12.11.12 BOC Agenda Packet

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    MACON COUNTY BOARD OF COMMISSIONERS

    DECEMBER 11, 2012

    AGENDA

    1. Call to order and welcome by Chairman Corbin2. Announcements3. Moment of Silence4. Pledge of Allegiance5. Public Hearing(s) Macon County Transit Kim Angel, Director

    (A)Section 5310 Elderly Individuals and Individuals withDisabilities Program Grant Application

    (B)Macon County Community Transportation Program Application(C)Consideration of Public Transportation Program Resolution(D)Consideration of Community Transportation Program

    Resolution

    6. Public Comment Period7. Adjustments to and approval of the agenda8. Reports/Presentations

    (A)Presentation of the Comprehensive Annual Financial Report Erica Brown, Martin Starnes & Associates

    9. Old Business(A)NCDOT traffic light controller project David Key, Emergency

    Services Director

    (B)Resolution and lease with Forex Currency Trade Advisors, LLC Tommy Jenkins, Economic Development Director

    10.New Business(A)Resolution authorizing negotiation of installment financing

    contracts County Manager and Finance Director(B)Satisfaction of security instrument County Manager

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    11.Consent Agenda Attachment #11All items below are considered routine and will be enacted by one motion. Noseparate discussion will be held except on request of a member of the Board ofCommissioners.

    (A)Minutes(B)Budget Amendments(C)Tax Releases(D)Monthly Ad Valorem Tax Collection Report (no action necessary)(E)Change Order No. 1 on Swiss Colony Project(F)Macon County Public Health FY 12-13 Billing and Collection

    Policies and Fee Schedules

    12.Appointments(A)Board member committee appointments(B)Voting delegate for Legislative Goals Conference

    13.Closed session (if necessary)14.Adjournment/Recess

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    PUBLIC HEARING NOTICE

    This is to inform the public that a public hearing will be held on the proposed SFY2014 Section 5310 Elderly Individuals and Individuals with Disabilities Program grant application to be submitted to theNorth Carolina Department of Transportation no later than December 28, 2012. The public hearing willbe held on December 11, 2012 at 6:00 p.m. before the (governing board) Macon County Board of

    Commissioners.

    Those interested in attending the public hearing and needing either auxiliary aids and services under theAmericans with Disabilities Act (ADA) or a language translator should contactKim Angel, TransitDirector on or before December 6, 2012, at telephone number 828-349-2222 or via email [email protected].

    The goal of these funds is to provide transportation services that meet the special needs of elderlypersons and persons with disabilities for who mass transportation services are unavailable, insufficientor inappropriate.

    The total estimated amount requested for the period July 1, 2013 through June 30, 2015

    Project Total Amount Local Share

    Capital (Vehicles & Other) $ 6,500 $ 650 (10%)

    Operating $ 355,500 $ 177,750 (50%)

    Mobility Management $ $ (10%)

    Total $ 362,000 $ 178,400

    Total Funding Request Total Local Share

    This application may be inspected at Macon County Transit office from 8:00 a.m. - 5:00 p.m., Monday -Friday. Written comments should be directed to Kim Angel, Transit Director, 5 W. Main St.. Franklin, NC28734before December 10, 2012.

    End of Notice

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    MACON COUNTY BOARD OF COMMISSIONERS

    AGENDA ITEM

    MEETING DATE: December 11, 2012

    DEPARTMENT/AGENCY: Governing Board

    SUBJECT MATTER: Community Transportation Program ResolutionDEPARTMENT HEAD COMMENTS/RECOMMENDATION:

    Again, please see the attached resolution, this one regarding the second

    of tonights public hearings.

    COUNTY MANAGERS COMMENTS/RECOMMENDATION:

    Attachments ___X__ Yes ___ No

    Agenda Item 5D

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    MACON COUNTY BOARD OF COMMISSIONERS

    AGENDA ITEM

    MEETING DATE: December 11, 2012

    DEPARTMENT/AGENCY: Martin Starnes & Associates

    SUBJECT MATTER: Presentation of the Comprehensive Annual

    Financial ReportDEPARTMENT HEAD COMMENTS/RECOMMENDATION:

    Per the Finance Director, Erica Brown with Martin Starnes will present

    a PowerPoint presentation on the highlights of the countys

    Comprehensive Annual Financial Report (CAFR) for the fiscal year

    ending June 30, 2012. Printed copies of the CAFR, the Compliance

    Letters and a document known as the responsibility letter have been

    placed in your individual mailboxes at the Courthouse Annex in the

    event you wish to review these documents prior to the meeting. If you

    do not pick them up prior to Tuesday evening, we will have them

    available for you at the meeting.

    COUNTY MANAGERS COMMENTS/RECOMMENDATION:

    Attachments _____ Yes _X_ No

    Agenda Item 8A

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    DOT Traffic Light Controller Project for Hyatt Rd.

    In 2010 Macon County hired J.M. Teague Engineering to work with NC DOT to engineera traffic signal controller. The controller would only be used during emergencies byEMS when entering the 441 by-pass intersection from Hyatt Rd.

    Initial Cost Proposal by NCDOT: $40,000.00

    We have already paid: Amount Invoice date Invoice #

    Initial feasibility study andNegotiation with NC DOT $495.00 10/21/2010 N/A

    Professional consulting fee (1/2) $500.00 10/02/2011 170

    Traffic Signal Design $6000.00 10/07/2011 170

    NCDOT Agreement forDesign review and approval $10,000.00 08/25/2011 149

    Professional consulting fee (2/2) $600.00 03/02/2012 240

    Total to date: $17,595.00

    Construction cost to complete the project will be $12,648.00 for the contract installation.This will get the project to the building. The County will be responsible for getting thecontrol circuit into the building. This cost should not exceed $500.00 according to Mr.Teague. This would complete the project at a total cost of $30,743.00. This is $9257.00under the original $40,000.00 cost proposal.

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    1

    CLIENT AND ENGINEERPROFESSIONAL SERVICES AGREEMENT

    This agreement is made and entered into at effective this day of, by and between:

    ENGINEER: CLIENT:

    Name: J.M. Teague Engineering, PLLC Name: David Key Macon County Emergency ServicesAddress: 525 North Main Street Address: 104 East Main Street

    Waynesville, NC 28786 Franklin NC 28734Phone: (828) 456-8383 Phone:

    In addition to the matters set forth herein, our agreement shall include, and shall be subject to the Standard Provisions, which areattached hereto and incorporated herein. If you concur and wish us to proceed with the services described above, please have bothenclosed originals of this Agreement executed by a properly authorized individual in the space provided. Retain one and return theother.

