BC 2018 10 01 Work Session - Laserfiche WebLink

Home Browse Search

October 1, 2018 (Work Session) Page 3706 mental health services, and client cooperation; and DSS' need reliable data reports and access to track performance measures. Advocate for increased funding for Adult & Aging Services to support Adult Protective Services and Guardianship. Advocate for hold harmless provisions and staggered payment plans to control/cap the liability to counties under the Medicaid and NCHC Overpayment recoupment plan which holds counties financially responsible for the erroneous issuance of Medicaid benefits and Medicaid claims payments resulting when the county DSS takes any action that requires payment of Medicaid claims for an ineligible individual... the Division will recoup from the county any amounts paid relating to deductibles, co - pay, co-insurance, premiums and PML as a result of the erroneous eligibility and/or incorrect calculation of the PML. Adult Medicaid and Long Term Care cases could result in substantially large paybacks and cause undue hardship on counties with only 60 days to recoup payment. Some counties are opting to purchase liability insurance. Advocate for more Child Care Subsidy funding to address waiting lists and for the state to utilize federal block grants for the intended purpose and not supplant federal dollars for state dollars (ex. In the short session the General Assembly supplanted $50m of Child Care Development Block Grant funds for other purposes, which reduced the number of subsidy slots for addressing day care subsidy waiting lists in counties). General Legislation 1. Support local citizen involvement by requiring a local referendum prior to legislative actions to change existing procedures for electing county commissioners, is. creating districts, territories, etc. 2. Study the impact to local government finances of exempting nonprofits from the requirement of paying property taxes and review possible payment in lieu of taxes requirements. 3. Improve the Tier rating system by allowing smaller towns and cities located in Tier Three counties to compete for all available grants by creating split tiered counties. 4. Change North Carolina Rural Center's grant/loan award criteria to more closely match the USDA Rural Development aid requirements - specifically related to prohibition against aid to municipalities in Tier 3 counties. Medicaid 1. Pursue Medicaid reimbursement options for Community Paramedic services. Board of Elections Support the creation of larger voting districts' Allow counties to reduce the amount of operational voting precincts. Continue to permit early voting districts. Support flexibility for local Boards of Elections to re -organize precincts in order to create more uniform precinct sizes. Mental Health 1. Request to revisit and reexamine the current North Carolina Certificate of Need (CON) law, which prohibits health care providers, including mental health facilities, from acquiring, replacing or adding to their facilities without the prior approval of the Department of Health and Human Services. Exploration of the CON law would reveal limitations associated with available services, restrictions based on provider geographic location and the most cost effective and efficient service provisions. By reviewing and making necessary revisions to the CON law, it would allow providers to increase capacity through site expansion, increase bed availability and more adequately meet the needs of residents. 2. Recommend the creation of a Medicaid opt -in program, which would allow residents of North Carolina to choose Medicaid through a pay for premium based system. This recommendation is based on the limitation of commercial insurance services provided in the areas of advanced mental health access. Early Childhood Education 1. Request for additional funding to support early childhood education programs. Environmental 1. Protect Soil & Water Conservation Grants and/or funding streams per the "2016 Policies, Positions, & Actions Items". Library System 1. Support legislation to restore state aid funding of public libraries to the pre -2011 level of $15.7 million and eliminate special provisions that distribute state aid outside of the equitable formula developed by the state library system.