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Alliance Health outlines multi‑track funding proposal and service expansions
Summary
Alliance Health presented three funding approaches and proposed programs including virtual teen peer support, expanded Latino/Hispanic services, enhanced Durham Recovery Response Center care and school‑based care coordination; staff reported 6,552 residents enrolled in the Tailored Medicaid Plan and 6,893 in Medicaid Direct as of July 1, 2024.
Alliance Health executives presented a multi‑track funding proposal to the Durham County Board of Commissioners Nov. 4 that would use leftover one‑time county funds, a mix of one‑time county and Alliance investments, or by shifting ongoing county expenses to state dollars to free county funding for new investments.
Kelly Goodfellow, Alliance Health chief executive officer, framed the request in three categories: one‑time county funding to make immediate investments, a combination of one‑time county and ongoing Alliance funding for one‑time community projects, and programmatic shifts that would allow ongoing county funds to be replaced by state funding.
Sean Schreiber, Alliance Health chief operating officer, described proposed projects including virtual teen peer support (unlimited text and virtual peer support provided by certified young‑adult peer specialists); expanded culturally competent services for Latino/Hispanic residents, including case management and therapeutic greenspace at El Futuro’s Durham location; enhanced integrated care and extended hours at the Durham Recovery Response Center; school‑based care coordination for students with behavioral‑health needs that exceed school‑based therapy; an embedded benefits navigator at the DRRC to support Medicaid enrollment; and threshold support for extended crisis support, wrap‑around services, employment and administrative cost offsets.
Schreiber provided Medicaid enrollment figures for Durham County: as of July 1, 2024, 6,552 residents were enrolled in the Tailored Medicaid Plan and 6,893 were enrolled in Medicaid Direct. The presentation did not include a final board decision on funding allocations; staff follow‑up was requested.
