April 20, 2026 CMH Finance Committee

The April 20, 2026 meeting of the miOttawa CMH Finance Committee focused extensively on procurement and budgetary matters related to millage-funded programs and residential Medicaid services. The committee discussed extending existing millage program contracts through the end of the fiscal year without requesting additional funds, utilizing approximately $390,000 of unspent millage funds to maintain service continuity. There was a strategic emphasis on moving millage awards to two-year performance-based contracts with regular reviews to ensure accountability and flexibility. The committee also addressed the ongoing challenge of stabilizing residential Medicaid provider rates amid regional funding delays, proposing a one-time infusion of budgeted millage funds to support providers facing imminent financial risk while awaiting regional rate framework finalization. Additionally, the committee reviewed and approved multiple contracts, including renewals and new service agreements, and received updates on the county wage study with an anticipated $500,000 impact on wages and benefits. Financial statements were reviewed, highlighting under-budget spending in several categories and delayed revenue from regional entities. The meeting concluded with public comments emphasizing the need for appropriate provider rates and financial stability.