HomeMy WebLinkAboutAgenda - 06-06-1994 - VIII-B 1
ORANGE COUNTY
BOARD OF COMMISSIONERS
Action Agenda
Item No. VIM_-8
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 6. 1994
SUBJECT: Amendment to the Consolidated Contract for 94-95 to
Extend EPSDT Project.
DEPARTMENT: HEALTH PUBLIC HEARING: Yes X No
ATTACHMENT(S) : INFORMATION CONTACT:
HEALTH DIRECTOR'S OFFICE X2411
DEHNR memo dated 5/9/94
Budget page TELEPHONE NUMBER:
Contract addendum Hillsborough - 732-8181
Chapel Hill - 968-4501
Mebane - 227-2031
Durham - 688-7331
PURPOSE:
The purpose of this item is for the Board of Commissioners to accept a
$10,000 grant from the Department of Environment, Health and Natural
Resources to provide "bridge" funding to continue the EPSDT Outreach
Program (Health Check) and the two permanent, time-limited positions
associated with this program through September 30, 1994. This is an
amendment to the FY94-95 Consolidated Contract approved by the
Commissioners on April 19, 1994.
BACKGROUND:
The goals of the Health Check Program include:
1) To increase the utilization rates of EPSDT (Medicaid) services
on the part of eligible children, with an emphasis on
screening services;
2) To increase referral completion rates for children referred as
a result of screening services, with an emphasis on children
with special health care needs;
3) To increase the age-appropriate immunization rates of
EPSDT-eligible children, with an emphasis on infants and
toddlers;
4) To increase the WIC participation rates of EPSDT-eligible
children less than 5 years of age.
2
Since the Office Assistant and outreach Social Worker were hired
December 20, 1993, the following outcomes have been accomplished:
1. Nearly 30 contacts have been made with other providers.
2. Both workers have attended training programs and received
on-site training from State consultants.
3. Contacts and linkages have been made with other agencies
such as Head Start, Women's Infants and Children Nutrition
Program, Orange Chatham Comprehensive Health Service,
Carolina Access and the DSS Medicaid staff, and the
Community-Based Public Health Initiative.
4 . Patient records have been established on 52 EPSDT cases.
5. 54 patient reminder letters have been sent.
6. 82 patient appointment verifications have been done.
7 . 91 patient related contacts have occurred.
These positions were approved by the Board through June 30, 1994 . The
Department of Health, Environment and Natural Resources (DEHNR) and the
Division of Medical Assistance (DMA) have been working on developing a
plan for ongoing funding for this program through Medicaid
reimbursement for outreach services. We are awaiting word on what the
plan will be. As soon as we are informed of the reimbursement plan, we
will develop a local response and present a request to the Board for
continuation of the program and the positions beyond September 30,
1994.
RECOMMENDATION(S) : The Manager recommends that the Commissioners
accept the $10,000 contract, approve continuation
of the permanent time-limited Office Assistant and
Social Worker positions through September 30, 1994 ,
and authorize the Chair to sign the contract
amendment and the budget.
3
State of North Carolina
Department of Environment, N15WA
Health and Natural Resources
Division of Maternal &Child Health
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary D F= H N 11
May 9, 1994
MEMORANDUM
TO: Health Directors: Health Check Outreach Projects
FROM: Tom Vitaglione, Chief qq�_�V.
Children and Youth Section
SUBJECT: Contracts for FY 94-95
As promised, each county participating in the Health Check Outreach Project is
eligible to receive a $10,000 contract for FY 94-95. Enclosed is the activity
budget page and the contract addendum page in this regard.
Please complete as appropriate and return both pages to the regional office that
serves your county. If you are able do so quickly, we can add these pages to the
activity budgets you have already submitted for other services for FY 95.
Please recall that the $10,000 is intended as "bridge" money as Health Check
Outreach becomes a cost-based, reimbursable service. It is still Medicaid's
intention to begin reimbursing for this service on July 1. The $10,000 should
cover your expenses while the service becomes self-sustaining.
We appreciate the efforts of your staffs in assisting us with the entire Health
Check effort. The new data system and public awareness materials - all based on
their input - are nearing implementation. With your help, we have every reason
to believe that enhanced access to preventive care is an objective that will be
achieved.
