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AG19910506
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AG19910506
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Last modified
3/28/2003 9:14:47 AM
Creation date
11/27/2017 12:03:24 PM
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Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
5/6/1991
Board
Board of Commissioners
Meeting Type
Regular
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Mike Ruffin, County Manager <br />Page -2- <br /> <br /> In November 19Bi, plaintiffs filed a Motion for Further Relief alleging, among <br />other things, the continued -failure of the county departments to process AFDC and <br />Medicaid applications in a timely manner; failure of the State to take meaningful <br />corrective measures against counties that consistently fail to process applications <br />expeditiously; discouragement of prospec~iva applicants from filing applications; and <br />inflexible and excessive verification requirements in violation of the due process <br />clause of the Fourteenth Amendment and of federal regulations. The State filed an <br />answer~ denying most of the allegations. <br /> <br /> Legal Services filed sufficient evidence with the Court to lead the gtate~s <br />legal counsel (the Attorney General) to believe that the Court would find a favorable <br />ruling for the plaintiffs if the case were taken to trial. Therefore, the decision <br />was ~ada to negotiate a settlement. Legal Services also indicated their preference <br />to negotiate a settlement rather than go to trial. <br /> <br />Current Order and its Problems <br /> In December, 1989, the North Carolina Department of Human Resources entered into <br />a consent order and settlement agreement between the state agency and Legal Services <br />of ~orth Carolina in relation to the 1988 Motion for Further Relief, Under the terms <br />of the settlement agreement~ a monitoring instrument was developed which was used <br />last year to test each county's compliance with various program requirements. <br />Counties were classified into three categories, depending on the score achieved on <br />the monitoring instrument: <br /> <br /> Category I ~ 455 - 500 points <br /> Category ~l ~ 355 - ~5~ points <br /> Category III - 0 - 355 points <br /> <br /> Under this plan~ after the initial year of "hold harmless" monitoring, in the <br />following year of monitoring, Category III counties were to be required to take <br />cerractivs action and pay a sanction equal to 7.51 of their combined tFDC and <br />Medicaid non-federal costs of administration. Category II counties were to take <br />corrective action and improve their scores by IOZ in the next monitoring in order to <br />prevent paying a sanction equal to 3.75I of the non-federal costa of administration <br />for AFDC and Hedicaid. Category I counties had to take corrective action as <br />appropriate~ but were assessed no sanctions. <br /> <br /> In the initial year of monitoring, 88 county departments scored in Category III, <br />or Category I~ ~lth only 12 county departments scoring in Category I. Tbs vast <br />ma~ori~y of larger counties scored in Category Ill, Cabarrus County scored in <br />Category III. <br /> <br /> It became apparent in this monitoring process that the paperwork requirements <br />which have proliferated ~rith each subsequent order in Alexander v. Flaherty are <br />having a seriously detrimental effect. Basically, the mere papet~ork which has to be <br />completed, the longer it takes to complete applications. In. a very real sense, the <br />medicine has become worse than the disease. It is also obvious that the monitoring <br /> <br /> <br />
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