HomeMy WebLinkAbout990828.tiff RESOLUTION
RE: APPROVE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY
RECONCILIATION ACT ENHANCED FEDERAL MATCHING FUNDS COUNTY
PROPOSAL_ AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Personal Responsibility and Work
Opportunity Reconciliation Act Enhanced Federal Matching Funds County Proposal from the
County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Department of Social Services, to the Colorado Department of
Human Services, with terms and conditions being as stated in said proposal, and
WHEREAS, after review, the Board deems it advisable to approve said proposal, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, ex-officio Board of Social Services, that the Personal Responsibility
and Work Opportunity Reconciliation Act Enhanced Federal Matching Funds County Proposal
from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Social Services, to the
Colorado Department of Human Services be, and hereby is, approved.
BE IT FUR1FHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said proposal.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 14th day of April, A.D., 1999.
BOARD OF COUNTY COMMISSIONERS
D COUNTY, COLORADO
ATTEST: el ►i it, �% , ua �— i a.,/04_ —
f �+le K. Hall, Chair
Weld County Clerk to the Be .� .,6 \ —
• t\r 1` Or tUSED
.:rbara . Kirkmeyer, ro-Tem
BY: tlif . , 4, \ W _ �7
Deputy Clerk tD the Boar. ( e `` . Z'.,
A �� eorge Baxter
PR• J D AS TO FORM:
i �� M. . Geile
,'ounty Attorney
f, �gg
Glenn Vaad---
990828
"C . 55 SS0026
vs, 1,11'
'PR DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY, CO 80632
Administration and Public Assistance(970)352-1551
II Chili Support(970)352-6933
Ili, Protective and Youth Services (970)352.1923
COLORAI)O
MEMORANDUM
TO: Dale K. Hall, Chair Date: April 12, 1999
Board of County Commissioners `
FR: Judy A. Griego, Director, Social Services otti'( (,-1 +Ler
RE: Personal Responsibility and Work Opportu ity 1)
Reconciliation Act(PRWORA) Enhanced Medicaid
Matching Funds County Proposal
Enclosed for Board approval is a PRWORA Enhanced Medicaid Matching Funds County
Proposal. Weld County's proposal would be submitted for funding and approval to the Colorado
Department of Human Services.
Weld County's proposal provides for two major components as follows:
I. Potential reimbursement for existing and past Medicaid efforts undertaken by the
Department. The Department wishes to pursue potential reimbursement for existing and
past Medicaid efforts, retroactive to July 1, 1998, for costs associated with Medicaid.
Potentially. the Department may see relief in its expenditures attributed to the County
Administration allocation.
2. Outstation Department's Medicaid expertise in community clinics. The Department
wishes to hire two temporary staff on a one-year assignment to be stationed primarily at
Sunrise Health Clinic and Plan de Salud Clinic to determine Medicaid eligibility on-site,
to train other community clinic staffs and, process applications for family and children's
Medicaid programs.
The total budget request is $266,387.69 with $199,790.77 in Federal funds and$66,596.92 in
local funds. The source of the local funds is from the Social Services fund.
If you have any questions, please telephone me at extension 6510.
990828
ATTACHMENT I
PERSONAL RESPONCIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT
(PRWORA) ENHANCED FEDERAL MATCHING FUNDS:
COUNTY PROPOSAL
PART ONE: AGENCY INFORMATION (Please Type)
Nameofcounty: Weld County Date: March 22, 1999
Address: P.O. Box A
Greeley, CO 80632
Phone Number: 970-352-1551
fax Number: 970-346-7691
Contact :Person: Judy Gri ego, Director
Phone Number: 970-352-1551 ext 6510
Will the county listed above carry out the PRWORA outreach activities under agreement with
another agency? x YES No
If YES, list agency name, address,phone number and contact person.
Sunrise Community Health Center Salud Clinic
P.O. Box 1870 1115 2nd St.
1028 5':h Avenue Ft. Lupton, Colorado 80621
Greeley, Colorado 80632
Mike Bloom, Executive Director
Geographic target area:
Weld County
PART TWO: ACTIVITIES INFORMATION
1. Explain the problem(s) specifically related to Medicaid eligibility that your county
has experienced as a result for the Personal Responsibility and Work Opportunity
Reconciliation Act of 1996.
There has been continual growth in the Medicaid caseload since the implementation of
PRWORA. The caseload expanded from an average of 1731 cases in 1996 to an average
of 2309 in 1998. At the end of July 1997, there were 168 applications pending., with
average pending time of 22 days. At the end of February 1999, there were 268
applications with a pending time of 25 days. Two additional FTE have been assigned to
the Medicaid unit; however, there is still an overload on case actions. The population of
Weld County is increasing and residents are seeking medical care at FQHC's, which in
turn have them apply for Medicaid. Persons who are attending an institution of higher
education are choosing not to apply for TANF and therefore are applying for section
1931 Medicaid. Many individuals are working yet continue to be eligible for Medicaid
benefits for their children. A significant increase/improvement in outreach efforts to
assure that Medicaid eligible individuals and families are aware of the program have been
successful in Weld County. Processing and managing the increased number of
cases, however, has proven to be impossible and continue to maintain accuracy, timely
processing, and quality service to the public.
2. Given that the funds can potentially be used for existing and past efforts (beginning
July 1, 1993), explain the activities your county has already implemented that meet
the PRWORA guidelines and for which you seek reimbursement.
A. Providing information on the Guaranteed Medicaid eligibility benefits for
enrclling in an HMO to all Medicaid applicants.
