HomeMy WebLinkAboutORD-2025-032-Approval of Budget Amendment #2-A to fund the mobile Crisis team polit-care-wth grant funding 1
0RD-2025 -032
ORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date : October 7 , 2025
Action Agenda
Item No . 8-q
SUBJECT : Approval of Budget Amendment #2-A to Fund the Mobile Crisis Team Pilot
( CARE ) with Grant Funding Awarded to Alliance Healthcare
DEPARTMENT : Emergency Services , County
Manager
ATTACHMENT(S) : INFORMATION CONTACT .
FY 2025 -26 Alliance Health Budget Caitlin Fenhagen , 919 -245 -2303
Form Expansion Kirby Saunders , 919-245-6123
August 22 , 2025 Memorandum from Kim Woodward , 919 -245 -6133
NCDHHS
Year-To - Date Budget Summary
PURPOSE : To approve Budget Amendment # 2-A to provide grant funding for an additional year
and expansion of the Mobile Crisis Pilot — the Crisis Assistance , Response and Engagement
(CARE ) Team — in collaboration with Alliance Healthcare and the Town of Chapel Hill .
BACKGROUND : The CARE Team is a three person mobile unit that responds to 911 and crisis
calls in lieu of law enforcement or emergency medical services ( EMS ) . The mobile team includes
a crisis counselor, a peer support specialist and an emergency medical technician ( EMT) . The
mobile team is complemented by a fourth position , a crisis counselor who is embedded in the 911
Call Center . The CARE Team is a collaboration between Orange County and the Town of Chapel
Hill . The Pilot started operation in May 2024 under the direct supervision of the Chapel Hill Police
Crisis Division , and with joint oversight by leadership at the Chapel Hill Police Department Crisis
Division , Orange County Emergency Services , County EMS and the Criminal Justice Resource
Department .
Alliance Healthcare provided start- up costs for the CARE Team in FY 2023 -24 and sought and
received a grant from the N . C . Department of Health and Human Services ( NCDHHS ) , Divison of
Mental Health , Developmental Disabilities and Substance Use Services , for Orange County in the
amount of $ 579 , 500 for FY 2024 -25 . The CARE Team ' s coverage was limited to Chapel Hill calls
and the hours of operation were from 8 : 00am to 4 : 30pm .
In FY 2024 -25 , the CARE Team responded to 1 , 040 events and served 349 unique individuals .
93 % of the responses did not result in any criminal charge . Only 51/o of the responses required
transport to a hospital for a medical emergency , and only 71/o required transport to a hospital for
behavioral health care .
Orange County and the Town of Chapel Hill requested expansion funding for FY 2025 -26 that
would allow the CARE Team to provide coverage to Carrboro and and extend the service hours .
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Carrboro separately funded a crisis counselor position to suport the CARE team for this potential
expansion . The request submitted to Alliance Healthcare and NCDHHS sought funding for three
(3 ) new positions to provide for a second mobile team to serve from late afternoon until late at
night on weekdays . On August 22 , 2025 , Alliance Healthcare notified Orange County that
NCDHHS had allocated $ 790 , 640 to Alliance Healthcare for the CARE Team ' s expansion (see
attachment ) .
On September 4 , 2025 , the CARE Team expanded its operation to Carrboro . Hiring is underway
to fill the new positions in order to expand the coverage hours .
FINANCIAL IMPACT . This grant provides Fiscal Year 2025 -26 funding of $ 790 , 640 to support
and expand the Mobile Crisis Team . The additional funding supports the existing Crisis Counselor
contract with the Town of Chapel Hill and the County' s Crisis Response Community EMT ,
therefore reducing the General Fund appropriation by $ 173 , 298 . This grant also expands the
Mobile Crisis Program by providing for an additional full -time equivalent ( FTE ) position with the
County , two additional FTE positions through a contract with the Town of Chapel Hill staff, and
additional operational costs .
Budget Amendment #2 -A reduces the General Fund appropriation by $ 173 , 298 and updates the
following grant ordinance in the Multi -Year Grant Fund , outside of the General Fund by $ 790 , 640 .
