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Caswell County health director says recent Medicaid reimbursements are pass-through funds, not available for general use

6490764 · October 21, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

County health director told the Board of Commissioners that a recent large Medicaid reimbursement and new state funds are restricted and cannot be used to replenish county fund balance; department and county finance are still reconciling records ahead of overdue audits.

Jennifer Eastwood, Caswell County health director, told the Board of Commissioners on Oct. 20 that a roughly $616,000 Medicaid payment tied to 22 clients is a pass-through reimbursement for specific services and cannot be treated as general county revenue.

Eastwood said the funds are for the Community Alternatives Program, which supports people with disabilities and medically fragile children to remain at home. "It's a pass through money. It's not actually revenue that's gonna sit in our coffers, so to speak," she said.

The health director told the board the department's internal books…

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