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Should counties coordinate with cities to determine how best to maximize funds for reimbursement?

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Should counties coordinate with cities to determine how best to maximize funds for reimbursement?

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Yes, counties should coordinate with cities to maximize all dollars being spent on health care in the county. For instance, if the county and city both are contributing to a family clinic and are also both contributing to a public library, the county may want to sign an agreement with the city whereby the county would take over all responsibility for funding the family clinic and the city may want to take over all responsibility for funding the public library, since the library is not health care related and those funds are not eligible for reimbursement. These agreements need to be reviewed once a year and may need to be adjusted if cost go up in one area more than another area. Also, be careful that all expenditures taken over by the county are health care related. Environmental services provided by a local public health department will not count as health care related and will not be eligible for reimbursement.

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