Montgomery County Maryland Operating Budget

Budget Year / Version:

Program Description

Health Care for the Uninsured

This program includes Montgomery Cares and Care for Kids. Through public-private partnerships, these programs provide primary health care services for low-income uninsured children and adults, using private pediatricians, a network of safety net clinics, and other health care providers. This program area also provides care coordination to uninsured children and adolescents with chronic or disabling conditions needing specialty diagnostic, medical, and surgical treatment.

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Public Health Services

Program Contacts

Contact Nina Ashford, DrPH, MPH of the HHS - Public Health Services at 240.777.4253 or Grace Pedersen of the Office of Management and Budget at 240.773.1088 for more information regarding this department's operating budget.

Program Performance Measures

Program Performance Measures	Actual FY22	Actual FY23	Estimated FY24	Target FY25	Target FY26
Number of low income uninsured County adults who received primary care at one of the participating clinics ¹	21,940	22,693	29,148	29,148	29,148
Number of encounters - Montgomery Cares ²	52,261	61,007	72,000	72,000	72,000
Percent of Care for Kids clients who access Oral Health Services ³	28%	31%	35%	35%	35%
Percent of vulnerable populations that have a primary care visit - Adults ⁴	35%	35%	35%	35%	35%
Percent of vulnerable populations that have a primary care visit - Children ⁵	35%	65%	52%	52%	52%

¹  The increase projected in FY24 is due to anticipated utilization rates returning to pre-pandemic levels.
²  Encounters increased from FY22-FY23 due to visits returning to pre-pandemic numbers. The number of eligible patients is expected to increase in FY24 due to the increase in the immigrant population and the addition of two new Montgomery Cares clinics.
³  Increased percentages for FY22-23 and projections for FY24-FY26 are due to an increase in encounters/return to pre-pandemic levels.
⁴  Following the pandemic, performance has remained stable, and program anticipates same level of performance in coming fiscal years.
⁵  This calculation has been updated from previous years reporting to account for transition of staff and as a way to more accurately represent this data point. Due to the pandemic, numbers have greatly fluctuated. The Covid-19 pandemic affected clinics' service delivery methods and patient behaviors in accessing services in FY21 and FY22; FY23 saw an increase in performance with the end of the public health emergency.

Program Budget Changes

FY25 Approved Changes	Expenditures	FTEs
FY24 Approved	17404129	4.00
Multi-program adjustments, including negotiated compensation changes, employee benefit changes, changes due to staff turnover, reorganizations, and other budget changes affecting multiple programs.	369542	1.00
FY25 Approved	17773671	5.00