    ENGINEER: CLIENT:

    By By:Mark Teague

    Title: Owner and Principal Title:

    Date Date

    ____________________________________________________________

    SCOPE OF SERVICES and PROPOSAL

    PREPARED FOR: DAVID KEY

    MACON COUNTY EMERGENCY SERVICES DIRECTOR

    PREPARED BY: J.M.TEAGUE ENGINEERING

    DESCRIPTION: Traffic Signal Upgrade

    J. M. Teague Engineering, PLLC proposes to provide the following services related to the traffic signal upgrade at the

    intersection of US 441 @ Hyatt Road in Macon County.

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    3

    J.M. Teague Engineering

    Client Agreement

    (1)Engineers Scope of Services: The undertaking of the Engineer to perform professional services extends only tothose services specifically described in this Agreement. However, if requested by the Client and agreed to by theEngineer, the Engineer will perform additional services through individual arrangements and agreements.

    (2)Clients Responsibilities: In addition to other responsibilities described herein or imposed by law, the Client may berequired to:

    (a) Designate in writing a person to act as its representative with respect to this Agreement, such person having completeauthority to transmit instructions, receive information, and make or interpret the Clients decisions.(b) Provide to the Engineer all previous studies, plans, or other documents pertaining to the project; Clients requirementsand criteria; standards to be followed; and all new information reasonably necessary; upon all of which the Engineer mayrely.(c) Arrange for access to the site and other property and obtain approvals and permits required for the Engineer to provideits services.(d) Review all documents or verbal reports presented by the Engineer and render in writing decisions pertaining theretowithin a reasonable time so as not to delay the services of the Engineer.(e) Provide such overall feasibility services such as independent accounting, legal, insurance, and cost estimating as theclient may require or the Engineer may reasonably request.(f) Give prompt written notice to the Engineer wherever the Client becomes aware of any development that affects thescope and timing of the Engineers services or any defect or noncompliance in any aspect of the project.(g) Bear all costs incident to the responsibilities of the Client.

    (3) Period of Services: This Agreement has been entered into in anticipation of conditions permitting continuous andorderly progress through the completion of the Engineers services. Times for performance shall be extended to the extentnecessary for delays due to circumstances the Engineer does not control. If such delay or suspension extends for morethan one year (cumulatively), the rates of compensation provided for in the Agreement shall be renegotiated.

    (4) Method of Payment: Compensation shall be paid to the Engineer in accordance with the following

    provisions:

    (a) Invoices will be submitted monthly by the Engineer to the Client for services performed and expenses incurred theprevious month. Payment of each invoice will be due within 30 days of receipt. Interest will be added to accounts not paidwithin 30 days at the maximum rate allowed by law. If the Client fails to make any payment due the Engineer for servicesand expenses within 45 days after the Engineers transmittal of its invoice, the Engineer may suspend services until all

    amounts are paid in full.(b) If the Client objects to any invoice, it must advise the Engineer in writing giving its reasons within 14 days of receipt ofthe invoice or the Clients objections shall be waived, and the invoice shall conclusively be deemed due and owing.(c) If the Engineer initiates legal proceedings to collect payment for services, it may recover in addition to all amounts due,its reasonable attorneys fees, reasonable experts fees, and other expenses related to the proceedings. Such expensesshall include the cost, at the Engineers normal hourly billing rates, of the time devoted to such proceedings by itsemployees.(d) The Client acknowledges and agrees that the payment for services rendered and expenses incurred by the Engineerpursuant to this Agreement is not subject to any contingency or conditions unless expressly set forth in this Agreement.

    (5) Use of Documents: All documents, including but not limited to drawings, specifications and data or programs storedelectronically, prepared by the Engineer are related exclusively to the services described herein. They are not intended orrepresented to be suitable for partial use or reuse by the Client or others on extensions of this project or on any otherproject. Any modifications made by the Client or any partial use or reuse without written authorization or adaptation by theEngineer will be at the Clients sole risk and without liability or legal exposure to the Engineer, and the Client shallindemnify, defend and hold the Engineer harmless from all claims, damages, losses and expenses, including but notlimited to attorneys fees, resulting there from. Any authorization or adaptation will entitle the Engineer to furthercompensation at rates to be agreed upon by the Client and the Engineer. Copies of Documents that may be relied uponby Client are limited to the printed copies (also known as hard copies) signed or sealed by the Engineer. Files in electronicmedia format of text, data, graphics, or of other types furnished by Engineer to Client are only for convenience of Client.

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    MACON COUNTY BOARD OF COMMISSIONERS

    AGENDA ITEM

    MEETING DATE: December 11, 2012

    DEPARTMENT/AGENCY: Economic DevelopmentSUBJECT MATTER: Resolution and lease with Forex Currency TradeAdvisors, LLCDEPARTMENT HEAD COMMENTS/RECOMMENDATION:

    The County Attorney has prepared a resolution and lease agreement,copies of which are attached, that once again declares property at thecountys Business Development Center as surplus and providesapproval of a one-year lease of that same space to Forex CurrencyTrade Advisors, LLC, effective August 1, 2012 to July 31, 2013 at amonthly rate of $333.33.

    COUNTY MANAGERS COMMENTS/RECOMMENDATION:

    Attachments ___X__ Yes ___ No

    Agenda Item 9B

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    STATE OF NORTH CAROLINA

    COUNTY OF MACON

    RESOLUTION OF THE MACON COUNTY BOARD OF COUNTY COMMISSIONERSDECLARING PROPERTY TO BE SURPLUS AND APPROVING A ONE YEAR LEASE

    OF THE SAME BY MACON COUNTY TO

    FOREX CURRENCY TRADE ADVISORS, LLC

    THAT WHEREAS, Macon County owns certain real property being described in the Lease

    to Forex Currency Trade Advisors, LLC, a copy of which is attached hereto; and

    WHEREAS, Macon County does not presently have a use for the same; and

    WHEREAS, Macon County desires to declare the same to be surplus and authorize the entryof the Lease to Forex Currency Trade Advisors, LLC, a copy of which is attached hereto, for the

    period of one year effective from August 1, 2012; and

    WHEREAS, pursuant to N.C. Gen. Stat. 160A-272, Macon County is authorized to enter

    into the Lease to Forex Currency Trade Advisors, LLC, a copy of which is attached hereto, upon the

    passing of a Resolution authorizing the same.

    NOW THEREFORE, upon Motion of Commissioner _________________________,

    seconded by Commissioner __________________________________, and duly approved, be it

    hereby resolved by the Macon County Board of County Commissioners as follows:

    RESOLVED, that Macon County does hereby declare the real property described in the Lease

    to Forex Currency Trade Advisors, LLC, a copy of which is attached hereto and incorporated herein

    by reference, to be surplus property; and

    RESOLVED, that Macon County does hereby authorize the entry into the Lease to Forex

    Currency Trade Advisors, LLC, a copy of which is attached hereto and incorporated herein by

    reference, for the period of one year effective from August 1, 2012; and

    RESOLVED, that Kevin Corbin, the Chairman of the Macon County Commissioners, is

    hereby authorized and directed to fill in any blanks upon the same and execute said Lease to Forex

    Currency Trade Advisors, LLC, on behalf of Macon County.

