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Coborrus County Transportation Services Final Report - September 2015 <br />3.4 FINANCIAL /ASSESSMENT <br />A summary of revenues and expenses for FY 2012 through FY 2014 from the OPSTATS <br />reports are listed in Table 4. CCTS has had a balanced budget for the past three fiscal <br />years. CCTS does not have a reserve budget, and therefore does not have reserve funding <br />to implement new or expanded services, or to meet the minimum recommendation of 3 <br />months of reserves in the event of any loss in funding. Funding sources will need to be <br />identified to implement any CTSP recommendations that include new or expanded services. <br />Table 4: CCTS Revenues and Expenses Summary (FY 2012 -2014) <br />Year A[Revenues Expenses Surplus <br />6: jjk(Deficit) <br />2012 $1,516,424 $1,516,424 $0 <br />2013 $1,428,268 $1,428,268 $0 <br />2014 $1,434,027 $1,434,027 $0 <br />Source: OPSTATS Reports for 2012, 2013, and 2014 <br />There have been fluctuations in the funding CCTS received from various sources over the <br />past three years. Due to decreases in the number of RGP trips over the past two years, <br />CCTS has not requested its full allocation of ROAP funding from the state. CCTS has <br />stated that this was due to difficulties with passengers meeting eligibility requirements for <br />rural to urban trips. This issue was discussed at Steering Committee meetings for the <br />CTSP. As of the writing of this report CCTS had not anticipated using the FY15 5310 <br />funds for the elderly and disabled, because they anticipated the market for these services <br />from the dwindling rural areas was not there. <br />During the initial scoping meeting for this CTSP, CCTS expressed concern about the <br />pending Medicaid brokerage procedures that were scheduled to go into effect on Julyl, <br />2014. North Carolina has been considering implementation of a brokerage system to <br />administer their non - emergency medical transportation program. However, North Carolina <br />has used a coordinated model of public and human service transportation for over 30 years <br />and implementation of a brokerage system for Medicaid transportation may have negative <br />impacts on this coordinated transportation model. According to a Department of Health <br />and Human Services report to the Joint Legislative Oversight Committees on Health and <br />Human Services and Transportation entitled Non - Emergency Medical Transportation <br />Services Management Report (October 2012), potential impacts include loss of efficiency, <br />increased cost for other trips, fragmentation of service, and reduction in service quality. <br />CCTS is specifically concerned about the loss of a large percentage of their trips and <br />associated revenue. The Medicaid brokerage procedures did not go into effect in July 2014 <br />and, as of this writing, there is no current schedule for implementation. <br />Attachment number 1 \n <br />F -3 Page 106 <br />