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CPMT notes $3.3M local budget boost but flags state rate uncertainty for children’s services
Summary
Tazewell County’s CPMT recorded a Board of Supervisors budget increase to $3.3 million for FY2023, but members warned that pending state decisions on Medicaid rates and limited program capacity could strain local CSA funds despite additional COVID and PSSF funding.
David Taylor, vice chair of the Tazewell County Community Policy and Management Team (CPMT), presided over a July 25, 2022 meeting in the Tazewell County Department of Social Services training room where members discussed county funding and state budget uncertainty.
The Board of Supervisors has increased the county’s CSA budget to $3.3 million for fiscal 2023, up from $2.0 million the prior year, and the minutes note about 75% of that budget is reimbursed, Arlene Matney told the CPMT. Members said the previous $2.0 million appropriation made it difficult to pay invoices on time.
Why it matters: CPMT members said changes at the state level could materially affect what the county must pay for residential placements and other services. David Taylor raised concerns about awaiting action by the Virginia General Assembly on Medicaid rate increases for residential placements and on QRTP availability and placement capacity; those changes, he said, have fiscal implications for localities that may increase pressure on the local CSA pool.
CPMT members also discussed alternative funding sources. The CSA coordinator reported approval of additional COVID funding for fiscal 2023 and said that use of Promoting Safe and Stable Families (PSSF) funds has helped reduce reliance on CSA pool dollars. The group noted, however, that vendor contract rates and the timing of state reimbursements remain outside local control.
Members stressed cash‑flow and program capacity concerns: higher vendor rates and delays in state reimbursements make it difficult to manage invoices and keep children in community‑based placements whenever possible. The CPMT discussed QRTP and provider capacity challenges that affect placement options and costs.
The meeting record shows CPMT members asking for continued monitoring of state budget developments and for staff to track how reimbursements and new funding sources are applied to local cases. The CPMT did not take formal action altering funding policy at the July meeting.
The CPMT adjourned at 11:36 a.m.; members will reconvene for the regularly scheduled meeting on Aug. 22, 2022.
