter of Request Marti Pryor-Cook,Ext.#2802 from UNC Hospitals TELEPHONE NUMBERS: Hillsborough- 732-8181 Durham - 688-7331 Mebane - 227-2031 Chapel Hill -967-9251/968-4501 Purpose: To seek, in principle, approval to amend the Fiscal Year 1996-97 Contract with UNC Hospitals to provide an additional Medicaid Caseworker onsite with all cost associated with the position assumed by the hospital. Background: Beginning in 1977, UNC Hospitals contracted with Orange County to station a DSS Caseworker at their facility to take Medicaid applications for out-of-county patients. Hospital officials requested this arrangement to enhance their collection-rates. In 1888, an additional Caseworker was placed at the hospital due to increased demand, with UNC Hospitals assuming all the costs associated with the two positions. On October 29, 1996, a request was received from the Associate Director of Fiscal Services to place a third caseworker at the hospital. The Associate Director indicated that this was necessary due to expansions they are making in their own intake and counseling services. Hospital staff anticipates that the volume of Medicaid applications will greatly increase. In order to assist the hospital with this increase of Applications/patients, the current Contract will need amending to reflect the third position and associated costs. The DSS Board reviewed this request on Tuesday, November 19, 1996 and approved amending the contract to provide for a third Caseworker. Recommendation: The Manager recommends approval, in principle, subject to County Attorney review, amending the Contract with UNC Hospitals to provide for an additional Medicaid Caseworker. 2 RECEIVEC UNIVERSITY OF ---- ' NORTH CAROLINA HOSPITALS NOV 2 5199 101 Manning Drive ORANGE Chapel Hill,North Carolina 27514 SOCIAL COUNTY SERVICES November 21, 1996 Ms. Marti Pryor-Cook Orange County Social Services P.O. Box 8181 Hillsborough, NC 27278 RE: Additional Income Maintenance Caseworker Dear Marti: As follow up to my October 29, 1996 request for an additional intake worker, this letter will authorize Orange County Department of Social Services to make available to UNC Hospitals the services of one additional Income Maintenance Caseworker (for a total of three workers). UNC Hospitals agrees to reimburse the county within 15 days of receipt of monthly billings for the county share of the salary and benefits involved in maintaining these three Social Services Income Maintenance Caseworkers at UNC Hospitals. Thank you for your continued support of our efforts on behalf of Orange County citizens. Sincerely, THE UNIVERSITY OF NORTH CAROLINA HOSPITALS Dianne P. Barry Associate Director Fiscal Services x4: Charles Ayscue,.Director- Fiscal Services r North Carolina Memorial Hospital • North Carolina Children's Hospital North Carolina Neurosciences Hospital North Carolina Jaycee Bum Center • North Carolina Clinical Cancer Center • North Carolina Women's Center UNC Ambulatory Care Center • Carolina Consultation Center i