1. Health Department
a.
2019/2020 Comprehensive Agreement, Health Department Budget, and Position Creations and Reclassifications
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Authorizing the signature of the County Administrator
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To the Michigan Department of Health & Human Services
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For the period of October 1, 2019 through September 30, 2020
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Approving the 2019/2020 Budget in the amount of $15,172,202
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This budget includes the following revenues:
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General Fund Appropriation — $4,676,880
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Licenses & Permits — $2,012,666
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Federal Revenue — $4,315,179
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State Revenue — $1,862,396
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Local Revenue — $995,016
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Fees & Services — $561,495
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Other Revenue & Reimbursements — $608,570
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In-Kind Contributions — $140,000
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Transfers In — $4,676,880
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Approving the following position eliminations and creations
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There is no net change in the number of positions
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The following elimination and creations are a reclassification of currently filled positions
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Eliminate the following 3.0 FTE:
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3.0 FTE Health Educator I/II/II
Group 1000 Grade 20/22/24
Salary Range:$40,155 - $60,650
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Create the following 3.0 FTE:
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3.0 FTE Health Education Coordinator
Group 1000 Grade 25
Salary Range: $48,287 - $63,082
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Included in the plan is the use of 21 Part-time, Temporary Community Health Advocate employees
RECOMMENDATION: APPROVAL
2. Community Mental Health
a. 2018/19 Community Mental Health Budget Adjustment
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Approving the budget adjustment
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For the period of October 1, 2018 through September 30, 2019
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To adjust the previously adopted 2018/2019 Community Mental Health Budget to reflect the changes and projected final outcomes for WCCMH in FY 2019
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For the provision of services to eligible Washtenaw County residents with developmental disabilities, serious mental illness, co-occurring serious mental illness and substance abuse conditions, and to children with serious emotional disturbances
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Approves the budget adjustment in the amount of $384,821
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Original Budget: $88,532,713
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Amended Budget: $88,917,534
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The budget reflects the $384,795 transfer in from the County General Fund to resolve the FY 2018 CMH deficit in accordance with the deficit elimination plan approved via Board resolution #19-108
RECOMMENDATION: APPROVAL
b. 2019/20 Community Mental Health Budget
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Approving the budget
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For the period of October 1, 2019 through September 30, 2020
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Authorizing the County Administrator to approve the service agreement with Washtenaw County Community Mental Health (WCCMH), the Community Mental Health Partnership of Southeast Michigan (CMHPSM), and the Michigan Department of Health and Human Services (MDHHS)
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Approving the position creation and elimination
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For the provision of services to eligible Washtenaw County residents with developmental disabilities, serious mental illness, co-occurring serious mental illness and substance abuse conditions, and to children with serious emotional disturbances
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Approves the budget in the amount of $84,310,386
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Includes the following revenues:
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Federal Revenue – $117,636
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State Revenue – $79,466,846
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Local Revenue – $808,027
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Fees & Services – $795,000
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Other Revenue & Reimbursements – $1,429,605
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County General Fund – $1,693,272
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The County satisfies the required mental health support requirement via an annual appropriation to the regional CMHPSM. These funds are used to locally match state and federal funding sources
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County General Fund support in this manner totals $1,693,272
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$1,528,080 is appropriated annually to fulfill the match requirements of WCCMH
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$165,172 to support mental health services in the jail
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In addition to the above GF support, this budget assumes the County General Fund absorbs the entire CMH CAP for FY 2020
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This budget also uses assumptions for the Medicaid capitation rate as FY 2020 rates were not available during budget development
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There is no net change in the number of positions
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This is a reclassification of a currently filled position
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Eliminate the following 1.0 FTE:
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1.0 FTE Mental Health Professional
Group 1000 Grade 23
Salary Range: $44,765 - $58,294
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Create the following 1.0 FTE:
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1.0 FTE Service Coordinator
Group 1000 Grade 26
Salary Range: $50,111 - $65,590
RECOMMENDATION: NOT TO APPROVE