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Home My WebLink AboutAgenda - 06-18-2002 - 8o ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 16, 2002 Action Age/Ayda Item No. b� O SUBJECT: Budget Amendment CB DEPARTMENT: Budget PUBLIC HEARING: (YIN) No ATTACHMENT(S): Attachment 1. Budget as Amended INFORMATION CONTACT: Spreadsheet Donna Dean 2462151 A6echmeirl Community Based Public Health Initiative Grant TELEPHONE NUMBERS: Project Ordinance Hillsborough 7324181 Amachmant3. Medicaid Maximization Chapel Hill 968-6501 Capital Pmjecl Ordinance Durham 688-7331 Mebane 3364!274!031 PURPOSE: To approve budget ordinance amendments and grant and capital project ordinances for fiscal year 201 BACKGROUND: Health Department 1. The Health Department has received funds in me amount of$5.000 to be used for its "Pink Carolina' project. The department plans to expend the funds to educate women in Orange County regarding the early detection of breast cancer emeng underseri In addition, the department will provide mammogmms and follow-up for women who do net quality for the Breast and Cervical Cancer Control Program (BCCCP). While the program will assist all women in Orange County, a primary focus will be serving Hispanic/Latino and African- American females. There is no County match required for the receipt of these funds. (see Attachment 2, Community Based Public Health Initiative Grant Pmjecl Decimal 2. As required by the federal government, each state "sets aside-a portion of annual Medicaid earnings as a contingency to avoid over expenditures. The funds are retained to as 'federal cost settlement funtls'or'Medicaid maximization funtls". Should the federal government not need to use the withheld funds, it reimburses the funds to the State on an annual basis. In turn, the State passes these funds along to Health Departments. There are several requirements regarding the use of the funds: • Funds are required to be budgeted and expended to further the objectives of the program that generated the receipts: • Funds may be expanded for a variety,of public health needs and activities or they may be held in reserve for future needs of the department; and z • Funds are not to replace current budget allocations for these program areas. The Health Department recently received is annual settlement for FY 00-01 of Medicaid maximization funds from the State. The settlement totals $72,930 and brings the total Medicaid maximization reimbursements received by Orange County over the last several years to more than $560,000. The department plans to use these funds for non-recurring items such as replacement of older equipment, meeting OSHA requirements, and potentially offending costs of redesigning clinical space at the Whitled Human Services Center. Attachment 3 of this abstract, Health Department Medicaid Maximization Capeas) Project Ordinance, provides for the receipt of the additional funds. No County dollars are required in order to receive these funds. Department of Social Services 3. The Department of Social Services has received notification from the State of additional CHORE (EDS)Ponds in the amount of$11,000. These funds will be used to purchase long- term care medical supplies and equipment m enable dients to remain in their own home instead of being institutionalized. These additional funds bring the current budget for this program to$5 ,000. (see Attachment 1, column 83). FINANCIAL IMPACT: Financial impacts are Included in the background information above. RECOMMENDATION(S): The Manager recommends that the Board of County Commissioners approve the attached budget ordinance and grant and capital project ordinance amendments_ I chmenl 1. aangnC nN Amposoo zootaz euap0f Am.namem t. 2WIa2 onuye county suASee a w, IS WWI as wocxs. mlo:a 6 Iyylp NFnnuel Bugln3e q ti�➢e eellAV 01° anpnuanpet AlaWad Thuah tSeammm� "°'I aalp�ot Bu�psM RCn mm�p:ml Ie4�NapPonm alwm NeS awp nopn6fm noel P"iviONlnamll nr.„, $ nxt.n. f Wes f { E teppa. 3 f s WA J® E 1pIAW0 f ttA!;V b i S I'd�ftl.ft i 10.114ID0 b 1 S ttp]p E A 0.7m 6 ten TW $ ;u't➢M S u.Wa { z 222 M.rm 3 M21.52a g ZZI S ;setAx S { e Wffls .11 6 ttav».ur tmsv wimm".. 