    Adopted at the November 20, 2012, continuation of the November 13, 2012, Regular

    Meeting of the Macon County Board of Commissioners which was recessed to November 20, 2012.

    1

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    premises or any portion thereof.

    (6)Tenant's Responsibilities for Repairs. Tenant agrees to accept the premises in their presentcondition and to maintain the interior components of the portion of the premises leased to Tenantin a good state of repair during the term of this lease. Interior components shall include the

    floors, walls, ceilings, electrical components, lighting fixtures, plumbing and plumbing fixtures.Tenant shall be responsible for interior repairs in the portions of the premises leased to itexclusively and in common with other tenants. If other space in the Center is leased to existingor additional tenants, the tenants shall establish a procedure by which all tenants using thecommon area shall share in the cost of such maintenance. At termination, Tenant shall surrenderthe premises to the Lessor in as good condition as they now are, except for ordinary wear andtear incident to the use of the premises.

    (7)Lessor's Responsibilities for Repairs. Lessor shall make all necessary repairs to the exterior ofthe premises, including the parking and driveway areas, exterior walls, windows and roof. In theevent the premises or any part thereof are substantially damaged by fire or other casualty to the

    extent that necessary repairs will exceed twenty percent of the value of the building, the partiesagree that Lessor shall have no obligation to make the repairs and Lessor may elect to eithermake the necessary repairs or to terminate the lease.

    (8)Maintenance. Tenant shall be solely responsible for all routine and recurring maintenance,including cleaning, trash removal and painting of the interior portion of the premises leased to itexclusively and the portion of the premises leased to is as common area with other tenants. Ifother space is leased to existing or additional tenants, the tenants shall establish a procedure bywhich all tenants using the common area shall share in the cost of such maintenance. Lessorshall continue to maintain the exterior premises including the parking areas, driveways andlandscaping/mowing.

    (9)Abatement of Nuisances and Appearance. Tenant shall comply with all laws, rules andregulations of any governmental jurisdiction applicable to the leased premises and shall take allmeasures necessary to prevent or abate nuisances or other grievances arising out of the mannerof the occupancy of the premises for its business purposes. Tenant shall further maintain theappearance of the premises in manner that is aesthetically pleasing and consistent with otherbusiness users in the neighborhood and shall not accumulate trash or debris nor displaymerchandise on the premises.

    (10)Utilities. Lessor shall be responsible for furnishing Tenant electric, water, gas, and garbagedisposal in the space leased exclusively to Tenant.

    (11)Alterations. Tenant shall not make any alterations, additions or improvements to thepremises without first obtaining written permission from the Lessor and any such alterations,additions or improvements which are permitted shall inure to the benefit of the Lessor uponexpiration of the lease and surrender of the premises by the Tenant.

    (12)Indemnification. Tenant shall indemnify Lessor and hold it harmless from and against anyand all claims, actions, damages, liability and expense in connection with the loss of life,

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    personal injury or damage to property occurring in or about, or arising out of, the leasedpremises, or occasioned wholly or in part by any act or omission of Tenant, its agents, licensees,concessionaires, customers or employees. In the event Lessor shall be made a party to anylitigation, commenced by or against Tenant, its agents, licensees, concessionaires, customers oremployees, then Tenant shall protect and hold Lessor harmless and shall pay all costs, expenses

    and reasonable attorneys' fees included or paid by Lessor in connection with such litigation.

    (13)Environmental Matters. With respect to any pollutants, contaminants, chemicals, orindustrial, toxic or hazardous substance or material defined as such in, or for purposes of, allapplicable environmental laws, rules, regulations and ordinances now or hereafter in effect("Environmental Laws"), including without limitation, any waste constituents coming within thedefinition or list of hazardous substances in 40 C.F.R. 261.1 through 261.33 ("HazardousMaterial"), the Tenant represents, warrants and covenants that it will indemnify and hold Lessorharmless from and against any and all losses, liabilities, damages, injuries, interest, deficiencies,fines, penalties, costs, expenses, attorneys' fees, disbursements, and costs of investigation andclean-up, including without limitation, claims, suits, and proceedings by federal, state, or local

    government authorities with respect to, or as a direct or indirect result of (i) the presence on orunder, or the escape, seepage, leakage, spillage, discharge, emission, discharging or releasingfrom, the property of any Hazardous Material, if such occurs during the term of the lease, (ii)any other environmental pollution, including without limitation, any contaminant, waste, irritantor pollutant, discharged into or otherwise contained in the environment at or adjacent to theproperty if such occurs during the term of the lease, (iii) non-compliance relating to the Tenant'sbusiness or the property with any Environmental Law or any other federal, state or local statute,law, ordinance, rule, regulation, order or decree, or (iv) the inaccuracy, misrepresentation orviolation or default of or under any matter set forth in this section unless any such loss, liability,damage, injury or the like is directly caused by negligent acts of the Lessor. In addition, theTenant shall at all times keep on file with the Macon County Fire Marshall a list of any of thematerials, substances, or chemicals described in this paragraph and stored or kept on the leasedpremises.

    (14)Incidents of Default. Each and every term of this lease is a material part of this lease andcontinuation of the lease is conditioned on the parties' adherence to its terms. The breach orthreatened breach of any of the lease terms by the Tenant shall be deemed an incident of default.A declaration of insolvency or the filing of a petition of bankruptcy by the Tenant shall also bedeemed an incident of default. In the event Tenant defaults as defined in this paragraph, Lessormay declare the lease terminated and retake possession of the premises upon allowing Tenant areasonable time to vacate the premises and remove its personal property from the premises.

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    In testimony whereof, the parties have signed this lease in their respective corporatenames by their appropriate corporate officers and affixed their corporate seals effective as of thedate first written above in duplicate originals, one of which is retained by each of the parties.

    COUNTY OF MACON

    By: _______________________________Chairman, Board of Commissioners

    ATTEST:

    ________________________________C. Jack Horton, Clerk to the Board

    FOREX CURRENCY TRADE ADVISORS, LLC.

    By: _______________________________Authorized Representative

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    MACON COUNTY BOARD OF COMMISSIONERS

    AGENDA ITEM

    MEETING DATE: December 11, 2012

    DEPARTMENT/AGENCY: FinanceSUBJECT MATTER: Resolution authorizing negotiation of

    installment financing contractsDEPARTMENT HEAD COMMENTS/RECOMMENDATION:

    Please see the attached document that provides a resolution authorizing

    county officials to negotiate one or more installment financing contracts

    regarding limited obligation bonds. Also, please note that this

    resolution calls for a public hearing to be held on this and other related

    matters at the boards January 8, 2013 regular meeting. The County

    Manager and Finance Director can provide additional details at the

    meeting.

