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Human Services <br />Revise and make appropriate adjustments to County MOU <br />requirements in the performance measures required by 1-113630. The <br />DSS performance measures should match federal requirements; <br />concessions should be made for extenuating circumstances beyond a <br />DSS' control related to court system, mental health services, and client <br />cooperation; and DSS' need reliable data reports and access to track <br />performance measures. <br />2. Advocate for increased funding for Adult & Aging Services to support <br />Adult Protective Services and Guardianship. <br />3. Advocate for hold harmless provisions and staggered payment plans <br />to control/cap the liability to counties under the Medicaid and NCHC <br />Overpayment recoupment plan which holds counties financially <br />responsible for the erroneous issuance of Medicaid benefits and <br />Medicaid claims payments resulting when the county DSS takes any <br />action that requires payment of Medicaid claims for an ineligible <br />individual... the Division will recoup from the county any amounts paid <br />relating to deductibles, co -pay, co-insurance, premiums and PML as a <br />result of the erroneous eligibility and/or incorrect calculation of the <br />PML. Adult Medicaid and Long Term Care cases could result in <br />substantially large paybacks and cause undue hardship on counties <br />with only 60 days to recoup payment. Some counties are opting to <br />purchase liability insurance. <br />4. Advocate for more Child Care Subsidy funding to address waiting lists <br />and forthe state to utilize federal block grants forthe intended purpose <br />and not supplant federal dollars for state dollars (ex. In the short <br />session the General Assembly supplanted $50m of Child Care <br />Development Block Grant funds for other purposes, which reduced the <br />number of subsidy slots for addressing day care subsidy waiting lists <br />in counties). <br />G-2 Page 284 <br />