Adams County Health Services report $1.6M budget surplus amid Medicaid concerns

On May 13, 2025, the Health & Human Services / Veteran Services Committee of Adams County, Wisconsin, convened to discuss critical issues affecting the community, particularly in the realms of childcare availability and the financial implications of Medicaid funding.

A significant concern raised during the meeting was the ongoing challenge of childcare accessibility in Adams County. The committee noted that limited slots in childcare programs have hindered enrollment in the child care assistance program. Changes implemented in 2024 aimed to improve the situation by adjusting how benefits are calculated for families with children in childcare. This shift from an hourly basis to part-time or full-time classifications was designed to benefit both providers and parents, and initial feedback suggests it has been a positive development.

Financial discussions highlighted the county's budget structure, revealing that 46% of the budget is derived from state and federal aid, while 28% comes from third-party billing, and 26% is funded through the county tax levy. The committee reported that revenues were closely aligned with budget expectations, coming in just 0.18% under budget, thanks to careful planning and management by staff. Notably, expenses related to out-of-home care placements and hospitalizations were down, contributing to a total budget surplus of approximately $1.6 million.

A critical point of discussion was the reliance on Medicaid funding, which accounted for over $2 million in billable services for the county in 2024. The committee expressed concern over potential cuts to block grants that could significantly impact local programming. Medicaid served as the primary payer for 42% of clients last year, underscoring its importance in supporting various health and human services programs. The committee emphasized that any federal cuts to Medicaid could have direct and detrimental effects on local services, particularly for programs mandated by Wisconsin statutes that often operate with little to no funding.

The meeting concluded with a call for awareness regarding the complexities of Medicaid funding and its implications for the community. As discussions about potential federal funding cuts continue, the committee remains focused on ensuring that essential services are maintained for all residents, regardless of their insurance status. The outcomes of these discussions will be crucial for shaping the future of health and human services in Adams County.