    COUNTY MANAGERS COMMENTS/RECOMMENDATION:

    Attachments ___X__ Yes ___ No

    Agenda Item 10A

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    MACON COUNTY BOARD OF COMMISSIONERS

    AGENDA ITEM

    MEETING DATE: December 11, 2012

    DEPARTMENT/AGENCY: HousingSUBJECT MATTER: Satisfaction of security instrument

    DEPARTMENT HEAD COMMENTS/RECOMMENDATION:

    Please see the attached note from Housing Director John Fay to the

    County Manager regarding this particular matter. In turn, the County

    Manager is seeking authorization to sign the attached Satisfaction of

    Security Instrument.

    COUNTY MANAGERS COMMENTS/RECOMMENDATION:

    Attachments ___X__ Yes ___ No

    Agenda Item 10B

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    MACON COUNTY BOARD OF COMMISSIONERS

    AGENDA ITEM

    MEETING DATE: December 11, 2012

    DEPARTMENT/AGENCY: Governing Board

    SUBJECT MATTER: Consent Agenda

    DEPARTMENT HEAD COMMENTS/RECOMMENDATION:

    A. Minutes Consideration of the minutes from the November 13th, November 20th

    and December 3rd, 2012 meetings per attachment 11A.

    B. Finance Consideration of budget amendments #74 and #75 per attachment11B, which includes an e-mail explaining the request regarding #74.

    C. Tax releases Consideration of tax releases in the amount of $192.75 perattachment 11C. The supporting documentation is on file in the Deputy Clerksoffice.

    D. Monthly Tax Collection Report For the boards information, the monthly advalorem tax collection report is attached as 11D. It does not require board action.

    E. Change Order No. 1 on Swiss Colony Project The County Manager isrecommending a 21-day time extension on this project, as recommended byMcGill Associates, per attachment 11E.

    F. Macon County Public Health FY 12-13 Billing and Collection Policies and

    Fee Schedules Per Attachment 11F

    COUNTY MANAGERS COMMENTS/RECOMMENDATION:

    Attachments ___X__ Yes ___ No

    Agenda Item 11A-11F

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    Minutes11/13/12Page 1 of 7

    MACON COUNTY BOARD OF COMMISSIONERSNOVEMBER 13, 2012

    MINUTES

    Chairman Corbin convened the meeting at 6:02 p.m. All Board

    Members, the County Manager, Deputy Clerk, Finance Director, CountyAttorney, members of the news media and interested citizens werepresent.

    ANNOUNCEMENTS: The County Manager announced the birth of a newgrandchild in the Horton family. Commissioner Beale noted that theEssentials of County Government course for newly elected officialswould be held in Asheville January 9th and 10th. Chairman Corbin notedthat he would have to leave the meeting early in order to drive to Raleighfor a meeting of the North Carolina Association of County Commissioners(NCACC) Legislative Goals Committee scheduled for the next morning.

    MOMENT OF SILENCE: Chairman Corbin asked those in attendance toobserve a moment of silence.

    PLEDGE TO THE FLAG: Led by Commissioner Haven, the pledge to theflag was recited.

    PUBLIC COMMENT: Ken Neitz told the board that, as a travel teambaseball coach and as a Little League umpire, he wanted to give hisendorsement of the boards plans to create a new recreation complex inthe county. Todd Ensley, who coaches a softball travel team, said the

    proposed new complex would be a great addition to the county, addingthat more space was much needed. He told the board that a family of atravel team player would spend up to $400 or $500 per weekend. ChrisBeasley addressed the board regarding the LeadsOnline program underconsideration by the Macon County Sheriffs Office, and asked that theboard not pass a proposed ordinance that would require thetransmission of certain information from pawn shop owners and othersto the Sheriffs Office. Chairman Corbin suggested that Sheriff RobertHolland and Brian Welch, the staff attorney for the Sheriffs Office, meetwith Mr. Beasley to discuss the program. Jamie Stiles also addressedthe issue of more playing fields, saying that while it would provide the

    prospect of hosting travel ball tournaments, it would also provide moreopportunities for local leagues who have limited fields on which topractice. Billy Vanhook told the board that at one time, the county wasthe envy of the region due to its recreation park, but weve got the samepark we had 35 years ago, and its time to have more than what weve

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    Minutes11/13/12Page 2 of 7

    got. He said finding the right piece of property is the key, and notedefforts in surrounding counties to provide better athletic facilities.

    ADJUSTMENTS TO AND APPROVAL OF THE AGENDA: Upon a motionby Commissioner Kuppers, seconded by Commissioner Beale, the board

    voted unanimously to approve the agenda as adjusted, as follows:

    To add a report on the North Carolina Association of CountyCommissioners (NCACC), per the request of Commissioner Beale,under Reports/Presentations as Item 8D.

    READ2ME PROGRAM Brittney Parker made a presentation to theboard on the Read2Me Program, a community-wide initiative to promoteearly literacy in preschoolers, explaining that it has a three-prongmission to (1) increase public awareness in the community, (2) get booksinto the hands of all pre-school aged children and (3) provide parent

    training and involvement. She outlined a new venture with the HighlandsLiteracy Council, where children in Macon County who register will get anew book every month from birth through the age of five, as providedthrough Dolly Partons Imagination Library. While not asking for adonation from the county, she noted that a gift of $30 helps provide ayears worth of books for a child, and that the effort hopes to reach asmany as 500 children in the first year.

    ECONOMIC IMPACT STUDY OF ATHLETIC TOURNAMENTS ANDRECREATION FACILITIES: Chairman Corbin stated that the board hadbeen involved in ongoing conversations about the need for additional

    space for recreation, and, noting the difficulty of finding flat land, anopportunity had come to the boards attention in the last six months.Were not just pulling this out of the air, he said. He also explainedthat Commissioner Beale would not be taking part in this discussion, ashe is a member of the board of directors of Macon Bank, which has afinancial interest in the property under consideration.

    Parks and Recreation Director Seth Adams made a PowerPointpresentation entitled Recreational Facility Expansion and the EconomicImpact of Athletic Tournaments (Attachment 1), a copy of which isattached and is hereby made a part of these minutes. He pointed out

    that more than 1,100 people play in organized baseball and softballleagues in the county. He explained that a preliminary site layout hadbeen prepared for a 48-acre piece of property off Old Patton Road west ofFranklin known as the former Parker Meadows Golf Course. The layouthas room for four adult fields and four youth fields in cloverleaf patterns.Tommy Jenkins, the countys Economic Development Director, joined in

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    Minutes11/13/12Page 5 of 7

    part of these minutes. (3) Jimmy Villiard with Macon County PublicHealth told the board that all of the existing equipment at the adultdental clinic would be moved into the new location, and that bids for onenew chair had been advertised. Of the two that were received, the lowbid was from Henry Schein Dental at $114,885. Tammy Keezer with

    Macon County Public Health explained that sufficient Medicaid costshare funds were available to cover the purchase. Upon a motion byCommissioner Haven, seconded by Commissioner Tate, the board votedunanimously to accept the low bid as presented.

