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<br />REQUEST FOR CAP CASE MANAGER (SOCIAL WORKER II) <br />October 5, 2004 <br /> <br />Please review this request for one additional CAP Case Manager position. Currently, <br />there are 245 CAP/DA recipients and 5 CAP/C recipients for a total caseloadof 250. <br />Seven (7) case managers are carrying 33.5 cases each and two (2) case manager <br />processors are carrying a total of 15 cases. The recommended state CAP caseload is <br />30. Reducing caseload sizes to the recommended 30 and transferring 5 cases from the <br />application processors will result in an additional caseload at recommended state level. <br /> <br />An additional case manager will allow the two case manager processors to initiate <br />services promptly and do more outreach. The position will also decrease the caseloads <br />of the current case managers to within the state recommended limits rather than <br />steadily increasing. <br /> <br />Case Management rates increased from $42.56/hour to $55.28/hour effective 07/01/04. <br />With the expectation that a case manager will produce 100 hours of case management <br />per month, $66,336.00 will be generated in a 12-month period. This amount is <br />.adequate to cover the cost of an additional case manager. <br /> <br />Also, as of 07/01/04, Cabarrus County was allocated 25 additional CAP/DA slots, <br />bringing the total persons the county can serve to 289 at anyone time. The new <br />allocation was not solicited, but based on a new methodology developed by the Division <br />of Medical Assistance's Slot Allocation Workgroup. Our allocation is based on our <br />percentage of the statewide total of eligible Medicaid aged, blind and disabled recipients <br />over the age of 18. Cabarrus County received 1.06% of the 2,337 slots allocated for <br />CAP/DA. (Please see Slot Utilization Plan.) . <br /> <br />The additional slot allocation by the Division of Medical Assistance (DMA) was <br />accompanied by the expectation that each county is to proactively serve their allotted <br />. share of the State's CAP/DA eligible population. As the CAP/DA lead agency, we are <br />required to submit a plan to DMA outlining how we will fill our allocation in a 12-month <br />period, how staffing issues will be addressed, how many slots will be filled each month, <br />and whether caseloads will be changed to accommodate additional slots. Two years <br />may be granted to reach a level of full slot utilization. We are also directed to report <br />any barriers to utilizing slots including staffing issues, budgetary constraints, local policy <br />or governance issues, and rebuilding case management infrastructure. <br /> <br />Unused slots will be realigned on an on-going county-by county basis. If DMA and the <br />Slot Allocation Workgroup find that a county is not meeting its Slot Allocation Plan and <br />that it is unable to effectively utilize it new slots, they will take action to reallocate these <br />slots immediately. DHHS and DMA do not want slots to remain unfilled in a county if <br />that county is unable to fill them and there is another county ready to utilize the slots. <br /> <br />¡::-lD <br />