5-7-18 Budget Work Session - Laserfiche WebLink

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LEE COUNTY Committed Today for a Better Tomorrow BUDGET WORK SESSION OF THE LEE COUNTY BOARD OF COMMISSIONERS COMMISSIONERS' ROOM 106 HILLCREST DRIVE SANFORD, NORTH CAROLINA 27330 MAY 7, 2018 The Budget Work Session of the Lee County Board of Commissioners for the County of Lee, State of North Carolina, convened at 5 p.m. in the Commissioners' Room, First Floor, Lee County Government Center, 106 Hillcrest Drive, Sanford, North Carolina, on said date. Commissioners present when the work session was called to order were Amy M. Dalrymple, Larry "Doc" Oldham, Robert T. Reives, Cameron W. Sharpe, and Timothy S. Sloan. Staff in attendance included County Manager John Crumpton, County Attorney Whitney Parrish, Deputy County Attorney/Clerk to the Board Jennifer Gamble, Social Services Director Angelina Noel, Solid Waste Superintendent Joseph Cherry, and General Services Director Russell Spivey. Commissioner Dodson and Commissioner Knecht were absent when the meeting started. I. CALL TO ORDER Chair Dalrymple called the Work Session to order at 5:00 P.M. II. PRESENTATION OF DEPARTMENT BUDGET INFORMATION A. Department of Social Services Director of Social Services, Angelina Noel, provided the Board with information regarding the proposed fiscal year 2018-2019 budget for the Lee County Department of Social Services. Ms. Noel presented a Powerpoint that included information regarding significant impacts to expenses and revenues, legislative changes impacting the budget and changes to policy mandates for specific social services programs. She provided information on House Bill 630 and Senate Bill 257 as it relates to the Lee County Social Service's Budget. House Bill 630 puts in place performance measures and expectations of the both the state DHHS office and county DSS. If the expectation is not met, the County could be placed under corrective action. Senate Bill 257 provides that a county department of social services shall be financially responsible for the erroneous issuance of Medicaid benefits/claims for an ineligible individual that the state is not eligible for federal participation due to incorrect eligibility determinations. Unlike some other North Carolina Counties, Lee County DSS did not receive a letter in regards to audit findings and has not had any documented audit errors as of July 1, 2017. Ms. Noel requested adding two additional positions to help assist with caseloads for social workers in the investigative unit of child welfare and a staff development specialist to help assist with the completion of second party reviews in order to reduce the risk of errors that would result in county responsible paybacks for Medicaid audit findings. Information also included impacts of the Affordable Care Act and increased Medicaid caseloads in Lee County. No action was taken. Commissioner Knecht joined the meeting at 5:27 p.m. Page 112