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February 5, 2014 Ways and Means Agenda

February 5, 2014
6:30 p.m.
Administration Building - Board Room
220 N. Main Street
Ann Arbor, Michigan

I.  Roll Call
II.  Citizen Participation
III.  Commissioner Follow-up to Citizen Participation
IV.  New  Business

A.  Health

1.    Public Health

a.  Dental Clinic

  • Authorizing the development of a Public Health owned dental clinic 
  • To serve the 58,000 Washtenaw County residents who currently do not have dental insurance, or who are on Medicaid dental insurance
  • Medicaid expansion in April 2014 will increase the number of county residents eligible for Medicaid by about 16,000
  • Current small community programs do not meet the on-going need
  • Few private dentists accept Medicaid
  • Will provide care to up to 6,000 patients annually when fully operational
  • Federal matching funds to supplement Medicaid reimbursement rates will provide a sustainable long term cash flow
  • Estimated project cost of just over $1.5 million
    - Public Health Medicaid Liability Account: $814, 786
    - Public Health Fund Balance: $663,015
    - Washtenaw Health Plan: $50,000
  • Through reimbursements over the life of the contract with Michigan Community Dental Clinics, this project will be cost-neutral for Public Health
  • Upon Authorization:
    - Authorizing Corporation Counsel to negotiate Haab Building contract with Michigan Community Dental Clinics and St. Joseph Mercy Health System
    - Authorizing Facilities Management Staff to create an RFP and oversee renovation
    - Authorizing County Administrator to sign delegate contracts


B.  Economic Development

1.    Community and Economic Development

a. Community Advisory Committee (CAC) Recommendations for the Disposition and the Community Design Process for the Platt Rd. Site

  • Adopting the recommendations of the Community Advisory Committee (CAC)
  • For the disposition of the Platt Road site and a community design process for a future vision plan for the County-owned site
  • To hold the property in part or in full, so that it can be used to advance community values and the public good through a deliberative, inclusive design process that establishes community goals, a vision, and plan for the site
  • To apply a number of principles to the site including: demonstration for green technologies and sustainable design, affordable and moderately priced housing, minimized parking spaces, alternative transit, varied types and forms of housing for people of different ages, an urban village, less impervious surface, lower auto footprint, integration with neighborhood, visionary design, draws people to the site, opportunities to grow businesses, and connections to County Farm Park
  • To use Michigan State Housing Development Authority (MSHDA) planning funding to assist in hosting an intensive multi-day community design process to create a plan for the site
  • To engage in a community planning process including residents in the immediate vicinity, residents from throughout the County, and residents from diverse backgrounds
  • Directing the CAC to provide analysis and recommendations by September 31, 2014


C.  County Administration 

1.    County Administrator

a. Staffing Recommendation to Support Board of Commissioners Community Investment Priorities

  • Approving the creation of a contractual, qualified professional position
  • To assist the BOC to develop strategies and provide oversight for the integration of the Board-defined community impacts and outcomes into organizational and departmental programs, policies and budget priorities
  • Through the 2014-17 Budget Development Process, the BOC indentified five budget priority areas for community investment
    - Ensure Community Safety Net through Health and Human Services inclusive of Public Safety
    - Increase Economic Opportunity and Workforce Development
    - Ensure Mobility and Civic Infrastructure for County Residents
    - Reduce Environmental Impact
    - Internal Labor Force Sustainability and Effectiveness
  • This position will report to the County Administrator for daily operational mattes performing the work of the Board as directed
  • As a contractual position, the compensation shall not exceed the scope of the Administrator's authority and will include specific, measurable objectives and outcomes as directed by the Board


V. Report of the Administrator
VI. Report of the Chair of Ways & Means
VII. Report of the Chair of the Board
VIII. Items for Current/Future Discussion
1. A report from the committee (Brabec/LaBarre/Peterson) created on January 22, 2014, to:
          a. Investigate the cost and sustainability of coverage of autism spectrum disorders
          b. Recommendation of a policy providing funding coverage if the state reimbursement fund is exhausted
IX. Pending
X. Adjournment
Next Ways and Means Meeting
February 19, 2014
Board Room
220 N. Main St.,
Ann Arbor
6:30 p.m.

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