BC 2014 10 06 Work Session - Laserfiche WebLink

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October 5, 2014 (Work Session) Page 2173 Discussion Items for Action. at October 20, 2014 Meeting DHS — Economic Services Enhanced Rate Plan Ben Rose, Human Services Director, presented the following information relating to the Economic Services Enhanced Rate Plan. He also recognized Eric Williamson, Vice Chairman, Human Services Advisory Board, in attendance. The North Carolina Department of Health and Human Services has secured federal approval for an enhanced reimbursement rate for Medicaid activities that county departments can now claim for all activities within the Medicaid program. This enhanced rate is projected to bring an increase in revenue to the Department by increasing the reimbursement from 50 percent to 75 percent, resulting in approximately $978,281.00 of additional revenues. The approval for the enhanced reimbursement rate is based upon counties investing the savings in needed resources to help address continuing issues of increased overall volumes of work, increased work demand due to the Affordable Care Act and the overall rollout of the NCFAST program. Staff proposes the attached plan to address resource /staffing needs for the economic services division in regards to both the NCFAST rollout and the impact of the Affordable Care Act. This plan will be funded with new revenues. Mr. Rose then reviewed a PowerPoint presentation of the Workload Analysis of the Cabarrus County Economic Services. The presentation included the following information: • Caseload Trends - Active Cases • Key Business Drivers • NC FAST Ultimate Goals • New Application Channels • Affordable Care Act (ACA) Impacts • Timeline Considerations • NCDHHS Work Support Strategies • Revenue Projections • Medicaid Case Conversions • Staffing Request Mr. Rose presented the following staffing request: • 15 Temps to Handle Conversion of over 22,000 Medicaid cases at a cost of $551,117.00 for 12 months ending September 2015. • 4 IMCII's to address staffing shortage at a cost of $126,475.00 for 8 months. The continued reoccurring cost to the county for FY2016 would be approximately $93,450.00. • Licenses, computers and office set up at a cost of $171,000.00 (set up for 19 workstations). • Total Cost for FY15 is $ 848,592.00. A discussion ensued with Mr. Rose, Pam Dubois, Deputy County Manager, Trish Baker, Economic Services Program Administrator and Mike Downs, County Manager, responding to a variety of questions from the Board. UPON MOTION of Commissioner Oesterreich, seconded by Commissioner Measmer and unanimously carried, the Board suspended its Rules of Procedure in order to take action on this item. Commissioner Oesterreich MOVED to amend the budget for the hire of 15 temporary employees, as proposed, with computers, licenses and work stations for up to 15 work stations, allowing for the appropriate budget revisions. Following a brief discussion, Chairman Poole seconded the motion. The MOTION unanimously carried. Date: 10 /6/2014 Amount: $633, 561. 00 Dept, Head:Ben Rose Department: DHS- Economic Services C' internal Transfer Within Department r1 Transfer Between Departments /Funds ® Supplemental Request Purpose: To record the additional revenues p be reimbursed by staff performing Medicaid activities for FY 15 and the additional expenses for twelve months of staffing and temp staffing. Account Account Approved Inc Dec Revised Number I Name I Budget I Amount Amount I Budget