Loading...
HomeMy WebLinkAbout050222 agenda packetREGULAR MEETING Date: Monday, May 2, 2022 Time: 9:00 a.m. Location: Commissioners Meeting Room Harnett County Resource Center & Library 455 McKinney Parkway, Lillington Harnett County Board of Commissioners Page | 1 1.Call to order – Chairman Lewis Weatherspoon 2.Pledge of Allegiance and Invocation – Commissioner Barbara McKoy 3.Consider additions and deletions to the published agenda 4.Consent AgendaA.Budget AmendmentsB.Harnett County Health Department requests approval of Pandemic Recovery Federal ARPA funding provided through NC DHHS in the amount of $206,562. These funds will expand communicable disease surveillance, detection, control and prevention activities to addressCOVID-19 and other communicable disease-related challenges impacted by the COVID-19pandemic. C.Harnett County Department on Aging requests approval of $1,500 in Federal funds provided by the US DHHS through Mid-Carolina Agency on Aging. These funds are to be used to increasevirtual capacity among grantees.D.Harnett County Emergency Services is seeking Board approval to zero balance 88 EMS billingclaims under the Federal HRSA COVID 19 Uninsured program. Our billing company EMS/MC,contacted us in reference to the closure of the HRSA COVID-19 Uninsured program on March22nd. As a result, we have 88 claims that were not paid through the portal, amounting in$81,928.93. Per the COVID positive guidelines, EMS/MC has requested that these be adjusted toa $0 balance, by applying the COVID contractual in their system. So, these will not show up as awrite-off. This program has been closed due to lack of federal funding. Future patient COVIDtransports will follow our normal billing process.E.Administration requests the Board of Commissioners approve the contract with Bar Constructionfor the Former Benhaven Parking Lot Project.F.Administration, upon the advice of the Jetport Committee, requests the Board to award theproposal for the Jetport Fuel Supplier Agreement to Titan Aviation Fuels. Following the openingof proposals on April 11, Titan Aviation Fuels was determined to be the low bidder whenfactoring in an up-front $30,000 incentive, rental of a 3000 gallon Jet A truck and a 1200 gallonAvgas truck at no charge to the County, complimentary uniforms, complimentary fuel filters, andthe lowest credit card processing fees of all proposals received. HCBOC 050222 1 Harnett County Board of Commissioners Page | 2 5.Public Comment PeriodPeriod of up to 30 minutes for informal comments allowing 3 minutes for each presentation. Please notethe Harnett County Board of Commissioners adopted revisions to the Rules of Procedure, Rule 29. PublicComment Period on April 4, 2022. A copy of the rule is attached. Speakers are requested to signup priorto the meeting. Speakers may sign up by contacting the clerk at mdcapps@harnett.org at least one hourprior to the start of the meeting or by utilizing the signup sheet at the back of the room. The signup formwill be picked up by the clerk 5 minutes before the published meeting start time. 6.Appointments 7.Sandhills Program Update & Budget Request; Victoria Whitt, Chief Executive Officer, Sandhills Center 8.Forest Service’s annual presentation and budget request for the 2022-23 year; Buren Fulmer,Harnett County Ranger, NC Forest Service 9.Economic Development Update; Christian Lockamy, Economic Development Director 10.I-95/I-40 Crossroads of America Economic Development Alliance; Reid Williams, President — I-95/I-40 Crossroads of America 11.County Manager’s Report – Brent Trout, County ManagerA.Harnett County DSS Monthly ReportB.North Carolina Department of State Treasurer Retirement System Division – Contribution-BasedBenefit Cap Report. C.Interdepartmental Budget Amendments 12.New Business 13.Closed Session 14.Adjourn CONDUCT OF THE MAY 2, 2022 MEETING Live audio of the meeting will be streamed on the Harnett County Government’s YouTube Channel at https://www.youtube.com/channel/UCU7mTF6HTD65x_98EhAMeMg/featured. HCBOC 050222 2 ITEM 4A HCBOC 050222 3 HCBOC 050222 4 HCBOC 050222 5 HCBOC 050222 6 HCBOC 050222 7 HCBOC 050222 8 HCBOC 050222 9 HCBOC 050222 10 HCBOC 050222 11 HCBOC 050222 12 HCBOC 050222 13 HCBOC 050222 14 HCBOC 050222 15 HCBOC 050222 16 HCBOC 050222 17 HCBOC 050222 18 HCBOC 050222 19 HCBOC 050222 20 HCBOC 050222 21 HCBOC 050222 22 HCBOC 050222 23 HCBOC 050222 24 HCBOC 050222 25 HCBOC 050222 26 HCBOC 050222 27 HCBOC 050222 28 HCBOC 050222 29 HCBOC 050222 30 HCBOC 050222 31 HCBOC 050222 32 HCBOC 050222 33 HCBOC 050222 34 HCBOC 050222 35 HCBOC 050222 36 HCBOC 050222 37 HCBOC 050222 38 HCBOC 050222 39 HCBOC 050222 40 HCBOC 050222 41 HCBOC 050222 42 ITEM 4B HCBOC 050222 43 HCBOC 050222 44 HCBOC 050222 45 HCBOC 050222 46 HCBOC 050222 47 HCBOC 050222 48 HCBOC 050222 49 HCBOC 050222 50 HCBOC 050222 51 HCBOC 050222 52 HCBOC 050222 53 ITEM 4C HCBOC 050222 54 HCBOC 050222 55 HCBOC 050222 56 HCBOC 050222 57 HCBOC 050222 58 HCBOC 050222 59 HCBOC 050222 60 HCBOC 050222 61 HCBOC 050222 62 HCBOC 050222 63 HCBOC 050222 64 HCBOC 050222 65 HCBOC 050222 66 HCBOC 050222 67 HCBOC 050222 68 HCBOC 050222 69 HCBOC 050222 70 HCBOC 050222 71 HCBOC 050222 72 HCBOC 050222 73 HCBOC 050222 74 HCBOC 050222 75 ITEM 4D HCBOC 050222 76 ITEM 4E HCBOC 050222 77 HCBOC 050222 78 HCBOC 050222 79 HCBOC 050222 80 HCBOC 050222 81 HCBOC 050222 82 HCBOC 050222 83 HCBOC 050222 84 HCBOC 050222 85 HCBOC 050222 86 HCBOC 050222 87 HCBOC 050222 88 HCBOC 050222 89 HCBOC 050222 90 HCBOC 050222 91 HCBOC 050222 92 HCBOC 050222 93 HCBOC 050222 94 HCBOC 050222 95 HCBOC 050222 96 HCBOC 050222 97 ITEM 4F HCBOC 050222 98 HCBOC 050222 99 ITEM 6 HCBOC 050222 100 HCBOC 050222 101 ITEM 7HCBOC 050222 102 HCBOC 050222 103 HCBOC 050222 104 Serving Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond and Rockingham counties in central North Carolina QUARTERLY COMMUNITY REPORT January 2022 HCBOC 050222 105 2 LEADERSHIP AND BOARD OF DIRECTORS MONTGOMERY COUNTY Commissioner Mary Hassell Carol Whitaker MOORE COUNTY Commissioner Catherine Graham Matthew Rothbeind RANDOLPH COUNTY Commissioner David Allen Michael Ayers Ann Shaw RICHMOND COUNTY Thad Ussery Dr. Tommy Jarrell PROVIDER COUNCIL REPRESENTATIVE Jerry Earnhardt HOSPITAL REPRESENTATIVE Vacant CHIEF EXECUTIVE OFFICER Victoria Whitt BOARD CHAIR Thad Ussery VICE CHAIR Commissioner Harry Southerland SECRETARY Priscilla Little ANSON COUNTY Commissioner Robert Mims Priscilla Little GUILFORD COUNTY Commissioner Alan Perdue Gart Evans Dr. Alvin Keyes Dr. Walter Salinger HARNETT COUNTY Commissioner Matt Nicol Tonya Gray HOKE COUNTY Commissioner Harry Southerland Jackie McLean LEE COUNTY Commissioner Kirk Smith Walter Ferguson HCBOC 050222 106 3 A MESSAGE FROM THE CEO Victoria Whitt, Chief Executive Officer Sandhills Center Sandhills Center is committed to being a source for positive change in our communities. Highlights of the last quarter have included our continued support for the Sandhills Center network of providers to maintain quality services during the pandemic. We also saw the expansion of crisis services come to fruition, and the size of our service region increased as Sandhills Center welcomed two adjacent counties. At the beginning of October, Sandhills Center was pleased to announce the further extension of temporary rate increases to providers of specific services through the end of 2021. These enhancements have been in place for most of the last two years. We know that the increased funding has been beneficial to our providers who are working hard to deliver essential services throughout our region. We also announced the official opening of a Child/Adolescent Facility-Based Crisis (FBC) center on Oct. 18. Alexander Youth Network earned licensure and is