HomeMy WebLinkAboutC.054.93011_03622. Request from the Health Department for Approval of a Medicaid Fee Increase
Effective July 1, 2004, for Services Provided by the Maternity Outreach Worker: As
explained by Health Director Donna Campbell during the briefing, the current fee of $11 per unit
of service will be increased to $17 effective July 1. The increase is necessary due to Medicaid,
or the federal government increasing the reimbursement amount, while at the same time it
decreased the number of units the worker may invoice per month (9 units to 7 units).
3. Request from the EMS Department for Approval of a Billing Services Contract: During
the agenda briefing, EMS Director Lee Darnell requested approval of a billing services contract
with EMS Management & Consultants, Inc., out of Lewisville, North Carolina. Darnell said the
company's background had been thoroughly explored, and he along with Emergency Management
Director Tracy Jackson and Finance Director Susan Blumenstein had made an on-site visit of the
agency. In addition, he said Attorney Pope had reviewed the contract. He said the county would
reimburse the company eight percent of net collections on a monthly basis or a minimum of $100,
whichever is greater. ("Net collections shall mean all amounts received each month from or on behalf of client for
individual patient care, less refunds or adjustments to those amounts.')
4. Request from the EMS Department for Approval of a Medical Director Services
Contract: EMS Director Darnell said during the briefing session, that Dr. Steven Folstad had
agreed to remain the Medical Director for the EMS Department and a contract had been written to
extend through June 30, 2005.
5. Request for Permission to Add Another Member to the Local Emergency Planning
Committee (LEPC) and Notification of Two Vacancies: Emergency Services Director
Jackson, during the 5 p.m. meeting, announced the LEPC resignations of Mark Shepherd (Thorlo
Mfg.) and Emily Sabino (media representative). He said the LEPC was requesting that another
category be added to the committee's composition and this would be for the local firefighters
association. Jackson said the three appointments would be on the August 3 agenda.
6. Request for Approval of Change Orders for the new Library: Support Services Director
Jim Vernon requested approval of 13 change orders in conjunction with the new library's
construction. A brief description of the changes and their costs are as follows:
#1
Pipe Boots
+$ 214.00
#2
ASSA locks
+ 8,174.00
#3
Structural changes due to supplier change on pre -cast
+10,087.03
#4
Mechanical room overhead door
+ 5,604.15
#5
Deleted media carts
#6
Curb & gutter relocation
+ 8,857.60
#7
Carpet change (deduct)
19,900.00
#8
Roof changes (previously approved by board) (deduct)
11,000.00
#9
Emergency generator transfer switch
+12,460.00
#10
Deduct T.V. antennae (deduct)
- 402.00
#11
Landscaping changes (required by city) (deduct)
- 125.00
#12
Add retaining wall to north side of site for book drop drive through
+17,773.50
#13
Change in drywall framing on staircase due to DOI requiring sprinklers
+ 1.573.30
Net change order total
$
Note:
'Be $33,316.58 will be taken from General Construction/Contingency ($50,000) leaving
a balance of $16,683.42.
7. Request for the Approval of a Financing Proposal from the SouthTrust Bank Regarding
the Iredell County Rescue Squad Refinancing: Finance Director Blumenstein advised during
the briefing session that six banks had offered financing proposals for the $700,000 Iredell
County Rescue Squad refinancing. She recommended that the contract be awarded to
SouthTrust Bank with a 4.18% fixed rate. (In addition, the bank will pay all of the costs
including a Phase I Environmental report, if required.) Additional information about the
proposals is as follows: