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F.-7. <br />CABARRUS COUNTY <br />1"BOARD OF COMMISSIONERS <br />REGULAR MEETING <br />November 18, 2024 <br />6:30 PM <br />AGENDA CATEGORY: <br />Consent Agenda <br />SUBJECT: <br />Behavioral Health - Hold Harmless Funds Budget Amendment <br />BRIEF SUMMARY: <br />Request to allocate an additional $590,185.89 in Medicaid Hold Harmless (HH) funds to <br />Monarch, the operator of the Cabarrus County Regional Behavioral Health Center. Funding <br />would be used for startup costs to ensure the Center is ready for opening day in late 2026. <br />Monarch requires startup funding to hire key administrative, clinical, nursing, and direct care <br />positions to ensure the Center is prepared at launch. <br />The total amount of startup funding requested by Monarch earlier this year was roughly <br />$2.9M. In May 2024, the board approved an initial allotment of 1,530,534.51. If approved, the <br />total allocation to Monarch would be $2,120,720.40. <br />In August 2024, Cabarrus received the second <br />funds from FY24. The total received in Augus <br />annually is variable. <br />REQUESTED ACTION: <br />Recommended Motion: <br />Motion to adopt the budget amendment. <br />EXPECTED LENGTH OF PRESENTATION: <br />SUBMITTED BY: <br />t <br />disbursement of Medicaid Hold Harmless <br />was $778,077.94. The amount received <br />Page181 <br />