providing services at the facility in Guilford County. The opening of that site follows Sandhills Center’s recent expansion of Adult FBC and Behavioral Health Urgent Care (BHUC) services in Randolph County, and BHUC and Child/Adolescent FBC services in Richmond County. The final highlight of the quarter was the addition of Davidson and Rockingham counties to the Sandhills Center region on Dec. 1. With the realignment of these two counties, we are pleased to now serve 11 counties in central North Carolina. Leading up to the county realignment, Sandhills Center staff met with and addressed concerns of individuals and families who receive services in both counties. Meetings with members and their families were held in October and November. We also hosted a virtual Provider Orientation session that allowed providers from Davidson and Rockingham counties to ask questions and get to know Sandhills Center better. Sandhills Center is confident that these recent accomplishments have contributed to our ability to manage whatever challenges or uncertainties come our way. It is our privilege to serve the residents of Anson, Davidson, Guilford, Harnett, Hoke, Lee, Moore, Montgomery, Randolph, Richmond and Rockingham counties. HCBOC 050222 107 4 those individuals and families who cur- rently receive services in the affected counties. Participants were given options to call in to the meeting, attend virtually, or join us in person from 6 to 7:30 p.m., on Oct. 26, at Davidson- Davie Community College; and from 6 to 7:30 p.m., on Nov. 2, at Rockingham Community College. Attendees were welcomed by CEO Victoria Whitt. They also received information about how to reach Sandhills Center 24 hours a day, 7 days a week and 365 days a year; Sandhills Center’s service authorization process; our commitment to quality services; I/DD and Innovations Waiver services; and how to navigate the Sandhills Center website. y Virtual Provider Orientation: This session offered details specifically for providers in Davidson and Rockingham counties who are new to the Sandhills Center network as a result of the county realignment. Participation was possible virtually or by phone from 9 a.m. to noon on Oct. 29. Providers were welcomed by the CEO and given an overview of Network Operations, Quality Management, Population Health, Program Integrity, Customer Services, Utilization Management, the Provider Support Portal and Alpha+, Care Coordination, how to submit claims, and how to navigate the website. (continued on page 5) COMMUNITY SANDHILLS CENTER REGION GROWS Sandhills Center was pleased to welcome Davidson and Rockingham counties to the region on Dec. 1, 2021. Throughout the county realignment process, which started earlier in 2021, Sandhills Center placed a high priority on communication and transparency to ensure a smooth transition for individuals, families and providers impacted by the change from the Cardinal Innovations region. A strong focus was on community engagement and addressing potential concerns. Sandhills Center hosted several in-person and virtual information-sharing events to allow individuals, families, providers and stakeholders opportunities to ask questions and provide feedback. These events were held ahead of the realignment: y Community Stakeholders’ Breakfast Meetings: Sandhills Center hosts a breakfast meeting in each county throughout the year. County and State leadership, such as members of the Boards of Commissioners, county department directors and elected officials are invited to attend. Davidson and Rockingham breakfast meetings were held Oct. 1, at Davidson- Davie Community College, and Oct. 15, at Rockingham Community College. y Member and Family Meetings: These gatherings served to engage with HCBOC 050222 108 5 (continued from page 4) y Transition Team Meetings: Sandhills Center regularly met with county officials to discuss the transition pro- cess, review steps that had been taken, and to hear about issues important to each community. Meetings also were held with Cardinal Innovations and the North Carolina Department of Health and Human Services (NCDHHS) to ensure a smooth transition. “Sandhills Center is proud to now serve Davidson and Rockingham counties,” Whitt said. “Members and recipients of services, their families and providers, and residents of both counties can rest assured that we will bring the same level of care and commitment to Davidson and Rockingham counties as we have for many years throughout our other long- established communities.” HCBOC 050222 109 Sandhills Center recently announced the official opening of its Child/Adolescent Facility-Based Crisis (FBC) center in Guilford County. The facility opened October 18, 2021, with Alexander Youth Network offering services to children and adolescents, age 6 to 17, who live in the Sandhills Center region. Located at 925 Third St., Greensboro, the FBC offers services 24 hours a day and 365 days a year, in a secure setting. Accommodations are for up to 16 youth at a time. FBC services offer an alternative to hospitalization for eligible individuals who present escalated behavior due to mental illness, substance use disorder or intellectual/developmental disabilities. Services are short-term and medically supervised, with the average length of stay of about seven to 14 days. The Child/Adolescent FBC center also offers: y Assessments and evaluations of the child’s condition that has resulted in the crisis. y Intensive treatment, behavior manage- ment support and interventions. y Assessments and treatment service planning that address each of the youth’s primary-presenting diagnoses. y Active engagement of the family, caregiver, legal guardian and others who are involved in the youth’s life, with crisis stabilization, treatment, interventions and discharge planning. 6 NETWORK CHILD/ADOLESCENT CRISIS CENTER OPENS y Stabilization of the immediate presen- ting issues, behaviors or symptoms that have resulted in the need for crisis intervention or detoxification. y Monitoring of the child’s medical condition and response to the treat- ment protocol to ensure their safety. Discharge planning by Alexander Youth Network begins upon admission and includes: y Arrangements to new or existing community-based services that offer further assessment, treatment or rehabilitation upon discharge. y Coordination of aftercare with other involved providers, including primary care practitioners and specialists for the ongoing care of identified medical conditions. y Contact for re-entry planning purposes with the child’s school. y Arrangements for a higher level of care, if necessary. y Identifying and providing connections with natural supports in the community. y Developing a crisis plan with the child’s family or support system to best assist in preventing and managing future crisis events. The new Child/Adolescent FBC is located adjacent to a new Behavioral Health Urgent Care center and Adult FBC. Both are operated by Cone Health and Guilford (continued on page 7) HCBOC 050222 110 7 (continued from page 6) County Government. The new BHUC serves children, adolescents and adults. It opened in June 2021. The Adult FBC serves individuals age 18 and older, and is expected to open soon. Sandhills Center is proud of the collabor- ative efforts that led to the development and operation of these facilities, offering an increased level of support to people in crisis. HCBOC 050222 111 8 SERVICES RATE ENHANCEMENTS EXTENDED Recovery Act, and approved by the North Carolina General Assembly. Because ICF services provided through state-operated facilities have an alternative reimbursement arrangement, they were not subject to this funding extension. These temporary Medicaid