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ReqUest for Two Case Manager Positions in the Community Alternatives <br /> Programs (CAP) <br /> <br />Currently the CAP Program has 7 full time case managers. The total number carrying a <br />caseload consists of 6.5 workers with .5 worker processing applications. There are 198 active <br />CAP/DA and CAP/C cases at this time (193 CAP/DA + 5 CAP/C). Our waiting list has103 <br />persons, with 8 referrals in the application process. The State suggests 30 cases per case <br />manager. Effective November 1, 2002 Cabarrus County was granted 51 additional CAP slots <br />by the Division of Medical Assistance due to the State Budge for 2002-2003, which included an <br />increase in the appropriation for CAP/DA. <br /> <br />On August 1, 2002, the State began to allow CAP/DA lead agencies to refill slots that became <br />vacant due to case closures, At this time, Cabarrus County had 205 CAP/DA cases and 5 <br />CAP/C cases for a total CAP caseload of 210. Based on a case count of 210, 7 case managers <br />were needed, giving each case manager 30 cases. <br /> <br />Considering the current numbe'rsl 7 case managers are sufficient. However, to process and <br />serve 51 new CAP/DA recipients, additional staff is needed. With the current waiting list, as <br />well as the potential of serving any Cabarrus County resident who wishes to leave a nursing <br />facility to be served through CAP/DA, two additional staff persons are needed. <br /> <br />By adding two additional persons, 7 case managers can carry the ongoing cases, allowing two <br />case managers to reduce the waiting list as quickly as possible. It is estimated that 30 cases <br />per month can be screened, with 15 of the 30 approved for CAP/DA Services. This could <br />eliminate the waiting list in approximately 6 months if the needed staff is on board. Once the <br />waiting list is depleted, a total of 8 case managers would be needed to carry active cases with <br />one case manager processing new referrals to replace persons leaving the program. It is <br />estimated that each worker will carry 30'cases each. <br /> <br />Nine case managers will produce an average of 1,062 hours of case management per month, <br />generating monthly revenue of $45,198.72. The additional revenue produced by the 2 <br />requested case managers for a 6 month period would be $60,264.96. The additional costs <br />(salary and fringe) for the same period would be $41,194.71. <br /> <br />Projecting a gradual increase of new CAP with 65% of the new clients choosing the agency's <br />IHA services, the revenue for IHA services Would increase by $81,432 with related costs <br />increasing by $62,010. <br /> <br /> <br />