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AG 1998 10 19
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AG 1998 10 19
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Last modified
3/25/2002 6:08:56 PM
Creation date
11/27/2017 11:52:42 AM
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Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
10/19/1998
Board
Board of Commissioners
Meeting Type
Regular
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Proposal: Increase the number of positions available for In-Home Aides to allow the <br />agency to have sufficient staff to serve CAP clients. <br /> <br />Current Status: The Department has operated the Community Alternatives Program <br />(CAP) since 1987. This program provides an alternative to nursing home care for older <br />and disabled adults who meet the low-income eligibility requirements for Medicaid and <br />qualify medically for nursing home care, want to remain in their own homes and can be <br />cared for at home at less expense than would be required for nursing home care. <br /> <br />Currently 277 clients are served through the CAP program. The cost of care is limited to <br />five percent less than the average cost of care in nursing homes. The average cost for <br />each is approximately $300 per month less than nursing home care would cost. Annual <br />public cost savings are thus about $997,200. (Payment for nursing home care for these <br />persons would be otherwise mandated.) <br /> <br />Cabarrus County was allotted 35 more CAP client "slots" for FY99 than was anticipated <br />at the time the budget was prepared. During the FY99, 410 clients may be served through <br />the CAP program. The waiting list at the present includes 20 persons who, with their <br />families, pressingly need this service. Others will apply in the coming months. New <br />clients are being added monthly to the CAP program allowing for an average net growth <br />of 3 clients per month. Due to the fragile medical conditions of these clients, there is a <br />significant turnover in clients served. For the Federal Fiscal Year 98, a total of 367 <br />clients have been se~ed through this program. <br /> <br />Presenting Problems}' The agency has 234 In-Home Aide positions in the 102 category <br />and 17 positions in the 103 category. Presently there are less than eight positions <br />available in the 102 category. With a net increase of three CAP clients a month, there <br />will not be sufficient positions available to meet the In-Home Aide needs of these new <br />clients. If the agency can not provide the service, the ability to meet the needs of the <br />CAP program will be jeopardized as the agency providing the in-home aide services is <br />expected to be able to initiate these services in a timely fashion. <br /> <br />Additional In-Home Aide positions are needed to meet the growing needs of our frail <br />aged and disabled citizens. The last increase in In-Home Aide positions occurred in <br />November 1996 when 44 additional positions were added in the 102 category. Since <br />October 1996 the CAP program has grown from 200 clients to a total of 267 active at the <br />end of August 1998. Assuming that the net growth will continue at the rate that has <br />occurred over the past 20 months, by July 1999, there should be at least 300 clients active <br />through the CAP program. Without an increase in In-Home Aide positions, the agency <br />will be unable to provide the needed services within the timeframes expected by the <br />program. <br /> <br />Funding: The hours worked by the In-Home Aides for CAP clients are billed to <br />Medicaid at a rate of$11.92 per hour. Since the changes made with the July budget, the <br />average direct expense for the In-Home Aide has been $10.42 per hour. The remaining <br />$1.50 per hour is available to cover overhead and indirect expenses related with the <br />program. With the new budget year, the average CAP billing has been 22,000 hour per <br /> <br /> <br />
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