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change from standard to electing status. Mr. Cook asked the Board =o approve <br />the technical changes and clarifications recommended by the State and to <br />request standard county status for Cabarrus County. He stated in his opinion <br />it would bs too much of a financial risk to continue with the electing status <br />request due to the condition of the State budge= and the economic do~nturn. <br />Further, he advised it would be possible for Cabarr~s County, as a standard <br />county, to implement some policy innovations under a local bill =hat Senator <br />Her=sell has introduced to extend and ~xpand the County's Wor~ over Welfare <br />demonstration prelect. <br /> <br /> Mr. James Polk, Social Services Program Manager, briefly discussed the <br />recon~ended changes =o the Work P-irs= Block Oran= Plan. He stated the changes <br />were primarily in eligibility criteria and in the wording to help eliminate <br />=he possibility of future lawsuits. <br /> <br /> U~ON MOTION of Commissioner Privet=e, seconded by Commissioner Freeman <br />and unanimously carried, the Board approved the following action~ {1) Change <br />eta=us of Cabarrus County's Work First Plan from electing to standard and <br />authorize the Chairman to sign the revised status change form; (2) Certify <br />recommended changes to the 2~01-03 Work First Block Oran= Plan and authorize <br />the Chairman to sign the revised certification page~ and (3) Approve a <br />request by the Department Of Social Services to apply for a $25,000.00 <br />Consumer Action Seed Oran= through the Center for Health Care Strategies. <br /> <br /> Vice Chaiz~nan Carruth thanked Social Services staff members for their <br />hard work~ He pointed OUt there had been a 69.2 percent decreas~ in the Work <br />First population from 1995 to 2000. <br /> <br /> There was brief discussion regarding the Medicaid program, specifically <br />the increase in cost and program policies. Mr. Cook stated the Social <br />Services Board is proposing some consideration of changes in the Medicaid <br />program such as the use of a formularyj co-payments, deductibles or 1/mits. <br />He also discussed =he success of the Carolina Access 3 program, a managed <br />care system, in Cabarrus County and possible expansion of the program. <br /> <br />a brief overview of the proposed mental health reform legislation and the <br />potential impact on the local mental health program. House Bill 381 would <br /> <br />liabilities and governance of local mental health/developmental <br />disabilities/substance abuse program from the existing public authorities to <br /> <br />A~aociation of County Co~misBioners, addressing recommended changes in =he <br />legislation and the need for counties to have an option in developing local <br />programs. <br /> <br /> There was lengthy discussion concerning the local mental health <br /> <br />and liabilities if the proposed legislatlon is approved as written. <br /> <br /> U~0N MOTION of Chairman Fennel, seconded by Vice Chairman Carru=h and <br />unanimously carried, the Board adopted the following Resolution. <br /> <br /> WHEREAS~ Piedmont Behavioral Healthcare Area MH/DD/BA Authority (under <br />Area Program) has provided quality mental health, developmental disability <br />Counties since 1974 and Rowan CoUnty since 19971 and <br /> <br /> <br />