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Cascade County health officials flag grant, billing and budget concerns including $915,000 expense shortfall
Summary
Health department staff reported complications with state grant requirements, billing cleanup and a $915,000 budget gap after using reserves; staff said the universally offered home visiting grant likely cannot move forward because required insurance exceeds a statutory liability cap.
Cascade County Health Department leaders told the Cascade County Board of Health they are actively reviewing grant requirements and cleaning up multi-year billing and accounts receivable issues that have produced a notable budget strain and program uncertainty.
Abigail (Health Department staff member) said the department has been working with finance and its medical-billing contractor to reconcile electronic health record data and how it posts into the county accounting system. Trista (health department billing specialist) said the department recently wrote off bad debt for the first time in four years and has identified process and policy gaps that contributed to inflated accounts receivable…
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