    REFINANCING OF LAKE EMORY ROAD PROPERTY BY MACONCITIZENS HABILITIES: Prior to the discussion, Commissioner Kuppersdisclosed that his wife is an employee of Macon Citizens Habilities (MCH).The County Manager explained that MCH is looking to refinance itsproperty on Lake Emory Road in order to pay off the Webster GroupHome located in Jackson County. He said that MCH is looking to

    consolidate debt and to accelerate the payoff of that debt. The CountyAttorney reviewed the existing mortgage and MCHs line of credit (onwhich nothing is owed) and told the board that the refinance is driven bygood business practice, allowing MCH to save $25,000. He explainedthat if the board agrees to the two subordination agreements underconsideration one for the property and the other for the line of credit that in the event of default by MCH, the county will be placing itsinterests behind those of Macon Bank, which holds the mortgage andline of credit. Upon a motion by Commissioner Beale, seconded byCommissioner Haven, the board voted unanimously to approve both ofthe subordination agreements as presented (Attachments 9 and 10),

    copies of which are attached and are hereby made a part of theseminutes.

    REVISED CONTRACT FOR POOL RENOVATIONS: The CountyManager explained that a revised contract with Augusta Aquatics, Inc.was necessary to include the required purchase of payment andperformance bonds for the swimming pool renovation project at thecounty recreation park. This would raise the contract amount from$338,500 as approved by the board at its October 9, 2012 meeting to$346,161. The Finance Office noted that this would require a budgetamendment in the amount of $7,661. Upon a motion by Commissioner

    Tate, seconded by Commissioner Beale, the board voted unanimously toapprove the contract as revised as well as the necessary budgetamendment. A copy of the agreement is attached (Attachment 11) and ishereby made a part of these minutes.

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    Minutes11/13/12Page 7 of 7

    some extent by adopting an amendment to the county personnel policythat allows for leave time to be voluntarily shared under certaincircumstances. He said this is a reasonable and fair approach inassisting an employee who is personally dealing with a major illness orinjury, or one involving an immediate family member, and he

    recommended approval of the policy amendment. Upon a motion byCommissioner Beale, seconded by Commissioner Tate, the board votedunanimously to amend the Macon County Personnel Policy as presented.A copy of the Voluntary Shared Leave Program is attached (Attachment13) and is hereby made a part of these minutes.

    SPECIAL CALLED MEETING: Due to a state law that requires the boardof commissioners to meet on the first Monday in December of each even-numbered year to elect a chair and a vice-chair, the County Managersaid the board would need to call a special meeting for Monday,December 3, 2012 to have the recently-elected commissioners take the

    oath of office, to elect officers and to consider other organizationalmatters. Upon a motion by Commissioner Beale, seconded byCommissioner Tate, the board voted unanimously to call a specialmeeting for Monday, December 3, 2012 at 6 p.m. in the commissionboardroom located at 5 West Main Street in Franklin, NC for thepurposes stated above.

    RECESS: At 9:12 p.m., vice-chairman Kuppers recessed the meetinguntil Tuesday, November 20, 2012 at 6:30 p.m. in the commissionboardroom located at 5 West Main in Franklin, NC.

    _____________________________ ______________________________

    Jack Horton, County Manager Kevin CorbinClerk to the Board Board Chairman

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    to Debra Green, D/B/A The Appointed Home. The lease is effectivefrom November 1, 2012 to October 31, 2013, and a copy of the resolution(Attachment 3) and lease (Attachment 4) are attached and are herebymade a part of these minutes.

    CHRISTMAS IN THE PARK: Mildred Hamilton told the board aboutefforts to bring Christmas in the Park back to the county recreationpark this year, but said the group involved needed space for items to bestored once the event is over so that they can be used again next year.Following discussion, the board agreed to refer the item to the CountyManager and asked him to handle it administratively.

    RECOGNITION OF COMMISSIONER KUPPERS: Saying that toeverything there is a season, Chairman Corbin opened a time of specialrecognition for outgoing commissioner Bobby Kuppers. Each member ofthe board and the staff seated at the dais was given the opportunity to

    express their appreciation to Commissioner Kuppers just prior to thepresentation of gifts by Commissioner Beale on behalf of the county.During his remarks, Commissioner Kuppers thanked the countysemployees, the media, the countys department heads including thedeputy clerks and finance officers with whom he had served, CountyManager Jack Horton and his fellow commissioners. In closing, heurged, Dont stop having the conversation.

    At 7:30 p.m., Chairman Corbin declared a recess, at which time areception for Commissioner Kuppers was held.

    Chairman Corbin called the meeting back to order at 7:56 p.m.

    AGREEMENT WITH DNET: The County Manager explained that inexchange for being allowed to place a web camera on top of thecourthouse to provide Internet viewers with a look at downtown Franklin,Dnet was willing to provide one megabyte (1MB) of additional bandwidthto the county for use at the Business Development Center. The CountyAttorney noted the need to change one item in the proposed Letter ofAgreement between the two parties. Upon a motion by CommissionerKuppers, seconded by Commissioner Tate, the board voted unanimouslyto approve the Letter of Agreement as amended (Attachment 5), a copy of

    which is attached and is hereby made a part of these minutes.

    REALIGNMENT OF SCHOOLS CAPITAL OUTLAY PROGRAM: TheCounty Manager said that within the current capital outlay program forMacon County Schools, there are three categories, and that within thosecategories, certain priorities were being realigned due to immediateschool needs. However, the overall capital outlay amount of $256,000 forthe current fiscal year will not change. These changes was discussed at

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    Minutes12/03/12Page 2 of 3

    region, and he also pointed out that Chairman Corbin is in line tobecome the chair of the Southwestern Commission in two years, whileCommissioner Tate is serving on the agencys Mountain ResourcesCommission.

    RESOLUTION REGARDING EXAMINATION OF PUBLIC OFFICIALSBOND: The County Manager explained that North Carolina GeneralStatute (N.C.G.S.) 58-72 requires that the board annually examine thebonds of the public officers listed in N.C.G.S. 58-72.12, which includesthe Finance Director, Tax Administrator, Register of Deeds and Sheriff.For the record, it was noted that the Finance Director has secured theappropriate bonds with sufficient surety from The Ohio CasualtyInsurance Company in order to qualify those officials listed for office.Upon a motion by Commissioner Haven, seconded by CommissionerBeale, the board voted unanimously to approve a resolution entitledExamination of Official Bond for Public Officials of Macon County, a

    copy of which is attached (Attachment 4) and is hereby made a part ofthese minutes.

    ADOPTION OF 2013 REGULAR MEETING SCHUDULE: Upon a motionby Commissioner Beale, seconded by Commissioner Tate, the boardvoted unanimously to approve its regular meeting schedule for 2013,with regular meetings set for the second Tuesday of each monthbeginning at 6 p.m. in the commission boardroom on the third floor ofthe Macon County Courthouse at 5 West Main Street in Franklin, NorthCarolina. A copy of the schedule is attached (Attachment 5) and ishereby made a part of these minutes.

    CONTRACT FOR INSTALLATION OF REUSE SYSTEM: The CountyManager explained that the final piece of the Little TennesseeRiver/Cartoogechaye Creek Trunk Sewer Project is to install a purplepipe reuse system at the county landfill. The water from this systemcan be used to wash down the animal shelter and landfill equipment,applied to dusty roads at the landfill and irrigate plants at the countysEnvironmental Resource Center. The work will not be performed by theoriginal contractor on the project, Garys Grading and Paving, and thestate allowed the county to seek informal bids to finish this work. Thelow bid of the four submitted was by Watson Construction at $124,895,

    and the County Manager recommended that the board award the bid toWatson Construction, noting that if approved, the contractor could startright away and likely have the project finished prior to the end of theyear. Upon a motion by Commissioner Beale, seconded byCommissioner Haven, the board voted unanimously to award the bid toWatson Construction as presented.

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    MCPH Billing Guide FY 13 Effective July 1, 2012

    MACON COUNTY

    PUBLIC HEALTH

    FY 12-13

    Billing and Collection Policies

    And

    Fee Schedules

    Effective July 1, 2012

    Presented to and Approved by Board of Health on 06-26-2012

    Presented to and Approved by Board of Commissioners on ____________

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    MCPH Billing Guide FY 13 Effective July 1, 2012

    Page 2 12/6/2012

    MACON COUNTY PUBLIC HEALTH

    BILLING AND COLLECTION POLICIES

    RATIONALE

    North Carolina law1 allows a local board of health to impose a fee for services to be rendered by a

    local health department, except where the imposition of a fee is prohibited by statute or where anemployee of the local health department is performing the services as an agent of the State.

    Fees may be based on a plan recommended by the Health Director; The plan must be approved by the Board of Health and the Board of County Commissioners; And, fees collected under the authority of this subsection are to be deposited to the account

    of the local health department so that they may be expended for public health purposes inaccordance with the provisions of the Local Government Budget and Fiscal Control Act.

    The State requires local health departments to provide certain services, and no one may be denied theseservices. It is in the best interest of our community for the Health Center to:

    Assure that all residents can get all legally required public health services. Provide as many other recommended and needed health services as possible, within the resources we

    still have available to use.

    The purpose of charging fees is to increase resources and use them to meet residents needs in a fair andbalanced way. Fees are necessary to help identify and cover the full cost of providing public health services.As much as possible, fees are based on the true cost of providing a particular service (calculated as directcosts plus indirect costs). Throughout the year, ongoing cost analyses are performed and fee schedules shallbe adjusted by the Health Director, in the amount of the increased cost for prevision of said services.A list of Health Center fees is available upon request.

    The information in the document below is the fee plan for FY 13, effective on July 1, 2010. This Billing

    Guide for FY13 replaces all earlier plans.

    COST OF SERVICE DETERMINATION

    Costs for services received through the Health Center are firstly based on the current Medicaid rateand then adjusted according to the actual cost of the service. If there is no Medicaid rate then fees aredetermined through cost analysis. Cost analysis takes into account all of the resources associated withproviding a particular service and calculates the actual cost to provide that service. Cost analysis includesthe calculation of direct and indirect costs for services and then adding these figures together to determine theactual cost of the service.

    Calculating direct cost: Direct costs are expenses that can be easily related to the provision of a

    specific service, i.e., physician and support staff salaries and benefits, medical supplies, lab tests, and otherresources consumed at the time of the service.

    Calculating indirect costs: Indirect costs involve resources that are not directly consumed duringthe provision of a service, but without them the provision of that service would not be possible, i.e.,administrative staff salaries and benefits, training costs, facility costs, insurance premiums, office equipmentand supplies, and recruiting and marketing expenses.

    1 North Carolina General Statue 130A-39(g)

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    MCPH Billing Guide FY 13 Effective July 1, 2012

    Page 4 12/6/2012

    consumers with insurance where the Health Center is not a participating provider, the consumer will beresponsible for full payment of service when the service is delivered. The Health Center is currentlyparticipating with Medicaid, Medicare, Blue Cross Blue Shield, Crescent, Tri-care and NC Health Choice formedical services. The consumer is responsible for charges not covered by third party payers. Co-payamounts must be paid at the time of services and are not subject to the sliding fee eligibility scale.

    Sliding fee scale discount does not apply in the following situations:

    a. Consumers with insurance in which MCPH is not participating provider.b. Consumers with any insurance who choose not to use their coverage.c. Insurance co-payments (when MCPH is a participating provider)

    ACCOUNT COLLECTIONS AND BAD DEBT

    The Health Center will issue all consumers a monthly statement of fees that have been incurred andare due. Consumers are expected to make payment at the time services are rendered. If a balance is carriedforward consumers who have not made a payment on their account for any service(s) received from MaconCounty Public Health for 120 days shall be required to pay their past due balance before another service shallbe rendered (see Service Denial for further information).

    The Health Center may use the following resources to pursue collection of patient accounts: billingstatements, past due notices, collection agencies or credit bureaus, and the NC Local Government DebtSetoff Clearinghouse (ref: NCGS 105A-1 et seq.) as administered by the NC Department of Revenue

    Accounts will be reviewed annually for bad debt status, and at that time with the approval of theBOH and the BOCCs the amounts may be written off for accounting purposes if no further collection isanticipated. Any payments received for write-off debts will be accepted and credited to appropriate accounts.At no time will a patient be notified that the account has been written off as a bad debt. Bad debts, which aredetermined uncollectible (i.e. bankruptcy, death), will be written off permanently upon notification.

    CONSUMER DONATION POLICY

    A consumer may choose to make a donation to the agency. The consumer will never be asked tomake a donation, but if offered the donation is accepted. Donations are not required, and are not aprerequisite for the provision of any service. Billing requirements set out above in the Payment byConsumer section are not waived because of consumer donations. (ref: Donation Policy 101.9)

    RETURNED CHECK POLICY

    A $25.00 fee may be charged for a returned check written to Macon County Public Health (MCPH).The consumer will be notified via telephone, if possible, of the returned check. If a telephone number is notavailable, a written notification will be sent. All returned checks will be made good via cash, money order,and/or certified check. If a consumer has two returned checks within a one-year period, he/she will berequired to pay for services in advance via cash, money order, or certified check for the period of one year.After the one-year period expires, if another returned check occurs, all future bills must be paid with cash,money order, or certified check prior to the provision of services.REFUNDS

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    MCPH Billing Guide FY 13 Effective July 1, 2012

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    In the event that a consumer or other third-party has overpaid their responsible charges, the creditbalance is either: applied to future charges or refunded to the payer within thirty (30) days of discovery orrequest. Refunds for Environmental Health services are determined by attached policy and procedure.

