May 4 2016 1 Fiscal 101 Basics of LHD Funding Streams Presented by Ann Moore Public Health Administrative Consultant Department of Health amp Human Services Division of Public Health Local Technical Assistance amp Training Branch ID: 621701
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Slide1
Health Director OrientationMay 4, 2016
1
Fiscal 101: Basics of LHD Funding Streams
Presented by
Ann Moore
Public Health Administrative Consultant
Department of Health & Human Services
Division of Public Health
Local Technical Assistance & Training Branch Slide2
Training Objectives
Review Local Health Department Revenue and
Funding Sources Review WIRM as the mechanism for requesting
state funds and for reporting local revenues
Review Consolidated Agreement requirements concerning revenues and funding sources Offer suggestions for increasing revenues and decreasing costs
2Slide3
3WIRM -
Web I
dentity
R
ole ManagementDraw Down State FundingReport Local Revenues and AllocationsSubmitted Monthly
Deadlines set by State Controllers
Office
Failure to submit the report by
5:00 p.m.
on the published deadline will result in
NO PAYMENT
from the state for that month
Keyed by Finance Officer
Approved
by Health Director
Certified by County Finance OfficerSlide4
4WIRM Login ScreenshotSlide5
5WIRM Line ScreenshotSlide6
6WIRM Totals for the Month
State Funding
[
County Contribution
[Medicaid Revenues [
All Other Revenues
[
Slide7
7State Funding
Includes State Grants and Federal Grants
Allocated Annually
Refer
to your Agreement Addendum
Required Work ActivityFunding StipulationsPrior Approval for PurchasesLimitation on monthly draw down amountDraw down by method other than expendituresSlide8
8
Agreement Addendum Header Slide9
Agreement Addendum Detail 9Slide10
10Medicaid Earnings
Consolidated Agreement C.4.h
Must equal or exceed revenues earned during FY 2014-2015
Budgeted amounts less than revenues earned during FY 2014-2015 must be justified
Ensure that denials are rebilled promptly
Medicaid Cost SettlementSlide11
11Patient Fees
Highest probability of collection is while patient is onsite for visit
Patient Statements should be mailed monthly
Payment Agreements are effective
IF
someone follows upUtilize NC Debt SetoffFamily Planning allows required proof of income Reminder – all WCH charges must slideSlide12
12Insurance Revenues
Pursue credentialing with insurance carriers
CAQH – standard credentialing application
Ensure that denials are rebilled promptlySlide13
13
Consolidated Agreement
C.4.b.
Revenue Spent
in Program where it was E
arnedWCH revenues, except WIC, can be spent in any WCH programConsolidated Agreement C.4.c.Unspent Revenues Carried
F
orward
Consolidated Agreement
C.4.g.
Funds carried forward should be spent in program where earned
Medicaid, Patient Pay, InsuranceSlide14
14Other Revenue Sources
Company Contracts
Grants
Kate B. Reynolds
March of Dimes
Local GrantsDonationsPatientsBusinessesSlide15
15
Consolidated Agreement B.2
May not be supplanted
Consolidated Agreement C.4.2
May not be supplanted
Consolidated Agreement A.18Maintenance of Effort (MOE) is maintained for Maternal Health, Child Health, and Family PlanningEqual to or Greater than July 1, 1984 – June 30, 1985Adjusted by federally accepted inflation index
Attachment B
County ContributionSlide16
16MOE Form – Local Use OnlySlide17
17
(a) Each local government and public
authority
shall operate
under an annual balanced
budget ordinance adopted and administered in accordance
with this
article.
(b)
The budget ordinance of a unit of local
government shall
cover a fiscal year beginning
July
1 and
ending
June 30
.
NCGS 159-8Slide18
18Increasing Profit by Cutting Costs
Effective utilization of staff
Evaluate direct patient contact time
Number of staff assigned to
clinic
Provider working at highest education and licensure levelsInefficient processes/patient movementStudy no-show rate“No-show” appointment = “No-revenue” Increase
the number of appointments
Evaluate whether Services are still neededSlide19
19Slide20
Contact Information20
Ann Moore
252-671-1529ann.moore@dhhs.nc.gov
http://
publichealth.nc.gov/lhd/docs/AdminConsMap-EffOct2015-022516.pdf