DHHS Care Grant ($ 790, 640) - Project # 71501
Revenues for this project :
Current FY 2025-26 FY 2025-26
FY 2025-26 Amendment Revised
Grant Revenue $ 579 , 500 $790 , 640 $ 1 , 370 , 140
Total Project Funding $579 , 500 $7901640 $ 1 , 370 , 140
Appropriated for this project :
Current FY 2025-26 FY 2025-26
FY 2025-26 Amendment Revised
Expenditures $579 , 500 $ 790 , 640 $ 1 , 3700140
Total Costs $579, 500 $ 790 , 640 $ 1 , 370 , 140
ALIGNMENT WITH STRATEGIC PLAN : This item supports :
GOAL 2 : HEALTHY COMMUNITY
OBJECTIVE 1 . Improve harm reduction , prevention , and support services for adults and
children experiencing behavioral health issues , substance use disorder , and intellectual or
developmental disability .
OBJECTIVE 2 . Expand access to quality , affordable healthcare services . (e . g . , Crisis
Diversion facility , Medicaid expansion , crisis response , healthy living campaign ) .
OBJECTIVE 3 . Provide social safety net programming and the resources needed for our
most vulnerable community members (e . g . , veterans , unhoused people , foster children ,
older adults , etc . ) .
OBJECTIVE 4. Reduce impacts and barriers for justice- involved children and adults
through deflection , diversion , therapeutic interventions , and re - entry support , including
housing .
OBJECTIVE 5 . Invest in , support , train , and retain our community safety , health , and
emergency services employees and direct care workforce .
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OBJECTIVE 6 . Provide sustainable , equitable , and high -quality community safety and
emergency services to meet the community' s evolving needs .
OBJECTIVE 7 . Invest in services and programs that improve the health and quality of life
of the community (e . g . , recreation and public open spaces , arts , etc . )
RECOMMENDATION (S) : The Manager recommends that the Board approve Budget
Amendment #2 -A to include $ 790 , 640 in a Multi -Year Grant Fund to support the existing and
expansion funding for the Mobile Crisis Team Program . The Town of Chapel Hill will invoice
Orange County for payment of its share of the individual and joint expenses , and Orange County
will provide copies of invoices , payroll , and all expenses to Alliance Healthcare to ensure funds
are being used for allowable expenses .
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Alliance Health
Budget Form for Non-UCR Contracts
Narrative
Provider Name Orange County
Program Name CARE Team
Please provide explanations and justifications for budget expenses below:
Budget Line Item Description Explanation and Justification
Travel/Staff Lodging/Meals Funding for conferences and training opportunities invoicing travel .
Funding for basic needs including snacks , clothes , water, shoes , warm and cold weather
Client Assistance Activities resources .
Cell phones and laptops for the new team members and monthly cell phone costs for all
Office Equipment Rental the team .
Office Supplies/Materials Uniforms and office supplies for new team members . j
Service Related Supplies Funding for medical supplies and harm reduction supplies for mobile unit .
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Software Licenses Penelope and Apricot software and licenses .
Vehicle Rental Mobile van rental from Enterprise .
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Docusign Envelope ID : 110C5B7D-DB75-493A-B8A8-0081AED27025
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�� srareo NC DEPARTMENT OF
h �y HEALTH AND JOSH STEIN • Governor
HUMAN SERVICES DEVDUTTASANGVAI Secretary
y% ,_ Division of Mental Health, Developmental KELLV CROSBIE Director
'uaQW4vat' Disabilities and Substance Use Services
August 22 , 2025
MEMORANDUM
Allocation #: 26-A 51
UEI #: WX6EEKYAMG77
TO : Rob Robinson , Chief Executive Officer
Alliance
DocuSigned by,
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LG40LLa OA` I G0
FROM : Deidra Oates , Business Allocations Manager
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66E53CFAB2CD461 ...
DMHDDSUS
RE : Behavioral Health Investments Special Savings Funding Non - UCR for Orange
County Mobile Crisis and Law Enforcement Co- Response Pilot SFY26
Alliance is allocated $790 , 640 in Behavioral Health Investments Special Savings Funds on a one-
time basis to support the development and operation of the Orange County Mobile Crisis and Law
Enforcement Co- Response Pilot .
Eligible expenditures must be incurred during the period of July 1 , 2025 through June 30, 2026 .
FORMAT FOR FUNDING .
These state funds are allocated outside of UCR and approved expenditures shall be reported by the
Tailored Plan through routine submission of monthly Financial Status Reports ( FSRs) to the DMHDDSUS
Project Manager and Business and Financial Operations . Funds will be paid on a reimbursement basis
as these funds will not be paid via the Single Stream Funding payment schedule . Any exceptions to the
required timely reporting of funds expended shall be approved in writing by the DMHDDSUS Business
and Financial Operations Director ,
Each Tailored Plan should review their program report received from Business and Financial
Operations for the latest expenditure update for funds paid by the Division . If Tailored Plans are
underutilizing funds, the Division reserves the right to make a mid-year adjustment in allocations.
