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North Carolina Department of Environment, Health, and Natural Resources <br /> Division o{ Maternal and Child Health <br /> P.O. Box 27687 * Raleigh, North Camllna 276 t !-7687 <br /> <br /> James G. Martin, Governor Ann E ~..~lfe, M.D,. M.P,H. <br /> William W. Cob~y, Jr., S~c~eta~, September 23, 1991 Diderot <br /> <br /> 'TO:M~MORANDUM Health <br /> Local Directors _ <br /> <br /> FROM: Tom Vitaglione, Chief ~'~",~n %/. - <br /> Children and Youth Section <br /> <br /> SUBJECT: Increase in Allocations for Child Service Coordination <br /> <br /> Attached are the FY 91-92 increases in county allocations for the $1.3 <br /> million in new funds available for Child Service Coordination. These should <br /> be considered additions to funds for <br /> permanent <br /> your <br /> <br /> The $1.3 .million'is composed of $500,000 in state funds for the reduction of <br /> infant ~ortality, $500,000 in state funds for the implementation of PL 99- <br /> 457, and $300,000 in MCH Block Grant Funds. <br /> <br /> I Individual county allocations were determined by a formula approved by the <br /> ~sociation of Local Health Directors. Under this formula, 25% ($325,000) <br /> was allocated evenly; 25% was allocated based on your county's percentage of <br /> 1990 live-births; 25% was allocated based on your county's percentage of <br /> minfants identified in the High Priority Infant Pro, ram in 1989; 25% was <br /> based on your county's percentage of the statewide active CSC caseload in <br /> the perio~ Januax¥-Juns 1991, <br />m The performance indicators were special reconv~endations from the MCH Liaison <br /> Con~ittee. The 19B9 figure represents the last period before the influx of <br /> <br /> mexpansion funds last year, and also represents our last accurate HSIS data. <br /> The 1991 figure represents your latest efforts in CSC. Because there are <br /> still inaccuracies in HSIS data resulting in conversion from the High <br /> Priority Infant Pro, ram, your performance figure is the one you reported <br />m (either verbally or in writing) to your regional MCH nursin~ consultant. <br /> <br /> Please note that an additional $700,000 in expansion funds will be available <br /> m in FY 92-93. W~ hope that ~ou will use your ~ funds (plus Medicaid <br /> receipts) t_~o employ additional child service coordinators. Caseloads are <br /> growing and many coordinators a~e reporting individual caseloads in excess <br /> of 100 lam/lies. Please recall that the optimum coordinator/family ratio is <br />I approximately 1:50, ratio is the our ne~otiated <br /> this <br /> basis <br /> of <br /> Medicaid <br /> rate. <br /> <br /> <br />