reimbursement rate enhancements were made possible through additional state and federal funding, and supported by the North Carolina Depart- ment of Health and Human Services. The rates were intended to supplement resources that providers need, including direct-care staffing and personal protective equipment. “Sandhills Center is pleased to extend rate increases because we understand that additional support is still needed for our provider network to maintain quality services,” said CEO Victoria Whitt. “These efforts are a reflection of our ongoing commitment to frontline providers during these unprecedented times.” Sandhills Center will continue to monitor conditions due to COVID-19, and may consider additional funding enhancements or extensions, if necessary, to assist our net- work of providers. Sandhills Center extended temporary funding increases for specific services through Dec. 31, 2021. The rate enhancements have been in place since spring 2020, as a result of the coronavirus pandemic. These residential and other service offer- ings maintained 15 percent rate increases: y Psychiatric Residential Treatment Facilities y Behavioral Health Long-Term Residential y Innovations Residential Services (Residential Supports 1-4, Supported Living 1-3, and Supported Living Periodic) y Assertive Community Treatment Team y Community Support Team y Psychosocial Rehabilitation Services y Community-Based Intermediate Care Facilities Five percent rate increases remained in place for all other Medicaid services through the end of the year, as well. Sandhills Center continued to offer an enhanced $50.02 per-person/per-day reimbursement rate to community-based Intermediate Care Facilities (ICFs) for individuals with intellectual/developmental disabilities. In 2020, temporary rate adjustments for ICFs were granted through the COVID-19 HCBOC 050222 112 1.6 EXPENSES Contracts 355,984,841 88.3% Personnel 39,074,099 9.7% Materials and Supplies 436,787 0.1% Current Obligations/Services 6,438,389 1.6% Fixed Charges/Capital Outlay 1,526,108 0.3% TOTAL 403,460,224 100% 9 ANNUAL BUDGET 2021-2022 FINANCIAL INFORMATION 5.43.1 5.0 REVENUES Medicaid Service Contracts 287,749,230 71.4% State, Federal Service Funds and Medicaid Flow 42,398,257 10.5% County General and Other Local 12,257,178 3.0% I/DD Treatment Planning Administration and MH/SA Treatment Planning 12,489,513 3.1% Medicaid Administration General and LME Administration 20,269,114 5.0% Medicaid Reserve Funds 6,539,012 1.6% Fund Balance 21,757,920 5.4% TOTAL 403,460,224 100% 3.1 3.0 10.5 71.4 88.3 9.7 0.10.3 HCBOC 050222 113 P.O. Box 9 West End, NC 27376 VISIT US ONLINE: www.SandhillsCenter.org FOR FREE, CONFIDENTIAL AND ANONYMOUS BEHAVIORAL HEALTH SCREENINGS, GO TO: www.SandhillsCenterAccess2Care.org TOLL-FREE, 24/7/365 CALL CENTER 1-800-256-2452 TTY: 1-866-518-6778, or 711 BEHAVIORAL HEALTH CRISIS LINE 1-833-600-2054 HCBOC 050222 114 ANNUAL COMMUNITY REPORT 2021 Serving Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond and Rockingham counties in central North CarolinaHCBOC 050222 115 2 ABOUT SANDHILLS CENTER Sandhills Center manages public mental health, intellectual/developmental disabilities and substance use disorder services in Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond and Rockingham counties. As a publicly-funded Local Management Entity-Managed Care Organization (LME-MCO), Sandhills Center works with the North Carolina Department of Health and Human Services (NCDHHS) to oversee the administration of services by a qualified network of providers. We partner with individuals, family members, service providers, local leaders, policymakers and other community stakeholders to develop, manage and support quality behavioral health services that meet the needs of our members, their families and our communities. Sandhills Center operates a toll-free CALL CENTER that can be accessed 24 hours a day, 7 days a week, and 365 days a year. Qualified professionals are always available to answer your questions and help you make appointments with the provider you choose. We are here to assure you that you are not alone. We can help -- just give us a call: 1-800-256-2452 TTY: 1-866-518-6778 A toll-free BEHAVIORAL HEALTH CRISIS LINE was estab- lished in 2021 to help in mental health emergencies. Dedicated licensed clinicians will talk to you and connect you to assistance in your area. Call anytime of the day or night, including holidays: 1-833-600-2054 IF SOMEONE IS IN IMMEDIATE DANGER, DIAL 911 SANDHILLS CENTER IS PROUD TO SERVE 11 CENTRAL NORTH CAROLINA COUNTIES HCBOC 050222 116 3 OUR LEADERSHIP CHIEF EXECUTIVE OFFICER - Victoria Whitt 2021 BOARD OF DIRECTORS - OFFICERS AND MEMBERS CHAIR - Thad Ussery, Richmond County VICE CHAIR - Commissioner Harry Southerland, Hoke County SECRETARY - Priscilla Little, Anson County ANSON COUNTY Commissioner Robert Mims (term began 11/2021) Commissioner Ross Streater (term ended 9/2021) Priscilla Little DAVIDSON COUNTY Davidson County entered the region on Dec. 1, 2021. Board members will be installed in January 2022. GUILFORD COUNTY Commissioner Alan Perdue Gart Evans Dr. Walter Salinger Dr. Alvin Keyes HARNETT COUNTY Commissioner Matt Nicol (term began 9/2021) Commissioner Lewis Weatherspoon (term ended 9/2021) Tonya Gray The Sandhills Center Board of Directors is comprised of dedicated individuals who make certain that we serve our communities responsibly. The Board guides our mission, values and goals, with a focus on improving care standards and services. They provide oversight of programs, and ensure quality and access to services. Board members represent each county within the region. During monthly meetings, they accept feedback from the public, individuals and families served, the Sandhills Center Consumer and Family Advisory Committee, various subcommittees, our network of providers, and community partners. HOKE COUNTY Commissioner Harry Southlerland Jackie McLean (term began 11/2021) Stephany Bonds (resigned 9/2021) LEE COUNTY Commissioner Kirk Smith Walter Ferguson MONTGOMERY COUNTY Commissioner Mary Hassell (term began 11/2021) Commissioner Mike Criscoe (resigned 9/2021) Carol Whitaker MOORE COUNTY Commissioner Catherine Graham Matthew Rothbeind (continued on page 4) HCBOC 050222 117 (continued from page 3) RANDOLPH COUNTY Commissioner David Allen Ann Shaw (term began 10/2021) Mike Ayers (term began 11/2021) Mazie Fleetwood (term ended 9/2021) Leann Henkel (term ended 9/2021) HOSPITAL REPRESENTATIVE Vacant RICHMOND COUNTY Thad Ussery Dr. Tommy Jarrell ROCKINGHAM COUNTY Rockingham County entered the region on Dec. 1, 2021. Board members will be installed in January 2022. PROVIDER REPRESENTATIVE Jerry Earnhardt, Daymark Recovery Services 4HCBOC 050222 118 5 Victoria Whitt Chief Executive Officer Sandhills Center A MESSAGE FROM THE SANDHILLS CENTER CEO Sandhills Center finished 2021 on a high note and is looking ahead to an exciting 2022. While we remain in unprecedented times due to the pandemic, I feel a great sense of pride in what we have overcome and accom- plished. Following are some highlights of the last year: y Sandhills Center continued to extend temporary rate enhancements to alleviate some of the strains on our providers. y We launched a Provider Support Portal to offer additional technical assistance and guidance to our network. y Sandhills Center cosponsored a new Crisis Intervention Team (CIT) training series for UNC System first responders, while at the same time we continued to increase participation in the existing CIT schedule to support each county in the region. We are proud of the impact CIT is having. One success story from the training is detailed in this report. y New crisis services opened -- including Behavioral Health Urgent Care (BHUC) and Facility Based Crisis (FBC) centers -- to serve children, adolescents and adults living in the Sandhills Center region. y We began the transition process that will take us from serving as a Local Management Entity-Managed Care Organization (LME-MCO) to an NC Medicaid Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan. The BH-I/DD Tailored Plans are scheduled to go into effect in December 2022. y We welcomed individuals, families and providers in Davidson and Rockingham counties to the Sandhills Center region. Perseverance, commitment and resilience are keys to our efforts. For their outstanding work in 2021, I wish to congratulate the Sandhills Center staff and community partners. Especially appreciated is the support of the Consumer and Family Advisory Committee. Sandhills Center’s determined provider network continues to impress us while they perform on the front lines each day. The enduring support of our Board of Directors, the NCDHHS, and the NC General Assembly has been invaluable. We now look to a new year filled with encouraging opportun- ities, among them our transition to the BH-I/DD Tailored Plan in December 2022, and the further development of relationships within Sandhills Center’s two new counties. You have my pledge that we will remain steadfast in our management of quality services and supports for individuals with mental illness, substance use disorders and intellectual/developmental disabilities. We are grateful for the opportunity to serve the people of Anson, Davidson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond and Rockingham counties. HCBOC 050222 119 TEMPORARY RATE INCREASES CONTINUE Throughout 2021, Sandhills Center extended temporary funding enhancements that have been in place since the early days of the pandemic in spring 2020. The 5-percent rate increases included these residential and other service offerings: y Psychiatric Residential Treatment Facilities y Behavioral Health Long-Term Residential y Innovations Residential Services (Residential Supports 1-4, Supported Living 1-3, and Supported Living Periodic) y Assertive Community Treatment Team y Community Support Team y Psychosocial Rehabilitation Services y Community-Based Intermediate Care Facilities Five percent rate increases remained in place for all other Medicaid services, as well. Sandhills Center offered an enhanced $50.02 per-person/ per-day reimbursement rate to community-based Intermediate Care Facilities (ICFs) for individuals with I/DD. In 2020, temporary rate adjustments for ICFs were granted through the COVID-19 Recovery Act, and approved by the North Carolina General Assembly. Because ICF services provided through state-operated facilities have an alternative reimbursement arrangement, they were not subject to this funding extension. All of the temporary Medicaid reimbursement rate enhancements have been made possible through additional funding from the federal and state levels, and supported by the NCDHHS. The intent has been to supplement resources that providers need, including direct-care staffing and personal protective equipment. “Sandhills Center recognized that our provider network was in need of additional support to maintain quality services,” explained CEO Victoria Whitt. “By extending temporary rate increases throughout the year, we affirmed our ongoing commitment to front line service providers during these challenging times.” At the end of 2021, Sandhills Center announced further extension of the rate increases through March 2022. We continue to monitor COVID-19 conditions, and will consider additional rate enhancements and/or extensions, when appropriate, in 2022. 6HCBOC 050222 120 7 SANDHILLS CENTER LAUNCHES PROVIDER SUPPORT PORTAL AND ALPHA+ Sandhills Center introduced the Provider Support Portal in the spring of 2021. Development of this new tool evolved from a need to help providers increase productivity for the benefit of our members, and to unify the process by which providers seek support for a variety of issues and technical concerns. Features of the Provider Support Portal include: • A streamlined process to get answers to commonly asked questions. • An incident management and ticket system that gives providers a single entry point for reporting technical system issues and requesting assistance. • HIPAA compliance, assuring that no protected health information is transmitted through email. • Providers can create and manage their own accounts, portal passwords and tickets. The launch of the Provider Support Portal, located at https://support.sandhillscenter.org/, coincided with the implementation of the new Alpha+ software system that replaced AlphaMCS for service authorizations, claims processes and provider information. All network providers submit service authorization requests and claims through this system, and a secure login is required for each user. It also simplifies the process to sign on for multiple contracts. Alpha+ can be found here: https://alphaplusshc.com/portallogin. While logged in, providers can access information for the individuals they support and submit member updates and enrollment questions, schedule new eval- uations and appointments, and receive notifications from the Sandhills Center Utilization Management department, among many other options. HCBOC 050222 121 SANDHILLS CENTER COSPONSORS UNC SYSTEM CIT TRAINING In 2021, Sandhills Center was proud to serve as a cosponsor of a new Crisis Intervention Team (CIT) training program for law enforcement personnel across all 18 police departments within the UNC System of colleges and universities. Sandhills Center was invited to facilitate the training by representatives from Sandhills Community College and Capt. S.C. DeDona of the UNC Greensboro Police Department. Capt. DeDona also serves as the UNC System training coordinator, and recently graduated from a Guilford County CIT training class. Capt. DeDona said he wanted to bring the same high-quality CIT instruction to UNC System law enforcement personnel that he experienced. (continued on page 9) 8 2021 CRISIS INTERVENTION TEAM TRAINING WRAP-UP UNC System CIT graduates - June 2021 HCBOC 050222 122 9 (continued from page 8) The North Carolina Department of Public Safety (NCDPS) Samarcand Training Academy in Moore County hosted the classes. Sandhills Center coordinated with established CIT training partners and conducted regular planning meetings to create scenario-based role-playing exercises. Instructors were recruited who customized the training for college/university situations. LME-MCOs throughout the state were included in the planning and execution of the training to ensure that participants would have local support after completion of CIT training. Site visits within the officers’ communities were arranged so they could learn about local and campus resources. The first UNC System CIT training was held in March 2021, and was cospon- sored by Sandhills Center, the NCDPS Samarcand Training Academy, Sandhills Community College and NAMI-Moore County. Graduates included 20 officers representing police departments from Western Carolina University, UNC Charlotte, Appalachian State University, UNC Pembroke, UNC Wilmington, Fayetteville State University, Winston-Salem State University, and Elizabeth City State University. Capt. DeDona and Sgt. Michelle Goins of the UNC Greensboro Police Department served as host officers. The second UNC System CIT class was held in June 2021, with 20 officers representing police departments from Western Carolina University, UNC Chapel Hill, UNC Charlotte, UNC Greensboro, Appalachian State University, Fayette- ville State University, Elizabeth City State