6 1.262,15D 6 1. 947 { b S f 1.21MI i ♦ b <SOgxu { 6 E i e]sgpt mmlm E i m}ss 3 3 5 f p 2A WA mt { 2y 4613 S @.nt S E S f S.@,fft i WAS;m S t 9 { a 11 No 9 We"y S T MWI S { 55555 VWWW 1 Mau 3ngw S . ® _ S Ull I1 S e a .a.WIL a i a n6® Mm 113101167 S @ is WIWII > iev}m i ls3A175 3 I4Ukln �� 1 >ARtee b AaevA08 117131.1013 a ta.OMxt E { i e 6 4 Attachment 2: Community Based Public Health Initiative Grant Project Ordinance Program Number 11-644 Be it calcined by the Fringe County Board of County Commissioners that poisoner to Section 13.2 of Chapter 159 of fin,General Statutes of Ninth Camfiru,the following grant project is hereby adopted. Section 1. The project authorized is the Community Healf Advoncy Piogam(CHAP) as awarded to the Orange County Health Doparlment by the Kellogg Foundation. Theporposeoftbiefon'year grantistoimpmvetbebealtlhofm dtypopulationmtargMw=mities. Section 3. The,officers of the County we hereby drected to proceed with the grant project within the grant docwnevr and the Files end regulations of the Kellogg Foundation. Section 3. The following revenue is anticipated be available to complete thus project 1992-93 Gant Panda-CHAP $52,820 1993-94 Grant Funds-CHAP $93,884 1994-95 From Funds-CHAP $93,626 1995-96 Gant Funds-CHAP $82,160 1996-97 Greet Funds-CHAP $33,750 1997-98 Grins Farads-CHAP $11,250 1998-99 Grant Funds-Community Health Initiative $30,028 1 999-00 and Funds-Community Health Initiative $20,463 2000-01 Grant Funds-Community Health Initiative $46,717 2001-02 them Fonds-Commmuty,Health Initiative $49,056 ImWUNP(bam Funds $5/3,954 9ection4. Thefollowing amount is appropriated frr[his project Human Services- Community Eased oublie Health lniunuve 5513,754 Section 5. The finance officer is hereby directed to maintain within the Cont Project sufficient specific dented accounting records to provide the accounting m the grantor agency returned by the gent ageement and federal and state regulations. Section 6. Funds may be advanced Fah the General Fwd f or the purpose ofruaking payments due. Aeimbwsement requests should be made to the succor ageny in an orderly and timely mariner. Section 7. Copies oftbis gent Tripper ordinance shall be made available to the Bounce officer for direction in carrying out Nis project. Section S. Positions authorized though this grant pmjow include: O.SFuO-time Ggntvelenf O�reAnsismntpoaitlon. This position is authorized for apenod of no longcrtbxn fouryean from the original grant date. Subsequeat fnndinx in fume years is contingent upon the availability of grant finch. Sectlan 19. This cretonne,orginally adopted Decemb¢21, 1993,is clkctive througb iwe 30,2002. Adopted tine 18th day offane 2002. 6 Attachment 3: Health Departmeat Medicaid Maximization Capital Project Ordinance Be it ordoined by the Orange County Board of County Commimoulas that pmamnt to Section 13.2 of Chapter 159 of the Gerard! Standen of Nor1N Carolina, the following capital project is hereby adopted. - Section 1. The project authorized provides Costs for the Health Deparonent to purchase capital items and make minor ronovatiorm to clinic space. Medicaid maxin ivtion funds received]by the Hwlth Depamnmtt fimnce Can pb Ject. Section 2. The officers of the County arc hereby corseted In proceed with the project within the budget woundd herein. Section 3. The following revenue is anticipated to wmplete tins project TTrougE FY Thro4h FYLgI 200DA I MTpllm 02 Sales Tax SO $0 £0 Baud Fvmla 0 $0 Nl=Taze�ut $0 $0 ff0 Grunt FwWs $0 $0 SO Otlxx $399.658 165 a6] $565125 round 61m 9 $165 6] $565125 Secdon,l. The following amomt is appropriated fm this project Tluangh FY 1Trcugh FY2001 M0 41 mzoolmz oz IcecOmnWama tli ta n ending ao $0 mnda $o $399.658 5165 6o] $565.10 o TonlCostsi M99cc3a 1 9I65 ] 565.ID3 Section 5. This ordiwwce supersedes all previous Health Department Medicaid Maximimtion Capital Roject Ordimnes for Orange County. Section 6. This ordhatue, ongirally adopted February 16,1999, shall be in effort until June 30,2002. Adopted this 18th day of Jme 2002.