    SERVICE DENIAL

    No individual may be denied Health Center mandated services e.g. communicable disease services(STD/TB). These services are provided at no charge to the consumer. Individuals who do not meet programguideline criteria may be denied specific services. Consumers covered by Medicaid who fail to makerequired co-payments will not be denied services. Individuals who have not paid proper charges for previousservices (unless state and federal program rules prohibit services restriction or denial) may be required to payfees beforehand, be denied access to services (see Account Collections and Bad Debts), or be deniedsubsequent services pending demonstration of a good faith effort to make payment within the past ninety(90) days.

    OUT OF COUNTY SERVICE RESTRICTIONS

    Macon County supports its low-income citizens by subsidizing the cost for certain health care

    services. To assure that Macon County citizens have maximum access to Health Center services only thoseservices mandated by North Carolina General Statues or approved in this plan will be provided to non-Macon County residents. If an individual moves out of Macon County, they must obtain services fromanother provider. Consumers are required to report any change of address at time of service.

    COMPLIANCE WITH TITLE VI AND VII, OF 42 US CODE CHAPTER 21

    The MCPH complies with Title VI and Title VII of the Civil Rights Act of 1964 and all requirementsimposed by or pursuant to the regulations. Staff will not discriminate against any clients because of age, sex,race, creed, national origin, or disability. Staff will ensure consumers with LEP are provided adequatelanguage assistance so they have meaningful access to the agencys services.

    PROGRAM SPECIFIC INFORMATION

    ADULT HEALTH

    Provides limited health screening services for adults. Services provided through this program are noteligible for sliding fee scale payment or third party billing. Exception: Colposcopies may be billed tothird parties.

    Eligibility:

    Must be a resident of Macon County; Exception: Colposcopies. Must be 18 years and older. Adult Health Services are not eligible for sliding fee scale payment. Services will be paid for

    prior to any service being rendered. Any additional fees associated with a visit will be added tothe clients account and paid in full at checkout.

    COMMUNICABLE DISEASE CONTROL

    Deals with the investigation and follow-up of all reportable communicable diseases. Testing,diagnosis, treatment, and referring as appropriate, of a variety of sexually transmitted diseases.Provides follow-up and treatment of TB cases and their contacts. No fees are charged directly to

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    MCPH Billing Guide FY 13 Effective July 1, 2012

    Page 6 12/6/2012

    clients for these services as stated in Program Rules (exception Medicaid or other third party agentcan be billed with the patients permission).

    Eligibility:

    No residency or financial requirements

    BREAST AND CERVICAL CANCER CONTROL PROGRAM (BCCCP)

    Provides pap smears, breast exams and screening mammograms, assists women with abnormal breastexaminations/mammograms, or abnormal cervical screenings to obtain additional diagnosticexaminations.

    Eligibility:

    uninsured or underinsured; without Medicare Part B or Medicaid; between ages 40 - 64 for breast screening services and 18 - 64 for cervical screening services; have a household income at or below 250% of the federal poverty level. No charge for those who qualify for the program; family size shall be determined as follows:

    Client, spouse of client and all children under 18 years of age, including step-children who livein the home.

    WOMENS HEALTH

    Provides limited health screening services (pap smears and/or breast exams) for women who do notmeet the qualifications of the NC BCCCP Program. Grant funds may be available to cover the cost ofrepeat pap smears for women below 250% of federal poverty level when funding is available.Services provided are not eligible for sliding fee scale payment or third party billing.

    Eligibility:

    Must be a resident of Macon County; 18 years and older. Womens Health Services are not eligible for sliding fee scale payment. Services will be paid for

    prior to any service being rendered. Any additional fees associated with a visit will be added tothe clients account and paid in full at checkout

    CHILD HEALTH

    Well child exams conducted by (appropriate provider); exam includes medical, social, development,nutritional history, lab work, and physical exam. MCPH accepts sliding fee scale; some PrivateInsurances; Health Choice; Medicaid

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    MCPH Billing Guide FY 13 Effective July 1, 2012

    Page 8 12/6/2012

    Include: daycare, DOT, foster care, employment or other specialty physical exams; laboratory services,etc.

    Eligibility:

    Residents of Macon County (exception, pregnancy tests)

    These services are not eligible for sliding fee scale payment. Services will be paid for prior toany service being rendered. Any additional fees associated with a visit will be added to theclients account and paid in full at checkout.

    MATERNAL HEALTH

    Prenatal care is medical care recommended for women during pregnancy. The aim of good prenatalcare is to detect any potential problems early, to prevent them if possible (through recommendations onadequate nutrition, exercise, vitamin intake etc), and to direct the woman to appropriate specialists,hospitals, etc. if necessary. Visits are monthly during the first two trimesters (from week one to week28 of pregnancy), every two weeks from 28 to week 36 of pregnancy and weekly after week 36 (untilthe day of delivery that could be between week 38 and 40 weeks). MCPH accepts sliding fee scale;some Private Insurances; Medicaid or potentially Medicaid eligible.Eligibility:

    Residents of Macon - eligibility policy and residency requirements attached Maternal Health clients will be required to have 2 proofs of residency

    OB CARE COORDINATION MANAGEMENT (OBCM)

    Case manager assists pregnant women in receiving needed prenatal care and pregnancy relatedservices. MCPH accepts Medicaid or potentially Medicaid eligible.

    Eligibility:

    Residents of Macon County

    WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM (WIC)

    Supplemental nutrition and education program to provide specific nutritional foods and educationservices to improve health status of target groups.

    Eligibility: WIC is available to pregnant, breastfeeding, and postpartum women, infants, and childrenup to age 5 who meet the follow criteria:

    Be a resident of Macon County; Be at medical and/or nutritional risk; Have a family income less than 185% of the US Federal Poverty Level; Medicaid, AFDC, or food stamps automatically meet the income eligibility requirement

    CHILDRENS DENTAL PROGRAM

    The Macon County Childrens Dental Clinic (Molar Roller) provides comprehensive general dentalservices to children from birth to 20 years of age.

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    MCPH Billing Guide FY 13 Effective July 1, 2012

    Page 10 12/6/2012

    Various components of American Red Cross Standard First Aid and/or CPR/AED for layresponders are offered on-site at Macon County Public Healths location at Lakeside Drivein Franklin. Classes are offered for a fee approximately every month. The specificeducational components offered may vary from month to month to best suit the currentneeds of the public. Pre-registration and pre-payment are required. A maximum of twelve

    individuals may be enrolled in a single instructor class. Fees for the specific educationalcomponents are based on current American Red Cross pricing and are subject to change.

    NUTRITION SERVICES:

    DSMT Services:

    Macon County Public Health offers Diabetes Self-Management Training services providedby a Registered Dietitian through American Diabetes Association approval/recognition. Theregistered dietitian is credentialed and a certified provider with Medicare, Medicaid andBCBS NC. For clients with these insurances, physician referral and medical diagnosis ofdiabetes the insurance will be billed and costs covered accordingly. For clients without theseinsurances a sliding fee scale based on annual gross income that is at or below 250% ofpoverty is used. The scale slides to a minimum discount of 20% in which the client isresponsible for payment to the health center prior to service being rendered.