University and NC Central University. Officers from the Greensboro Police Department also participated. Capt. S.C. DeDona and Sgt. Goins served as host officers. A third UNC System CIT class was held in December 2021, with 13 participants representing the following colleges and universities, as well as other law enforcement and first responder agencies: UNC Charlotte, NC State University, UNC Greensboro, East Carolina University, North Carolina A&T State University, Winston-Salem State University, FirstHealth of the Carolinas, and Whispering Pines Police Department. Capt. DeDona served as host officer. Along with our partners, we are pleased with the success of the first three UNC System CIT classes. Sandhills Center looks forward to offering additional 40-hour classes in 2022. Sandhills Center is honored to support CIT training for the benefit of not only the UNC System officers, but also the students, their families and faculty throughout North Carolina who may need assistance during behavioral health crises. HCBOC 050222 123 10 A CIT SUCCESS STORY CIT in the Sandhills Center region has been highly regarded since its inception in 2008. Now it is considered to be truly lifesaving. Two law enforcement officers who recently graduated from a Sandhills Center-cosponsored CIT training class were credited with saving an individual’s life during an incident that occurred in July 2021. The CIT officers were called to a service station parking lot to investigate a suspected opioid overdose. Once on the scene, they observed two other officers struggling to resuscitate an individual, despite using naloxone. The CIT-trained officers offered to use the naloxone spray that was supplied to them through a Sandhills Center partner during CIT training just a few weeks before. The individual was administered the additional doses, and he regained consciousness. Naloxone is a medication that can rapidly reverse an opioid overdose by quickly restoring normal breathing if a person’s breathing has slowed or stopped. CIT training teaches first responders to recognize symptoms of opioid overdoes and how to administer naloxone. They are also supplied with naloxone kits. CIT training is effectively designed for law enforcement, paramedics, telecommunicators, security personnel, proba- tion and parole officers, and other first responders who handle crisis calls to manage situations where people may experience behavioral health emergencies. CIT is a jail diversion program that seeks to prevent arrest and incarceration while connecting individuals to treatment resources instead of trips to hospital emergency departments. CIT gives first responders the tools needed to more effectively interact with people who have mental illness, their families and providers. CIT also aims to promote the safety of the individual in crisis, as well as the responding officer. Sandhills Center regularly hears of success stories that are a direct result of CIT training. This life-saving situation reinforces our commitment to CIT training investments throughout our 11-county region. In 2021, Sandhills Center cosponsored CIT training for a total of 291 law enforcement personnel /first responders, the largest number of graduates in a single year since CIT training started in the region 13 years ago. For more information, go to: www.sandhillscenter.org/about/ crisis-intervention-team HCBOC 050222 124 11 CRISIS SERVICES OPEN IN SANDHILLS CENTER REGION In October, Sandhills Center announced the official open- ing of our Child/Adolescent Facility-Based Crisis (FBC) center in Guilford County. Within the facility, Alexander Youth Network offers services to youth age 6 to 17 who live in the Sandhills Center region. Located at 925 Third St., Greensboro, the FBC offers services 24 hours a day and 365 days a year, in a secure setting. Accommoda- tions are for up to 16 children/adolescents at a time, and serve as an alternative to hospitalization for eligible youth with escalated behavior due to mental illness, sub- stance use disorder, or I/DD. Services are short-term and medically-supervised with an average length of stay of seven to 14 days. The Child/Adolescent FBC center also offers assessments and evaluations of the condition that has resulted in the crisis, stabilization, extensive treatment, detoxification (if needed), behavior management supports and interven- tions to address the primary-presenting diagnosis. The FBC center monitors the child’s medical condition and response to the treatment protocol to ensure the child’s safety. Discharge planning to existing community- based services that offer further assessment, treatment and rehabilitation, is an important part of the protocol. This includes aftercare with other involved providers such as primary care practitioners/specialists and schools. Arrangements can be made for a higher level of care, if necessary. Alexander Youth Network also places a strong emphasis on crisis planning with the child’s family and/or natural support system to assist in preventing and managing potential future crisis events. Guilford County Government and Cone Health broke ground in 2019 on a Behavioral Health Urgent Care (BHUC) and Adult FBC center adjacent to the new Child/Adolescent FBC. The partnership between Sandhills Center, Guilford County, Cone Health and Alexander Youth Network has enhanced the level of integrated health services for individ- uals in crisis that addresses both physical and behavioral health care. The BHUC opened in June, and serves adults and children/adolescents. The Adult FBC is expected to open soon. Sandhills Center is proud of the collaborative efforts that have resulted in the expansion of these crisis services within the Sandhills Center region. Sandhills Center leaders and Board Members, Guilford County Commissioners and Alexander Youth Network cut a ceremonial ribbon outside the new child/adolescent FBC center during an event hosted by Guilford County Government in June 2021. HCBOC 050222 125 SANDHILLS CENTER AWARDED BH-I/DD TAILORED PLAN CONTRACT FROM NCDHHS Sandhills Center announced in July 2021 that we were awarded a contract to administer the NC Medicaid Behavioral Health (BH) and Intellectual/Developmental Disabilities (I/DD) Tailored Plan under the new Medicaid Managed Care model. The award was granted by the North Carolina Department of Health and Human Services (NCDHHS), and is now planned to go into effect on Dec. 1, 2022. As directed by the NC General Assembly, North Carolina is in the midst of transitioning its Medicaid and NC Health Choice delivery system from a Medicaid fee-for-service model to an integrated Medicaid Managed Care model. Under the new integrated Managed Care model, most Medicaid beneficiaries are served by one managed care plan that provides physical health, behavioral health, traumatic brain injury, long-term care and pharmacy services. BH-I/DD Tailored Plans will manage physical and behavioral health services for North Carolina Medicaid members who have serious mental illnesses, complex emotional disturbances, severe substance use disorders, intellectual/ developmental disabilities, or traumatic brain injuries. “Sandhills Center is honored by the trust that NCDHHS has put in us,” said Sandhills Center CEO Victoria Whitt. “Sandhills Center and other LME-MCOs have been in a unique position in that we already have the expertise in delivering specialized care to people with complex behavioral health needs. This Tailored Plan contract award confirms Sandhills Center’s ability to improve health outcomes in a cost-efficient manner. We appreciate NCDHHS having trust in us to continue benefiting individuals, families and communities within our region. We share a