Legislation Details

File #: 2026-373    Version: 1 Name:
Type: New Business Status: Agenda Ready
File created: 8/21/2026 In control: Board of Commissioners
On agenda: 9/3/2026 Final action:
Title: NCDHHS/COUNTY MEMORANDUM OF UNDERSTANDING PURSUANT TO N.C.G.S. 108A-74 AND QUARTERLY MANDATED PERFORMANCE MEASURES UPDATE
Attachments: 1. SFY 2026-27 and 2027-28 MOU Cover Letter, 2. PROPOSED 90277163 NCDHHS MOU 2026_27 & 2027_28, 3. Addendum A Data Sharing Memorandum of Agreement (1), 4. Combined-PerfMeasures.pdf (SECURED), 5. Approved Action Plan Protocol
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TITLE
Title
NCDHHS/COUNTY MEMORANDUM OF UNDERSTANDING PURSUANT TO N.C.G.S. 108A-74 AND QUARTERLY MANDATED PERFORMANCE MEASURES UPDATE
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SPONSOR
Sponsor
Sharon Barlow
Rosanne Wiley-Hayes
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BACKGROUND
Background
Session Law 2017-41 / N.C.G.S. 108A-74 requires all counties to enter into an annual written agreement, referred to as a Memorandum of Understanding (MOU), with the North Carolina Department of Health and Human Services (NCDHHS) for all social services programs excluding medical assistance (Medicaid). State Fiscal Year (SFY) 2018-2019 was the first year of these agreements.

The Department worked jointly with the NC Association of County Directors of Social Services to vet all measures prior to the finalization for the MOU with an effective date of July 1, 2026, through June 30, 2028. The measures for the SFY 2026-2027 and SFY 2027-2028 MOU can be found in Attachment I entitled MOU Performance At-A-Glance. These are the only measures that will be evaluated as part of the MOU for SFY 2026-2027 and SFY 2027-2028 and are subject to performance improvement actions.

In the future, NCDHHS will consider a pause on issuing a corrective action plan on a county-by-county basis if there are barriers outside the control of the county that has a significant impact on the county's ability to meet their performance requirements (i.e., a significant hurricane, tornado, etc.). While the state will continue to monitor performance and share data with counties and provide support, if the pause is in place there will be no formal performance improvement or corrective actions taken related to MOU performance.

The cover letter from the State with an overview of the MOU process as well as other related documents are attached; these include:

1. A cover letter providing an overview of the MOU process for FY 2026-2027 and FY 2027-2028

2. Memorandum of Understanding between DHHS and counties FY 2026-2...

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