Laserfiche WebLink
ICASARRIIS COUN I <br /> <br />December 14, 1993 <br /> <br />MEMORANDUM <br /> <br />TO: <br /> <br />FROM: <br /> <br />SUBJECT: <br /> <br />John Witherspoon, County Manager <br /> <br />Jim Cook, Social Services Director <br /> <br />Attached Budget Amendment for CAP Program <br /> <br /> I am writing to ask that the attached budget amendment request be considered by <br />the Board of Commissioners at its meeting of 12/20/93. <br /> <br /> This amendment would provide for adjustments in the Department's community <br />Alternatives (CAP) Program for older and disabled adults. These adjustments will <br />enable the program to serve some 30 additional Cabarrus County citizens who, with <br />their families, need services. These adjustments will also maximize the direct <br />county savings generated by the program's operation. Some $191,144 in additional <br />revenues in excess of expenses will be produced. No additional county appropriation <br />is requested. However, revenues are affected and the addition of staff for the <br />program is involved. <br /> <br />BACKGROUND <br /> <br /> The CAP Program provides an alternative to nursing home placement for persons <br />who qualify for Medicaid, have a documented need for nursing care, wish to remain in <br />their homes, and can be served through in-home aides and other in-home services at <br />less expense than would be incurred by nursing home care. Currently, 160 persons <br />are receiving services through this program. <br /> <br /> The program is producing considerable savings for the County. At the beginning <br />of the budget year, revenues were projected to exceed total program costs, by <br />$562,800. These excess revenues produce a direct savings to the County as they are <br />used to offset County costs for public assistance and administrative overhead. <br />Also, the program was projected to save some $934,000 in federal/state/county <br />funding for nursing home care. <br /> <br />CLIENT AND PROGRAM NEEDS AND REQUESTS <br /> <br /> 1. At present, the program is generating revenues projected at $313,717 above <br />the budgeted amount. This has resulted from an increase from $9.88 to $10.40 in the <br />reimbursement rate for in-home aide services ($.46 of which was unexpected and <br />unbudgeted) and from the fact that in-home aide services have been provided to <br /> <br /> Department of Social Services <br /> <br />P.O. Box 668 . Concord. NC 28026-0668 * (704) 786-714! <br /> <br /> <br />