B. Training has been provided to IMT's and FQHC eligibility workers related to the
Section 1931 regulations in addition to many other community agencies interested
in referring individuals to Medicaid programs.
C. New processes and internal forms have been developed to improve the
Department's overall processing of redeterminations and applications for 1931
and Baby Care Kids Care Medicaid cases.
D. Assigned additional staff to process SIDMOD errors due to the CDHS
implementing the Client Index Project and increase number of applications in
1931 cases.
3. Provide an overview of your county's proposal for the PRWORA enhanced funds.
Identify any new and/or ongoing PRWORA activities.
A. Hire two additional IMT's to reduce the workload, improve processing time,
customer service and accuracy, in the section 1931 and Baby Care/Kids Care unit.
Continue to identify at risk individuals and populations to assure and increase
public awareness of the family and children's Medicaid programs. Purchase
necessary office furniture and computer equipment.
B. Outstation IMT's at FQHC and CHP+ satellite eligibility determination sites to
train :heir staff and/or interview applicants and process applications for family
and children's Medicaid programs.
4. List and explain the role of any outside agencies with which you have specific
collaborative agreements. Include name, address, phone number and contact
person.
The followir.g are either a Medicaid outreach, presumptive eligibility or CHP+ SED site.
A. Plan De Salud Clinic, 1115 2nd St. Fort Lupton, CO 80621
(303j 892-0004, Mary Ann Martinez-Gofigan
B. Sunr.se Community Health Center, 1030 5th Ave., Greeley, CO 80631
(97C) 356-0614, Diana Garcia
C. Monfort Children's Clinic, 101 N. 11th Ave., Greeley, CO. 80631
(970)304-2374. Joe Morado
D. Weld County Department of Public Health, 1517 16th Ave. Ct., Greeley, CO
80631
(970) 353-0586, Linda Carlson
E. North Colorado Medical Center, 1801 16th St., Greeley, CO 80631
(970) 352-4121, Patricia Flores
5. Identify how you will ensure that the enhanced funds are used only for PR.WORA
approved activities.
New FTEs would be assigned to a Department of Social Services Unit whose only
responsibilr:y is family and children's Medicaid programs.
PART THREE: EVALUATION INFORMATION
Explain how you would measure the effectiveness of the proposed activities.
Effectiveness of the activities would be measured by:
1. Surveying outreach sites to identify improved service to the public.
2. Improving processing times for family and children's Medicaid programs.
3. Improved ac:uracy and timely redeterminations as determined by case reviews.
PART FOUR: FINANCIAL INFORMATION
1. Budget
$ 266,387.69 Total budget for all PRWORA activities
PWRORA ENHANCED FEDERAL MATCHING FUNDS: COUNTY PROPOSAL
County names Weld Date March 16, 1999
2. $ 199.790.77 Total Federal Funds
$ 66.596.92 Total Local Funds
3. Source of local funds
Contact person Judy A. Griego, Director
Agency Narae Weld County Department of Social Services
Address P.O. Box A
City Greeley, CO 80632
Phone (970) 352-1551, ext. 6510
4. TT(n(1iccaate type of a ency Public - County
_ta l/l/Govertr aen
Dale-1\C- al4 lA /%)��to
Chair, Board of County Commis ion rs Direrr, Weld County epa fluent of Social Services
Weld County, Colorado OW/NM)
Weld County Deparment of Social Services
Support Documentation for Enhanced Medicaid Funding Project
Prepared by: Lennie Bottorff, 3/16/99
Existing staff dealing with Medicaid
Section 1931 clients. Total Estimated
Costs to he recovered for period from
July 1, 1998 through June 30, 2000 :
Salaries (Actual, July 1 - December 31, 1998) 117, 897 . 78
Benefits (Actual, July 1 - December 31, 1998) 19, 900 . 02
Total (Actual, July 1 - December 31, 1998) 137, 797 . 80
RMS Average Distribution of Income Maintenance
Pooled Personal Services Costs to Medicaid 34 . 46%
Medicaid Costs (Actual, July 1 - December 31, 1998) 47, 485 . 12
Restate-Medicaid Costs (Actual, 7/1 - 12/31/98) 47 , 485 . 12
COLA Adjustment - 1999 over 1998 103 . 30%
Medicaid Costs (Estimated, Jan. 1 - Jun. 30, 1999) 49, 052 . 14
Medicaid Costs (Estimated, Jul . 1 - Dec. 31, 1999) 49, 052 . 14
Restate-Medicaid Costs (Estimated, 7/1 - 12/31/99) 49, 052 . 14
Estimated COLA Adjustment - 2000 over 1999 _ 103 . 30%
Medicaid Costs (Estimated, Jan. 1 - Jun. 30, 2000) 50 , 670 . 86
Total Estimated Medicaid Costs - 7/1/98 - 6/30/00) 196 , 260 . 26
Two Additional Eligibility Technicians to deal
with increased Medicaid Caseload:
Salaries (Estimated, Apr. 1, 1999 - June 30, 2000) 60, 000 . 00
Benefits (Estimated, Apr. 1, 1999 - June 30, 2000) 10, 127 . 43
Total (Estimated, Apr. 1, 1999 - June 30, 2000) 70 , 127.43
Total Funds Requested 266 , 387 . 69
Local Matching Share of Expenditures (@ 25%) 66, 596 . 92
Regular Federal Medicaid Share (@ 50%) 133 , 193 . 85
Enhanced Mediaid Federal Match (@ 25%) 66, 596 . 92
Total Funds Requested 266, 387_69
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