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND
SUBSTANCE USE SERVICES
LOCATION : 695 Palmer Drive, Anderson Building, Raleigh, NC 27603
MAILING ADDRESS : 3001 Mail Service Center, Raleigh, NC 27699-3001
www. ncdhhs.gov • TEL: 984-236-5000 • FAX : 919-508-0951
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
Docusign Envelope ID : 110C587D-DB75-493A-BSA&C081AED27025
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SPECIAL CONDITIONS:
1 . The award of these funds shall not be used by a county as a basis to supplant any portion of a
county' s commitment of local funds to the area authority .
2 . These funds shall only be used for community-based services and supports .
3 . The funds provided shall not be utilized to supplement any reimbursement for services or staff
activities provided through the NC Medicaid Program ;
4 . Funds shall be used in accordance with cost principles describing allowable and unallowable
expenditures for nonprofit organizations in accordance with OMB Circular A- 122 ;
5 . Tailored Plans are prohibited from withholding or deducting any portion of allocated state funds
for the support of any Tailored Plan activity or function , including , but not limited to ,
administration , overhead , or indirect expenses . All allocated funds are required to be fully
contracted by the Tailored Plan for approved expenditure by eligible non -profit subrecipient
organizations .
6 . If Tailored Plans are underutilizing the funds allocated , the Division reserves the right to make
adjustment in allocations .
7 . Any payback of funds provided to the Tailored Plan pursuant to this allocation and determined to
be owed by the Tailored Plan as a result of the funding review and settlement process conducted
by DMHDDSUS for each fiscal year , must be paid within 60 days after the date of Tailored Plan ' s
receipt of the non - Medicaid funding audit report memorandum (financial settlement
memorandum ) from DMHDDSUS . If not timely paid , DMHDDSUS will take action to recover any
such payback amount due from the Tailored Plan , The Tailored Plan will be provided prior written
notice of the process to recoup any payback funds owed and not timely paid by the Tailored Plan
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and any appeal rights to contest the payback amount due , in the financial settlement
memorandum from DMHDDSUS .
S . NC DHHS has an approved cost allocation plan which exempts the State from the indirect cost
rate requirement for Federal awards .
9 . NC DHHS does not allocate pass-through funds identified as Research and Development .
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SPECIAL REPORTING REQUIREMENTS :
The following reporting requirements are required as referenced in G . S . 122C - 144 . 1 . Budget Format
and Reports : In order to ensure the Division has complete and accurate information on services
provided and expenditures , reporting of all services is required through NC Tracks and the Financial
Reporting Tool , Financial Status Reporting Monthly Expenditure Detail worksheets . This will enable the
system to assign eligible services to the correct disability-based accounts . Complete reporting of
services is also essential for performance measures calculated from NC Tracks claims and encounter
data . Monthly and Quarterly programmatic reports should also be submitted to the Program Manager .
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Docusign Envelope ID : 110C587D-DB75-493A-B8A&C081AED27025
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FUND ALLOCATION .
NCFS .
Agency Budget Account Agency Agency Funding Project Amount
Fund Mgmt . Program Source
Unit
(AMU )
3000 231013 56900100 30TB183 300003E 2000 2000400000 $ 790, 640
Please do not hesitate to contact Jessica Kornegay at 1essica . kornegay0dhhs . nc .gov regarding
any questions or concerns about this allocation .
cc : Tailored Plan Finance Officer
DMHDDSUS Business and Financial Operations Team
DMHDDSUS Executive Leadership Team
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Year-To -Date Budget Summary
Fiscal Year 2025-26
Fund Budget Summary General Fund Grants
Fund
Original Budget Revenue $ 298, 315 , 586 $ 283 , 500
Interfund Transfer Revenue $ 665 , 729 $ 0
Fund Balance Appropiation $ 7, 056, 130 $ 0
Total Original Budget $ 306 , 037 , 445 $283 , 500
Additional Revenue Received Through
Budget Amendment #2 -A (October 7th )
Grant Funds $ 279 , 615 $ 953 , 558
Non Grant Funds $ 123 , 489 $ 231611
Additional Interfund Transfer Revenue
Additional Fund Balance Appropriation - $ 69, 497
Total Amended Budget $ 306 , 371 , 052 $ 1 , 260 , 669
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Dollar Change in 2024-25 Approved Budget $ 333 , 607 $ 9770169
Change in 2024- 25 Approved Budget 0 . 11 % 344 . 68%
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