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HomeMy WebLinkAboutResolutions - 1988.10.13 - 17653RITORT BY: Personnel Committee, John P. Calandro, Chairperson TO: The Oakland Conncy Board of Commissioners IN RE: MR #8B2Q1 COMMUNITY MENTAL FE4L771 - REVENUE ENHANCEN1777 Mr. Chairperson, Ladies and Gentlemen: The Personnel Committee, having reviewed the above roferonced resolution, reports with the reccamendation that the resolution be adopted with the following amendments: 1) That references to "evc,ne Officer" be changed to "Accountant III". 2) That the following be added to the resolution as 4 a last paragraph: • BE IT FURTHER TTso:,,,T,T) that ppe41) govern- :L .. .d • mental position of .Aocount Cl6h I be added to the Counseling and Evaluation Unitief Mel4tal Health Re- tardation Services, one (1) governmental position of Account Clerk I be added to the Case Management Ser- vices Unit of Mental Illness Adult Services, and one (I) governmental position of 1\7c=tant III be added to the Community Mental Health Operations Unit in Administration. Mr. Chairperson, on behalf of the Personnel Committee, I move acc,7tance of the foregoing report. PERSONNEL COMMITTEE "r"11-iF FOREGOING RESOLUTION MISCELLANEOUS RESOLUTION 88201 AUGUST 4, 1988 tByAPPROVETHEFCREGOINGRESOLUTION 4 cI - • BY: HEALTH AND HUMAN SERVICES COMMITTEE - SUSAN KUHN, CHAIRPERSON IN RE: COMMUNITY MENTAL HEALTH - REVENUE ENHANCEMENT (COUNTY-OPERATED PROGRAM EXPANSION) TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS: Mr. Chairperson, Ladies and Gentlemen: WHEREAS the increasing demands of County citizens for Community Mental Health Services, coupled with the constraints of State and local government in providing substantial new funding for these services, make it imperative that the Community Mental Health Division maximize Federal and third-party revenues, especially Medicaid; and WHEREAS recent changes in Medicaid coverage have greatly increased potential reimbursements for Community Mental Health programs, but in order to realize these revenues the Division must organize and carry out a highly technical, ongoing process of establishing client and service eligibility, and generating appropriate charges; and WHEREAS for this purpose the Community Mental Health Services Board has proposed the addition of a Revenue Officer and two Account Clerks I to its staff; and WHEREAS the Michigan Department of Mental Health, though strongly in support of seeing these positions added to Oakland Community Mental Health, has no funds available for this purpose, and WHEREAS the Community Mental Health Services Board accordingly proposes that the three new positions be funded temporarily with 100% County dollars, with the understanding that this funding is temporary, and the cost of the positions after three months will be offset through the additional revenue generated; and WHEREAS this additional revenue to be realized from billable services is estimated at $300,000 per year, which would more than offset the $85,843 annual cost of the three requested positions, and the balance can be used to enhance Community Mental Health services to the public: NOW THERE BE IT RESOLVED that the Oakland County Board of Commis- sioners approve the addition of a Revenue Officer and two Account Clerks I to the Community Mental Health Division, and approve funds in the amount of $24,461 in support of the positions for the period October 1 - December 31, 1988, with the stipulation that the positions will be supported beyond that time only through enhanced Federal and third-party revenues to the Division, or they will be eliminated. Mr. Chairperson, on behalf of the Health and Human Services Committee, I move the adoption of the foregoing resolution. OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD REVENUE ENHANCEMENT 1988 COST OCTOBER 1, 1988 THRU DECEMBER 31, 1988 1989 FULL YEAR COST Personnel - Salaries Revenue Officer $ 7,052 $ 28,210 2 Account Clerk I @ $16,575 8,288 33,150 Total $ 15,340 $ 61,360 Fringe Benefits (39.9%) 6,121 24,483 Total Personnel Costs $ 21,461 $ 85,843 Capital Outlay 3,000 - 0 - TOTAL COST $ 24,461 $ 85,843 Sources of Revenue County Match $ 24,461 - 0 - Fees - 0 - 20,000 Medicaid - Federal Share - 0 - 65,843 TOTAL REVENUE BAM/slz 7/20/88 $ 24,461 $ 85,843 September 22, 1988 FISCAL NOTE BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON IN RE: COMMUNITY MENTAL HEALTH - REVENUE ENHANCEMENT (COUNTY OPERATED PROGRAM EXPANSION) - MISCELLANEOUS RESOLUTION #88201 TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson, Ladies and Gentlemen: Pursuant to Rule XT-G of this Board, the Finance Committee has reviewed Miscellaneous Resolution #88201 and finds: - 1) The program adds three positions to the Community Mental Health Division: one (1) Accountant III and two (2) Account Clerks 1; 2) The positions will be used to maximize Federal and third-party reimbursement, particularly Medicaid; 3) Additional revenue resulting from these positions has been estimated by Community Mental Health to be $300,000 per year; 4) The annual cost of these positions is $85,843; 5) The additional revenue will be used to fund the annual cost of the new positions first and the balance thereafter will be used to fund Community Mental Health services; 6) For the period October 1 - December 31, 1988, the positions will be funded temporarily with 100% County dollars, and the cost of the positions after those three months will be fully funded by the additional revenue generated or the positions will be eliminated; 7) The resolution should be amended by adding the following paragraph: "BE IT FURTHER RESOLVED that Community Mental Health report to the Finance Committee by July 1, 1989, to determine whether the expected level of additional revenue has been realized." 8) The 1988/89 Budget should be amended as follows: Revenues 3-22200-166-01-00-2136 Estimated Fee Income 3-22200-166-01-00-2528 Estimated Medicaid Reimb, 1988 1989 $ -0- $20,000 -0- 65,843 $ -0- $85,843 Expenditures 4-22200-166-01-00-1001 4-22200-166-01-00-2074 4-22200-166-01-00-5998 4-22200-166-26-00-1001 4-22200-166-26-00-2074 4-22200-166-26-00-5998 4-22200-166-35-00-1001 4-22200-166-35-00-2074 4-22200-166-35-00-5998 4-10100-909-01-00-9900 Salaries Appropriation Fringe Benefits Approp, Capital Outlay Approp. Salaries Appropriation Fringe Benefits Approp. Capital Outlay Approp, Salaries Appropriation Fringe Benefits Approp, Capital Outlay Approp, Contingency Appropriation (100% County Match) $ 7,052 $28,210 2,815 11,257 1,000 -0- 4,144 16,575 1,653 6,613 1,000 -0- 4,144 16,575 1,653 6,613 1,000 -0- $ 24,461 $85,843 $(24,461) $ -0- $ -0- $ -0- 9) As additional revenue is realized beyond the amount required to fund the new positions, budget amendments will be proposed by Community Mental Health for program services; 10) Additional operating expenses will be absorbed by the existing Community Mental Health budget. (A0411.- FIT7NCE COMMITTEE fnhealth .Resolution # 88201 Ottober 13, 1988 Mr. Crake stated thru oversight at the September 22, 1988 meeting, the Board has only voted to accept the report on Resolution #88201 and had failed to amend the Resolution as recommended in the report. Moved by Crake supported by Pernick the Board reconsider the action taken at the last meeting on Resolution #88201 so the resolution can be corrected. AYES: Crake, Doyon, Gosling, Hobart, Jensen, R. Kuhn, S. Kuhn, Lanni, Luxon, McConnell, McDonald, A. McPherson, R. McPherson, Oaks, Page, Pernick, Rewold, Rowland, Skarritt, Wilcox, Caddell. (21) NAYS: None. (0) A sufficient majority having voted therefor, the motion to reconsider carried. Moved by Crake supported by Pernick the resolution be amended as recommended in the Personnel Committee Report. (That references to "Revenue Officer" be changed to "Accountant III" and that the following be added to the resolution as a last paragraph: BE IT FURTHER RESOLVED that one (1) governmental position of Account Clerk I be added to the Counseling and Evaluation Unit of Mental Health Retardation Services, one (1) governmental position of Account Clerk I be added to the Case Management Services Unit of Mental Illness Adult Services, and one (1) governmental position of Accountant III be added to the Community Mental Health Operations Unit in Administration.) . AYES: Doyon, Gosling, Hobart, Jensen, R. Kuhn, S. Kuhn, Lanni, Luxon, McConnell, McDonald, A. McPherson, R. McPherson, Moffitt, Oaks, Page, Pernick, Rewold, Rowland, Skarritt, Wilcox, Caddell, Crake. (22) NAYS: None. (0) A sufficient majority having voted therefor, the amendment carried. Moved by Crake supported by McConnell the resolution, as amended, be adopted. AYES: Gosling, Hobart, Jensen, R. Kuhn, S. Kuhn, Lanni, Luxon, McConnell, McDonald, A. McPherson, R. McPherson, Oaks, Page, Pernick, Rewold, Rowland, Skarritt, Wilcox, Caddell, Crake, Doyon. (21) NAYS: None. (0) • A sufficient majority having voted therefor, the resolution, as amended, was adopted. STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lynn D. Allen, Clerk of the County of Oakland .and having a seal, do hereby certify that I have compared the annexed copy of the attached resolution adopted by the Oakland County Board of Commissioners at their regular meeting held on October 1 1988 with the original record thereof now remaining in my office, and that it is a true and correct transcript therefrom, and of the whole thereof. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County at Pontiac, Michigan 13th 'day of October. 1388 t h i s Yt1 . ALLEN, County 4Ciernegister of De