strong belief and understanding with NCDHHS, and we support its overall vision of creating a healthier North Carolina.” Sandhills Center has joined with AmeriHealth Caritas North Carolina, part of the AmeriHealth Caritas Family of Companies, to support BH-I/DD Tailored Plan enrollees with their overall healthcare needs. Together, we will work with NCDHHS to advance integrated high-value care for BH-I/DD Tailored Plan beneficiaries, improve population health, engage and support providers, and establish a sustainable program with more predictable costs. AmeriHealth Caritas North Carolina will support Sandhills Center’s physical health services and physical health service network development, claims processing, care management, and other functions. (continued on page 13) 12HCBOC 050222 126 13 (continued from page 12) “Sandhills Center’s reputation, leadership and local support make it an ideal LME-MCO for us to work with to support the Tailored Plan component of Medicaid Transformation,” said AmeriHealth Caritas North Carolina Market President Heidi Chan. “We look forward to working with Sandhills Center to help North Carolinians facing complex health challenges get the most out of the state’s innovative approach to Medicaid.” “AmeriHealth Caritas Family of Companies is highly regarded for its focus on communities, and whole-person approach to care,” Whitt said. “These qualities are especially important for our organization and the members we serve. We are pleased to form this relationship as we enter this new era for the state’s Medicaid program.” AmeriHealth Caritas North Carolina previously was chosen by NCDHHS to serve as a health plan for individuals receiving Medicaid and NC Health Choice who are enrolled in a Standard Plan. AmeriHealth Caritas North Carolina is managing physical health, behavioral health and pharmacy benefits for more than 300,000 Medicaid beneficia- ries enrolled in the Standard Plan, which took effect in July 2020, and serves a majority of the NC Medicaid and NC Health Choice population. When the BH-I/DD Tailored Plans go into effect next year, Sandhills Center will serve individuals with more severe and long-term behavioral health conditions, substance use disorders, I/DD and traumatic brain injuries. “Our goal has always been to support individuals to be fully functioning members of their communities,” Whitt noted. “We are excited to continue our good work -- along with AmeriHealth Caritas North Carolina and the NCDHHS -- to facilitate each member’s ability to live where they choose, gain employment and engage in meaningful activities of their choice. We remain com- mitted to assisting members to achieve their goals.” Sandhills Center is honored to manage services and supports in the most therapeutically-appropriate and integrated settings for our members, while keeping our tradition of good stewardship of the Medicaid and state funding that is entrusted to us. HCBOC 050222 127 Sandhills Center officially welcomed Davidson and Rockingham counties to the service region on Dec. 1, 2021. Throughout the county realignment process, Sandhills Center placed a high priority on communication and transparency to ensure a smooth transition for individuals, families and providers impacted by the realignment from the Cardinal Innovations region. A strong focus was placed on community engagement and addressing potential concerns. Sandhills Center hosted several in-person and virtual information-sharing events to allow indivi- duals, families, providers and stakeholders opportunities to ask questions and provide input. These events were held ahead of the realignment: y Community Stakeholders’ Breakfast Meetings: Sandhills Center hosts break- fast meetings in each county throughout the year. Local leadership, such as members of the Boards of Commissioners, county department directors, and elected officials, are invited to attend. Breakfast meetings were held Oct. 1, at Davidson-Davie Community College, and Oct. 15, at Rockingham Commun- ity College. y Member and Family Meetings: These meetings served to engage members in the affected counties. Participants called in, attended virtually, or appeared in person during the evenings of Oct. 26, at Davidson-Davie Community College, and Nov. 2, at Rockingham Community College. Attendees were welcomed by CEO Victoria Whitt, and received information on how to reach Sandhills Center 24 hours a day, 7 days a week and 365 days a year; the authorization process; Sandhills Center’s commitment to quality services; I/DD and Innovations Waiver services; and how to navigate the Sandhills Center website. y A Virtual Provider Orientation: This session, held Oct. 29, offered detailed information for service providers in Davidson and Rockingham counties who are new to the Sandhills Center network as a result of the county realignment. Providers were welcomed by the Sandhills Center CEO, and were offered an overview of Network Operations, Quality Management, Population Health, Program Integrity, Customer Services, Utilization Management, the Provider Support Portal and Alpha+, Care Coordination, how to submit claims, and how to navigate the Sandhills Center website. (continued on page 15) 14 SANDHILLS CENTER REGION EXPANDS HCBOC 050222 128 15 Administrative Offices: P.O. Box 9 West End, NC 27376 24/7/365 CALL CENTER - 1-800-256-2452 (TTY: 1-866-518-6778) BEHAVIORAL HEALTH CRISIS LINE - 1-833-600-2054 Our website: SandhillsCenter.org For free and confidential, web-based behavioral health screenings, visit: SandhillsCenterAccess2Care.org (continued from page 14) • Transition Team meetings: Sandhills Center leadership met regularly with county leadership to discuss the transition process, accomplishments and upcoming steps, and to discuss issues important to each county. Transition meetings also were held with Cardinal Innovations and NCDHHS. Sandhills Center is proud to now serve Davidson and Rockingham counties. We look forward to bringing the same level of care and commitment to these two communities as we have for many years in Anson, Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph and Richmond counties. Sandhills Center is nationally accredited. HCBOC 050222 129 Harnett County Members Served April 2022 Highest Serving Behavioral Health Providers Last Year Provider (293 providers serving local members) Members Served Daymark Recovery Services 990 Best Day Psychiatry and Counseling, PC 416 ABC Pediatrics of Dunn, PA 238 Harnett Health System, Inc 234 TriCare Counseling & Consulting, Inc.217 Coastal Carolina Neuropsychiatric Center 154 Therapeutic Alternatives, Inc.153 Most Frequent Behavioral Health Services Received Last Year Service ($25,386,477 total) Amount Paid Innovations Services $6,892,004 Intermediate Care Facilities $4,453,675 Outpatient Services $2,237,639 Psychiatric Residential Treatment Facility $1,970,729 Inpatient Hospitalization $1,808,426 Behavioral Health Long Term Residential $1,468,829 1915 (b) (3) Services $514,144 Multi-Systemic Therapy $431,307 HCBOC 050222 130 2021 Summary of Accomplishments in Harnett County North Carolina Forest Service 126 Alexander Drive Lillington, NC 27546 (910) 893-4391 harnett.ncfs@ncagr.gov ITEM 8 HCBOC 050222 131 2021 NCFS Summary of Accomplishments in Harnett County 2 County Resources Personnel POSITION NAME YEARS WITH NCFS County Ranger Buren Fulmer 28 Assistant County Ranger Assistant County Ranger Jacob Wheeler Vacant 4 0 Forest Fire Equipment Operator Jason O’Neal 23 Service Forester* Vacant 0 * Position 100% state funded 1-2 days per week in county. Facilities Headquarters –-- leased Harnett County office space Vehicles & Heavy Equipment YEAR MODEL MILES 2014 Ford F350 – Type 6 Engine 121,121 2015 