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Montezuma County staff seek $70,000 loan to cover senior transportation amid Medicaid credentialing delays
Summary
County staff asked commissioners to authorize a $70,000 interfund loan to Senior Services and Transportation to cover delayed Medicaid reimbursements while recertification issues are resolved.
Rob Dobry, county finance staff, asked the Montezuma County Board to authorize a short-term loan from the general fund to the senior services and transportation fund to cover a cash-flow gap caused by delayed Medicaid payments.
Dobry said, “This resolution is to authorize a loan from the general fund to the senior services and transportation fund in the amount of $70,000 to help deal with a cash flow issue resulting from a delay in Medicaid transportation payments.” The proposed loan would carry a 1.7132% interest rate and accrue $99.94 in interest each month, he said.
Kelly, senior services staff, described an extensive, months-long credentialing and recertification process with Medicaid that has left the county awaiting payments. Kelly said multiple verification steps — including fingerprint submissions, vehicle inspections, drug screens, driver re‑training and insurance documentation — were required and that staff had escalated tickets with Medicaid multiple times. “We have been stuck in fingerprints since January 29,” Kelly said. She told the commissioners the backlog has left the program with $43,098 in reimbursable bills and that the average monthly Medicaid reimbursement is about $9,000.
Commissioners asked for practical details about the timeline and whether the delay was likely to resolve. County staff said the delay appears tied to the enrollment/recertification process; staff reported fingerprints were accepted recently and the next step is a site visit. No formal vote on the resolution was recorded at the workshop.
Why it matters: the loan would prevent service interruptions for seniors who rely on county transportation for medical appointments and other needs while the county awaits federal/state Medicaid payments. Staff characterized the loan as a short-term measure to provide a three-month runway plus back payments until reimbursements arrive.
County staff asked for the commissioners' signature on related paperwork at the next meeting; no formal action was taken at this workshop. The commissioners and senior services staff said they will continue to press Medicaid contacts until the recertification is complete and payments are released.
