HHS reports $1.617 million in MA revenue after new case‑management billing; transitions program may cut out‑of‑county placements

Julia presented the fiscal update, telling the board the department has begun billing certain family‑services case management under Medical Assistance and expects meaningful revenue improvement. "We have, about $1,617,000 that we were able to bring in this year," she said, noting the figure reflects new MA billing for case management services.

The update included smaller revenue items: youth‑aids case‑management billing produced "just over $17,000" and the CST grant brings in about $60,000, staff said. Julia explained some budget lines are passthroughs (funds paid out and reimbursed) and that private insurance billing for Birth‑to‑3 had previously been underutilized because the county was not a preferred provider.

Fiscal context and service impact: Board members discussed timing and year‑end recaps; staff said final settlements typically arrive in June but that revenues continue to come in. Officials noted the new Transitions program — now operating under county management after taking over from a contractor — is intended to allow the county to serve high‑cost clients in‑county rather than pay for out‑of‑county placements. "Once we're set up and able to take home some of the ones we have out of county now, that's where we'll save money," staff said.

What the board decided: No formal budget vote occurred at the meeting. Staff will continue monitoring revenue inflows, update the board on year‑end reconciliations and report on Transitions program staffing and capacity as hires and certifications complete.

Next steps: Staff will continue monthly tracking of the 2025 receipts recap and bring further detail to the board as year‑end numbers become final.