Ford F350 129,128 2020 Ford F350 – Type 6 Engine 24,163 2021 Ford F350 – Type 6 Engine 21,753 2008 Sterling Truck/Tractor & lowboy trailer 41,553 2019 John Deere 700 Tractor with fire plow 251 tach hours HCBOC 050222 132 2021 NCFS Summary of Accomplishments in Harnett County 3 FOREST RESOURCES & ECONOMIC STATISTICS Economic Statistics Value added to County Economy 2021 Federal Cost Share (CRP) Establishment and Management Federal Cost Share (CRP) Rental Payments $18,745 $65,323 Federal Cost Share (USFS – CWPP – Anderson Creek Park) Federal Cost Share (EQIP) $1,590 $26,145 Total State (FDP + FRF + SPBPP + NCSIP) Cost Share Program monies received by landowners $132,367 Estimated value of timber harvested on private lands $10,139,877 TOTAL ADDED TO ECONOMY $10,384,047 Future value added to County Economy Estimated value of 1,553 acres new pine plantations in 35 years $4,811,194 Forest Resources Commercial forest land 215,405 acres (Protected by NCFS from wildfire, insects & disease) Privately owned forest land 197,968 acres (Eligible for NCFS management assistance) Forest management and reforestation activities added over 10.3 million dollars to the Harnett County economy during 2021. These efforts also provided seasonal work for site preparation contractors, logging crews, planting crews and pre-commercial thinning crews. Continued management of reforested areas should result in estimated future economic benefits of over 4.8 million dollars. HCBOC 050222 133 2021 NCFS Summary of Accomplishments in Harnett County 4 FOREST MANAGEMENT 2021 Management Plans prepared: 101 Acres in plans: 4,879 Acres of site preparation: 1051 Acres planted (trees): 1,553 Acres of timber harvested on NCFS projects: 1,686 Acres of Best Management Practices: 3,283 Implemented Number of landowners assisted: 201 Water Quality Forest Practice Guidelines inspections: (in compliance) 119 Acres of Release (chemical) 376 Acres of Pre-Commercial Thinning (SPBPP) 122 In 2021, 201 landowners were assisted by the N.C. Forest Service and 101 Forest Management Plans were prepared, placing an additional 4,879 acres under active forest management. Forest Management Plans include a field visit by a Service Forester and County Forest Service representative. During the field visit an examination of the land is made and written recommendations are made. Recommendations concerning timber harvesting, timber stand improvement and reforestation are given, considering both the goals of the landowner and sound management practices that protect and enhance wildfire and water quality. Based on Forest Service recommendations, 1,553 acres were planted with trees and 1,686 acres of timber were harvested on NCFS projects. HCBOC 050222 134 2021 NCFS Summary of Accomplishments in Harnett County 5 Betty Tilley Revocable Trust Spence Harrington Marion and Ann Hobbs Elizabeth Holder Scott Hollowell Matthew and Tami Lynch Hughie Stewart Lloyd Surles Charles Wilson Kahlid Aziz Kelly Bain Mary Ballard Edward Breitschwerdt Willie Brinkley John Britt Jr Buffalo Springs LLC Carletta Cagle Hugh Cagle Thomas Cameron Robert Chaffin Clayton Farm Larue Coats Durward and Peggie Cook Vernon Cox Bob Etheridge Faye Jackson Trust HM Kids Inc Mac Harrington Heights of the Cape Fear LLC James Jackson Johnson Family RL Johnson Family Ltd Ptn Barbara Jones Luntian LLC Bonnie and John Lyczkowski Norma Mathis Anne McCormick Dorothy Morrison Sue Ross Shaw Farm LN Audrey Stewart Frank Stewart Suzanne Swygert T and T Timber LLC Halford Thomas Chris VanWinkle Daniel Andrews FOREST MANAGEMENT Harnett County Landowners Planting Trees 2021 HCBOC 050222 135 2021 NCFS Summary of Accomplishments in Harnett County 6 ` Buren Fulmer N.C. Forest Service Matthew Haunsperger N.C. Forest Service Darrel Harrington Natural Resources Conservation Service Deanna Nobles N.C. Wildlife Resources Commission Brian Parrish Co-op Extension Chairman Approved Landowners Working Towards Certification Allen Jones King Roberts William Bell Joe Harrill Bobby Wellons Ernest Alphin Frank Stump Mike Taylor Bryan Raynor David Ward Dennis Shackelford Don Wellons David Walker Johnny Steves Darin & Carrie Bibbens Heinz & Mary Senign Elizabeth Grady Kenneth Byrd William J. Senter Graham Byrd Miranda Fleming STM Farms Parks Blake Joey Strickland George Isbell Steve Hardee Headwaters, LLC Derck Walker Graham Byrd Jeff Swire William Parrish John E. Thornton Steve Hardee Dustin Cashwell Dirt Poor Farms, LLC John & Sarah Mankel Bridge Farms LLC Hunter Grant LLC Edward Breitschwerdt McKay Heirs Certified Stewardship Landowners - 2021 Roscoe Frizzelle Don Anderson Darin Burns Keith Chatellier Tom Irvin Tony Hendricks Bill Carter Mike Turner Joe Byrd John Ulam Wayne Fortenberry Dr. Richard Cotton Ann Dougherty Paul Soublet David Whaley Terry Herndon Gareth Brookhart Bruce Fortenberry Buren Fulmer Sue Ross Mike Cardwell Pat Spearman Larry Weathers Tom Steves Robert Jones David Averette Timothy Holder Thomas Blue J E Howard Bill Carter Rick Rodgers Richard Bogan Mark Bullard John Bullard Gary Pierce David Serina Summervilla Corp. David DuMond Clarence Marks Rick & Nancy Rogers Joseph Fancher The Forest Stewardship Program is a cooperative effort involving several agencies and forestry professionals. It is designed to encourage landowners to manage their natural resources, to enhance timber, fish and wildlife, water, soils, and aesthetics. Below is a list of Harnett County Forest Stewardship Committee members and the agencies with which they are associated. FOREST STEWARDSHIP HCBOC 050222 136 2021 NCFS Summary of Accomplishments in Harnett County 7 INCIDENT RESPONSE Fire Control 2021 Number of forest fires controlled: 182 Number of False Calls, Non Escaped Legal Burns, and Non Escaped Illegal Burns responded to: 31 Number of acres burned: 383 Fire Prevention 2021 Number of school programs: 0 Number of exhibits / displays: 0 Acres of hazard reduction and wildlife burning by NCFS & landowners: 683 Law Enforcement 2021 Number of warning tickets issued: 66 Number of citations: 8 In 2021, the NCFS in Harnett County responded to 182 incidents and 31 False Calls, Non-Escaped Legal Burns, or Non Escaped Illegal Burns that affected 383 acres. 66 warning tickets were issued to burning offenders, along with 8 citations. HCBOC 050222 137 2021 NCFS Summary of Accomplishments in Harnett County 8 INSECT & DISEASE CONTROL At this time, there are no major forestry insect or disease problems in Harnett County. If informed of Southern pine beetle activity, County Forest Service personnel undertake the following activities: 1. The site is located and the affected landowner is informed; 2. Control measures are communicated to landowner; 3. NCDFR personnel assist landowner with marking infected trees and coordinating harvest of same.  2 - Aerial Surveys done in 2021 INFORMATION & EDUCATION Accomplishments in 2021 include: Smokey Bear Program Due to the Covid-19 Pandemic, the NCFS I&E Program took a major hit. We look forward to getting back in the classrooms and communities to promote forest management and wildfire prevention!!! Parades Coats Farmers Day Coats Christmas Parade Erwin Christmas Parade HCBOC 050222 138 2021 NCFS Summary of Accomplishments in Harnett County 9 CURRENT NEEDS  The NC Forest Service currently needs a shelter to park the new bulldozer and hauling unit under.  