    MNT Services:

    Macon County Public Health offers Medical Nutrition Therapy services provided by aRegistered Dietitian. The registered dietitian is credentialed and a certified providers withMedicare, Medicaid and BCBS NC. For clients with these insurances, physician referral andcovered medical diagnosis the insurance will be billed and costs covered accordingly. Forclients without these insurances a sliding fee scale based on annual gross income that is at orbelow 250% of poverty is used. The scale slides to a minimum discount of 20% in which theclient is responsible for payment to the health center prior to service being rendered.

    ENVIRONMENTAL HEALTH

    Fees for Environmental Health Services are collected at time of application by the Macon CountyBuilding Inspections Department.

    REFUND POLICY: Attached

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    MCPH Billing Guide FY 13 Effective July 1, 2012

    N. C. Division of Public Health

    Women's and Children's Health Section

    Annual Gross Family Income

    Sliding Fee Scale --101% to 250% of Poverty

    Family Planning Waiver Eligibility Included FP Waiver Eligibility*

    Partial-Pay Bracket Partial-Pay Bracket Partial-Pay Bracket

    Family Federal Twenty Percent Forty Percent Sixty Percent

    Size PovertyFrom20%

    To39%

    From40%

    To59%

    From60%

    To79%

    1 $10,890 $10,891 $14,974 $14,975 $19,058 $19,059 $20,147 $23,141

    2 $14,710 $14,711 $20,226 $20,227 $25,743 $25,744 $27,214 $31,259

    3 $18,530 $18,531 $25,479 $25,480 $32,428 $32,429 $34,281 $39,376

    4 $22,350 $22,351 $30,731 $30,732 $39,113 $39,114 $41,348 $47,494

    5 $26,170 $26,171 $35,984 $35,985 $45,798 $45,799 $48,415 $55,611

    6 $29,990 $29,991 $41,236 $41,237 $52,483 $52,484 $55,482 $63,729

    7 $33,810 $33,811 $46,489 $46,490 $59,168 $59,169 $62,549 $71,846

    8 $37,630 $37,631 $51,741 $51,742 $65,853 $65,854 $69,616 $79,964

    9 $41,450 $41,451 $56,994 $56,995 $72,538 $72,539 $76,683 $88,081

    10 $45,270 $45,271 $62,246 $62,247 $79,223 $79,224 $83,750 $96,199

    11 $49,090 $49,091 $67,499 $67,500 $85,908 $85,909 $90,817 $104,316

    12 $52,910 $52,911 $72,751 $72,752 $92,593 $92,594 $97,884 $112,434

    * at or below

    185% of federal

    poverty level

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    FY12 Sliding Fee Scale

    Guidelines for Determining Elements of the Sliding Fee Scale

    Eligibility screening is required on all new clients or when family size and/or income changes occur, or at12 month intervals. A clients percentage of pay is documented on the Financial Eligibility Application in

    the clients medical record and in HIS.

    Definition for Family Size and Countable Gross Income for the following clinics:

    Adult Health, Child Health, Prenatal, Family Planning and Dental

    A family is defined as a group of related or non-related individuals who are living together as oneeconomic unit. Individuals are considered members of a single family or economic unit when theirproduction of income and consumption of goods are related.An economic unit must have its own source of income.

    Example: consumer with no income must be considered part of a larger economic unit that provides

    support to the household. Groups of individuals living in the same house with other individuals may beconsidered a separate economic unit. For example, if two sisters and their children live in the same houseand both work and support their own children, they would be considered a separate household.

    EXCEPTIONS TO ECONOMIC UNIT

    A. For Family Planning service only.

    B. Un-emancipated minors and others requesting confidential services will be considered afamily unit of one, and fees will be assessed based on their own income.

    C. A foster child assigned by DSS shall always be considered a family of one.

    Determination of Gross Income:

    The dollar amounts represent gross annual income; they refer to total cash receipts before taxes from allsources.

    Household income sources include: Salaries and wages, earnings from self-employment (deduct businessexpenses, except depreciation); interest income, all investment and rental income; public assistance,unemployment benefits, workers compensation, alimony and child support, military allotments; SocialSecurity benefits, VA benefits; retirement and pension pay; insurance or annuity plans; gaming proceedsand any other income not represented here that contributes to the household consumption of goods. Thislist is not all inclusive.

    Documents acceptable for income verifications:

    Current pay stub (noting the pay timeframe i.e.: weekly, bi-weekly etc.)Signed statement from employer indicating gross earnings for a specified pay period, statement mustinclude the business name, address and phone number and must be legible.W-2 FormsUnemployment letter/noticeAward letter from Social Security Office, VA or Railroad Retirement Board1099s received from IRSFor Self-employment: Accounting records or income tax return for the most recent calendar year, entiretax return must be provided in order allow deductions for business expenses.

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    MACON COUNTY BOARD OF COMMISSIONERS

    AGENDA ITEM

    MEETING DATE: December 13, 2012

    DEPARTMENT/AGENCY: Governing Board

    SUBJECT MATTER: Appointments

    DEPARTMENT HEAD COMMENTS/RECOMMENDATION:

    (A)Board member committee appointments Chairman Corbin willannounce these at the meeting.

    (B)Voting delegate for Legislative Goals Conference Please see theattached form from the North Carolina Association of County

    Commissioners, requesting that the board designate a voting delegate

    for the Legislative Goals Conference to be held January 24-25, 2013.

    COUNTY MANAGERS COMMENTS/RECOMMENDATION:

    Attachments ___X__ Yes ___ No

    Agenda Item 12B

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    Memorandum

    RETURN FORM BY JANUARY 11, 2013

    VOTING DELEGATE DESIGNATION FORM

    LEGISLATIVE GOALS CONFERENCE

    January 24-25, 2013 (Thursday Friday)

    Sheraton Imperial - RTP

    NOTE: Please place this action on your board meeting agenda.

    Each Board of County Commissioners is hereby requested to designate a commissioner or other

    official as a voting delegate. Each voting delegate should complete and sign the following

    statement and RETURN IT TO THE ASSOCIATION NO LATER THAN FRIDAY,

    JANUARY 11, 2013.

    PLEASE RETURN FORM TO SHEILA SAMMONS, CLERK TO THE BOARD BY

    EMAIL: [email protected] OR FAX: 919-733-1065.

    I, ____________________________________________, hereby certify that I am the duly

    designated voting delegate for _____________________ County at the North Carolina

    Association of County Commissioners 2013 Legislative Goals Conference.

    Signed:______________________________________

    Title:______________________________________

    Article VI, Section of the Associations Constitution provides:

    On all questions, including the election of officers, each county represented shall be entitled to

    t hi h h ll b th j it i f th d l t f th t t Th t f