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Social Services expects ~3,239 new Medicaid enrollees; plans hires and notes foster care rate change

Macon County Board of Commissioners · March 1, 2026
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Summary

Director Patrick Betancourt said Medicaid expansion could add about 3,239 enrollees to Macon County, enabling state-funded hires of three Income Maintenance Workers; he also said foster care reimbursement rates increase July 1, 2023, and the department has 23 licensed foster families caring for 75 children.

Patrick Betancourt, director of the Macon County Department of Social Services, told the Board of Commissioners during the June 8 work session that Medicaid expansion is expected to bring roughly 3,239 new enrollees to the county. Betancourt said the state will provide additional funding that will allow the department to hire three additional Income Maintenance Workers to manage the increased caseload.

Betancourt also said an increase in the foster care reimbursement rate is scheduled to take effect July 1, 2023. He reported that the department currently has 23 licensed foster families and 75 children in custody.

The board did not act on funding requests at the meeting; commissioners asked for further review of the overall budget prior to any vote.