We will also need a new Type 6 Engine (Truck) in Fiscal Year 2022-2023. SPECIAL PROJECTS  Most events/programs were cancelled due to Covid-19  Harnett County Forestry Association  Sandhills Longleaf Pine Project HCBOC 050222 139 HCBOC 050222 140 From a Forest Rangers Perspective!!! HCBOC 050222 141 Forest Rangers have their hands on the pulse of the economy 2011 2016HCBOC 050222 142 2022 Delivery Surcharge Coming Soon!!! Inflation!!! HCBOC 050222 143 •Largest manufacturing sector in Tar Heel State •Approximately 2,300 forestry- related companies directly employ 70,000 people •Annual payroll of $2.7 billion. •The forest products sector contributes more than $4.5 billion to the state's gross product and provides more than $23 billion in economic benefits to North Carolina. HCBOC 050222 144 The pot of gold at the end of the rainbow! HCBOC 050222 145 Where do the trees GO… Domtar International Paper Weyerhaeuser Jordan Lumber Canfor Lampe & Malphrus Lumber Co. Louisiana Pacific Southern Veneers Plywood Georgia Pacific Smurfit-Stone Container Co. H.W. Culp Lumber Co. Troy Lumber Canal Wood LLC Arauco Mill Elkins Sawmill, Inc West Rock Enviva Edward’s Wood Products New Business Opportunities Roseburg –New Mill (Halifax County) HCBOC 050222 146 Protect Forest Resources HCBOC 050222 147 Adult emerald ash borer Debbie Miller, USDA Forest Service, Bugwood.org Adult redbay ambrosia beetle M. Thomas, Florida DACS Division of Plant Industry, Bugwood.org Critter Time (Invasive) HCBOC 050222 148 Critter Time (Invasive) Emerald Ash Borer sticky traps set up on private landowners property along Cape Fear River south of Lillington. HCBOC 050222 149 Guilford County is offering native species trees in replace of Bradford Pear. HCBOC 050222 150 HCBOC 050222 151 Activity Picked Up! 182 Fires in County 383 Acres Burned 2 Burn Bans(May,Dec) Buie Road Fire Largest in County 53 Acres HCBOC 050222 152 Property damage Court cases Fatality Forest Law Enforcement Officer HCBOC 050222 153 Harnett County Forest Service Staff assisted in the following Counties Surry Jones Pender Robeson Duplin Brunswick HCBOC 050222 154 California Dreaming NC Forest Service assisted with wildfires in California, Washington, Oregon, Colorado, Arizona, Montana, HCBOC 050222 155 Logging Inspections 53 Logging Inspections in County Photos by Matthew Hausnperger HCBOC 050222 156 Fire Department Training Program Northwest Harnett Angier Lillington Spout Springs Flat Branch Chainsaw Safety Class HCBOC 050222 157 Manage Forest Resources HCBOC 050222 158 201 Landowners assisted 101 Management plans prepared 4,879 Acres placed under active forest management PRESENT-USE VALUE Keeping Forest Rangers out of the woods and at their desk! HCBOC 050222 159 Qualify for the Forestry Present Use Value tax break….. Agricultural Disaster Recovery Program(ADRP) is providing cost share assistance for plan writing Ex. 27ac Tract $5.00 an acre for Plan is $135.00 ADRP is no charge to landowner !!! Why Landowners Need a Management Plan? Total Plan Cost $0 HCBOC 050222 160 Timber Stand Improvement 16 Landowners totaling 498 acres Planted with Cost Share Funds in 2021 49 landowners totaling 1553 acres in trees planted 776,500 seedlings planted in 2021!!HCBOC 050222 161 Cost Share Assistance for Harnett County Landowners Environmental Quality Incentive Program (EQIP): $26,145 Florence Reforestation Fund (FRF): $78,074 Forest Development Program (FDP): $30,312 Southern Pine Beetle Prevention Program (SPBPP) $13,428 Conservation Reserve Program (CRP/CREP) $18,475 Forest Management Plan Writing (SIP) $10,553 Cost Share Projects Keeping Forest Rangers out of the woods and at their desk! Totaling $176,987 HCBOC 050222 162 We are Back!!! Next meeting May 17th HCBOC 050222 163 Community Wildfire Protection Plan Grant Burns New Grant awarded July 1st 2021!!! HCBOC 050222 164 Anderson Creek Park wildfire May 1st 2021!! Burned into a block that had been burned in Feb 2021. HCBOC 050222 165 WHAT A DEAL ! County Contribution to our budget is $130,722 in 2020 Florence Reforestation Fund $78,074 Forest Development Program $30,312 CRP $18,475 EQIP $26,145 SPBPP $13,428 Total Cost-Share payments approved for Harnett County landowners was $176,987 Cost Share Programs for Landowners HCBOC 050222 166 In 2021 we requested $130,722 from the County. In 2022 we are requesting $152,704. That is a increase of $21,982! We are asking for less! Why? HCBOC 050222 167 A New Engine! Trucks Are Expensive!!! HCBOC 050222 168 This new budget proposal increase breakdown 1.New Engine (truck) $15,200 40% 2.2.5% Proposed Pay Increase (4 employees) $1,692 40% 3.State Health Plan (4 employees) $1,784 40% 4.Retirement, Social Security, Etc. $3,306 40% Total Increase $21,982 County Share HCBOC 050222 169 Forest Service County Budget 40% County Funded 60% State Funded County billed monthly based on previous months expenses HCBOC 050222 170 Future Needs New Truck 2021-2022 Replacing 2014 Truck We would love to cover the entire unit! HCBOC 050222 171 Thank you for your past and future support! Time to go! HCBOC 050222 172 July August September October November December Jauary 2022 February March April May June Totals Children's Services CPS Reports Received 115 118 136 126 128 125 111 131 173 1163 Reports Accepted 69 67 72 71 68 76 60 59 109 651 Total children in Plc/Custody 187 188 192 197 193 196 205 204 205 FC Money expended $83,707.99 94,781.28$ 104,537.71$ 105,908.61$ 109,323.18$ 110,606.75$ 121,702.02$ 117,010.88$ 128,992.58$ $976,571.00 Adult Services APS Reports Received 14 18 12 13 12 13 14 11 17 124 # of trips scheduled 952 957 919 875 850 836 806 736 940 7871 Total Cases 177 146 142 145 143 154 156 155 155 Work First Energy Expenditures $31,178.92 $40,667.85 $37,034.36 $89,715.00 $63,233.34 $68,245.42 $179,458.93 $185,085.77 $135,541.03 $830,160.62 Total cases 159 154 154 150 152 154 154 163 169 Food & Nutrition Services Apps Approved 308 328 341 357 336 284 274 408 547 3183 Total Cases (households)9,910 10012 10154 10,390 10,570 10,679 10,777 10,515 10,354 Benefits Issued $4,763,859.00 $4,819,919.00 $4,889,891.00 $5,331,985.52 $5,451,384.00 $5,960,220.00 $5,016,244.00 $5,357,388.00 $5,288,016.00 $46,878,906.52 Adult Medicaid Apps Approved 97 95 86 96 76 78 113 84 89 814 Total Cases 11,326 11,159 11,359 11,567 10,870 10,086 10,553 10444 10721 98085 Family & Children's Medicaid Apps Approved 200 177 197 171 196 185 130 147 174 1577 Total Cases 22,443 22,477 22,401 22,873 22,657 22,567 23,876 23,082 22,943 205319 Fraud Total Collections $3,874.27 $3,195.41 $456.00 $1,539.59 $497.00 $300.00 $305.00 $1,589.56 $4,898.73 $16,655.56 ChildCare Children Served 564 560 559 541 522 531 522 518 532 Total Expenditures $302,865.31 $315,342.00 $316,062.00 $295,048.00 $265,418.00 $250,776.00 $271,287.00 $239,485.00 $264,498.00 $2,520,781.31 Child Support Total Collections $778,722 $783,202 $744,694 $744,577 $749,429.00 $814,873.00 $666,796.00 $752,200.00 $934,722.00 $6,969,215.00 Harnett County DSS Monthly Report Totals 2021-22 ITEM 12A HCBOC 050222 173 ITEM 12B HCBOC 050222 174 HCBOC 050222 175 HCBOC 050222 176 HCBOC 050222 177 HCBOC 050222 178 HCBOC 050222 179 ITEM 12C HCBOC 050222 180 HCBOC 050222 181 HCBOC 050222 182 HCBOC 050222 183 HCBOC 050222 184 HCBOC 050222 185 HCBOC 050222 186 HCBOC 050222 187 HCBOC 050222 188 HCBOC 050222 189 HCBOC 050222 190 HCBOC 050222 191 HCBOC 050222 192 HCBOC 050222 193 HCBOC 050222 194 HCBOC 050222 195 HCBOC 050222 196 HCBOC 050222 197 HCBOC 050222 198 HCBOC 050222 199 HCBOC 050222 200 HCBOC 050222 201 HCBOC 050222 202 HCBOC 050222 203 HCBOC 050222 204 HCBOC 050222 205 HCBOC 050222 206 HCBOC 050222 207 HCBOC 050222 208 HCBOC 050222 209 HCBOC 050222 210 HCBOC 050222 211 HCBOC 050222 212 HCBOC 050222 213 HCBOC 050222 214 HCBOC 050222 215 HCBOC 050222 216 HCBOC 050222 217 HCBOC 050222 218 HCBOC 050222 219 HCBOC 050222 220 HCBOC 050222 221 HCBOC 050222 222 HCBOC 050222 223 HCBOC 050222 224 HCBOC 050222 225 HCBOC 050222 226 HCBOC 050222 227 HCBOC 050222 228 HCBOC 050222 229 HCBOC 050222 230 HCBOC 050222 231 HCBOC 050222 232 HCBOC 050222 233 HCBOC 050222 234