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Health department proposes moving Community Alternatives Program into CoSquare to recover Medicaid rent revenue
Summary
The county’s health department proposed leasing four adjacent offices in CoSquare to house the Community Alternatives Program (CAP); the move would be funded by Medicaid revenue and produce roughly $30,000 in county revenue annually under the presented $2,500/month rent (board discussed matching a landlord’s $300 monthly reduction).
County staff presented a proposal for the Caswell County Health Department’s Community Alternatives Program (CAP) to relocate from leased offices at 2254 NC‑86 in Yanceville into adjacent office space at CoSquare.
Staff said the CAP lease is funded by Medicaid revenue and would not come from the county’s general fund. The proposal described leasing four adjacent offices; staff cited a current rental cost the CAP pays and proposed setting the county charge for those spaces at $2,500 per month (rent plus utilities and internet), yielding about $30,000 of revenue the county does not currently receive.
Staff disclosed the current landlord offered to reduce the county’s existing payment by $300 per month; staff said they would accept a $300 reduction if the board preferred (dropping the proposed county rent to $2,200 per month).
Commissioners discussed the move’s operational impacts, including privacy and confidentiality needs for health services, likely increased use of shared copiers and utilities, and the potential to drive more traffic to CoSquare and increase center membership. One commissioner noted prior times when CoSquare netted revenue and said bringing a county program there could increase utilization and community access.
Why it matters: Staff said the relocation would increase use of county‑owned facility space, capture Medicaid‑funded rent revenue that currently pays an outside landlord, and support the county’s efforts to increase traffic and revenue at CoSquare. No final lease was executed at the meeting; staff indicated they would proceed with contract details and return if the board wants further conditions or to accept the landlord’s reduced rate.