TJV/jdh
cc: Dennis Williams
Sandra Cianciolo
Mary Ann Chap
Dr. Ann Wolfe
Barry Goldstein
Susan Bailey
MCH Regional Social Work Consultant
P.O. Box 27687,Raleigh, North Carolina 27611-7687
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10%post-consumer paper
4
LOCAL HEALTH DEPARTMENT BUDGET
N C. Department of Environment,
Health, and Natural Resources Revision Number——
Division of General Services
SFy Division of Maternal and Child Health ————P. O. Number
July 1 / 1994 June 30 / 1995 9 5 5 3 5 9 0
Effective Date Termination Date Contract Number
1
Orange County Health Department EPSDT Outreach Project
Contractor: Activity:
Daniel Reimer 10,000
Project Director: Total Budget: $
ITEM DESCRIPTION CLASSIFICATION ITEM AMOUNT
E STATE EXPENDITURES:
X Salaries & Fringe Benefits SA/FR 1000 10,00n
Operating Expenses OP EXP 2000
P Purchase of Equipment EQUIP 5000
E General Contracted or
N Purchased Services GENERAL 6100
School Health IS+C.H:IiLTH =:'':6200
D Clinician CLN 6863
I
T Laboratory LAB 6862
Pharmacy Services RX SERV 6865
Transfer TX
U IX
R Subtotal State Expend. $ 10,000
E LOCAL EXPENDITURES: LOCAL EXP 9000
S TOTAL EXPENDITURES—equal to Total Receipts $ 10,000
LOCAL FUNDS:
R Appropriation APPROP 101
E TXIX TXIX 102
Other Receipts OTHR REC 103
C
E Subtotal Local Funds $
STATE/FEDERAL/SPECIAL FUNDS:
I
10,000
P
T
S
Subtotal State/Federal/S cial $
TOTAL RECEIPTS—equal to Total Expenditures $ 10,000
Local Authorized Official Signature Date Branch Head Division/Section Signature Date
[ninal
Finance Officer Signature Date Accountant Fiscal Management Signature Date
lmoal
DM NR 2948(Revised 2/93)
General Services Division(Review 2/94)
5
AMENDMENT NUMBER
to
CONSOLIDATED CONTRACT
F
between
THE STATE
and
THE ORANGE COUNTY/DISTRICT
HEALTH DEPARTMENT
This Contract covering the period from
July 1, 1994 to June 30, 1995
(Month) (Day) (Year) (Month) (Day) (Year)
is hereby amended to add the following activities:
ACTIVITIES
EPSDT Outreach Project
All provisions and clauses set forth in the Contract are hereby
incorporated in this Amendment and constitute the terms and
conditions applicable for the above activities involving State
funding.
CONTRACTOR SIGNATURES NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
Jonathan B. Howes, Secretary
Health Director Date
By
Finance Officer Date Department Head's Signature
or Authorized Agent
Chairman of County Date
Commissioners
DEHNR 2946A (Revised 3/93)
General Services Division (Review 10/95)
6
N.C. Department of Environment,Health, and Natural Resources Page
Division of General Services
'
CONTRACT ADDENDUM FY 94/95
Children and Youth Section 9553590068
Office,Secaon, or Branch Contract Numbcr
Orange County Health Department EPSDT Outreach Project
Contractor Activity
The local health department agrees to participate in an EPSDT Outreach
Project. The expected outcomes of the Project are:
1. To increase the utilization rates of EPSDT services on the part of
eligible children, with an emphasis on screening services.
2. To increase referral completion rates for children referred as a
result of screening services, with an emphasis on children with
special health care needs.
3. To increase the age-appropriate immunization rates of EPSDT-eligible
children, with an emphasis on infants and toddlers.
4. To increase the WIC participation rates of EPSDT-eligible children
less than 5 years of ace.
The local health department agrees to the following activities:
1. To develop a county-based EPSDT Outreach Plan aimed at attaining the
outcomes listed abovQ. The Plan will outline the interagency
relationships and responsibilities of at least the following agencies
and programs:
a. Department of Social Services
b. Head Start Centers
C. Community Migrant, Rureil Health Centers
d. Carolina Access
e. Immunization
f. Child Service Coordination
g. WIC
h. Preventive & primary care providers, e.g. , physicians & dentists
2. To hire staff with resources available through this Project to:
a. Maintain an EPSDT client tracking system to identify eligible
children who are not receiving screening services or are not
utilizing specialized services to which they have been referred.
b. Facilitate access to care for such children by offering families
assistance with appointment scheduling, transportation, etc.
c_ Offer assistance to all EPSDT providers in assuring that families
schedule and keep appointments.
d. Disseminate information regarding EPSDT services and eligibility.
Reviewed by
DEHNR 3300(Revised 2/90)
General Services Division(Review 1195) Initials D2 CC