November 14, 2007
Franklin, NC  28734



	Social Services Board met this date in regular scheduled session.  
	Members in attendance were Dom D’Ascoli, Wendy Dalton, Mark West and 
	Secretary.  Meeting was called to order by Chairman D’Ascoli.

	Closed Session minutes of the October 17, 2007 board meeting were 
	reviewed and approved on motion of Wendy Dalton, and second by Mark
	West.  Regular Session minutes of the October 17, 2007 board meeting
	were reviewed and approved on motion of Mark West and second by Wendy
	Dalton.

	Monthly expenditure reports were briefly reviewed.  Only area of 
	concern in the budget is the Medicaid county match budgeted at $1.7
	million and current trending forecasts this budget line item will be
	overspent.  
	
	When the county budget was in the process of approval, the General
	Assembly proposed Medicaid cost savings for Macon County was 
	approximately $400,000 which county management recommended the budget
	request of $2.1 million be cut by the legislative proposed county cost
	savings.   When the final plan was approved by the General Assembly in
	August the amount of county cost savings for Macon County that had been
	approved in the current fiscal year budget will not be realized.  
	County will have to provide the required Medicaid county match even if
	the amount is not budgeted.

	Secretary shared report detailing a 35% increase in Family and 
	Children’s Medicaid application approval for October 2006 as compared
	to October 2007 application approvals. Changes in Medicaid Long Term
	policies were also shared, which state consultants have advised will 
	take caseworkers 2-3 times longer to assess and process these types of
	applications.  These changes were result of the federal Deficit 
	Reduction Act, and were implemented November 1, 2007. 

	Effective January 1, 2008, a change in the N C adoption law will 
	require Departments of Social Services perform a diligent search for
	an adoptee’s biological family, if requested by the adoptee.  There 
	was no funding appropriated to the local departments for this new 
	mandate; however there is language in the approved legislation that
	an adoptee above poverty will be charged fees for this service.  
	Policy and recommendations on implementing this new requirement will
	be presented for approval at the December DSS board meeting.

	Short discussion was held on the bond referendum for public buildings
	not passing.  Board supported the need for Senior Services to add 
	bathrooms and showers for Adult Day Care Program.  County 
	Commissioners will be considering plan before the end of the calendar
	year to implement these necessary buildings improvements.

	Board went into Closed Session to discuss contracts, personnel and
	confidential case information on motion of Wendy Dalton and second
	by Mark West.  Board returned from Closed Session.

	Board members received copies of a monograph entitled Good to Great
	and the Social Sectors by Jim Collins.  

	Next meeting is scheduled for Wednesday, December 19, 2007 at 9:00
	in the DSS Administrative Conference Room.

	Meeting adjourned.

APPROVED BY:

___________________________________  ____________________________________
Chairman/Date				Secretary/Date