Board looking at $500k reduction in revenues this year.
Three years ago, the state lawmakers implemented a plan to withhold 10 percent of North Carolina counties' Medicaid Cost Settlement funds, while reviewing local departments' programs. After three years, those funds were expected to be released back to local departments. According to Macon County Board of Health Director Jim Bruckner, when it came time to release those funds, the state failed to do so. For Macon County, that means $125,000 over three years that the health department is having to scramble to make up. The 10 percent withholding, paired with the fiscal year 2015 Medicaid Cost Settlement funds that have yet to be released to the county, has left the local health department looking at an unanticipated $484,121 reduction this budget year.