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Scotland County health staff say lost grants and Medicaid changes deepen budget shortfall
Summary
County finance and health staff told an informal meeting that a $57,000 Medicaid cost-settlement payment and the loss of ARPA/COVID grants narrow the health department's budget, and commissioners have asked departments to find roughly $325,000 in cuts for the upcoming year.
At an informal Scotland County Health Department meeting, department staff and the county finance officer outlined budget pressures tied to changes in Medicaid payments and the loss of grant revenue. The finance officer said a recent $57,000 settlement reflected two years of a 10% Medicaid holdback that the state pays later, and that the transition to Medicaid managed care has reduced future settlement amounts.
The finance officer said the budget proposed by county commissioners includes a 2% cost-of-living increase and a reinstated progressive step (the presenter corrected the step…
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