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CSB Meeting April 26, 2016 COMMUNITY SERVICES BOARD OF CORTLAND COUNTY Meeting Minutes – April 26, 2016 4:00 P.M. ROOM 304 – COUNTY OFFICE BUILDING Members Present: Lisa Cutia (Chair), Christopher Hyde (Vice Chair), Aaron Baier, Christopher Newell, Donald Noble, Jackie Leaf, Jeff Beal, Linda Shutts, Marie Walsh and Michael Johnson Members Excused: Christopher Driscoll, Lisa Hoeschele and Tadeus Kowalski Others Present: Mark Thayer (Director Community Services), Alexandra Huntington-Ofner (SPOA Coordinator and PSY Director), Nancy Smith Amy Hamilton (County Probation and Vice Chair MH Subcommittee) and Gail Spitzer (Secretary) Call to Order: By Chair, Lisa Cutia at 4:02 p.m. Agenda Item: Approval of Minutes of March 29, 2016 Chair, Lisa Cutia, asked for a motion to approve minutes Motion made by Marie Walsh and seconded by Jackie Leaf, no further discussion, minutes unanimously approved Agenda Item: Corporate Compliance Training/Presentation Nancy Smith Nancy Smith is the Corporate Compliance Officer/Office Manager for the Department of Mental Health. Office of Medicaid Inspector General (OMIG) requires training/education of staff and governing boards – Corporate Compliance required by all agencies accepting Medicaid: address fraud cases – OMIG impose system of checks and balances prevent billing errors – Clinic staff training annually, as do new employees – Nancy, as Compliance Officer, supervisor Mark Thayer, overseen by Community Services Board to ensure compliance – URC (Utilization Review Committee) process is a random sampling of charts for accuracy – other processes are now written policy for consistent, accurate procedures – Mark Thayer: Medicaid Managed Care – different insurance companies will have different UR requirements which will be entered into new EMR system helping to guide the varied compliances – Nancy discussed some of the specific requirements of Compliance. Documents available upon request: [EMAIL REDACTED] Discussion about HIPPA laws and changes, compounded with the Federal push for integration of services, creating new challenges Agenda Item: Approval / Vote by CSB List of candidates for Community Services Board, along with nominations of members previously voted and approved by Mental Health, Developmental Disability and Chemical Dependence Subcommittees was provided to CSB members prior to this meeting, to review – Some information about each candidate was provided by members, prior to each vote. Chair, Lisa Cutia, accepted motions to nominate as member, for term listed as below: Motion made by Christopher Newell, seconded by Aaron Baier: Reynolds as member of CSB for a four year term previously held by Kimberly McRae Friedman (term expiration December 31, 2019) Motion made by Jeff Beal, seconded by Don Noble: ReBecca (Canzano) Smith as member of the CSB for a four year term previously held by Sandy Price (term expiration December 31, 2019) Motion made by Jackie Leaf, seconded by Marie Walsh: Susan Thomas as member of the MH Subcommittee to complete the term of Linda Shutts (term expiration December 31, 2016) Motion made by Christopher Newell, seconded by Jeff Beal: Darlene Latin as a member of the MH Subcommittee for a four year term previously held by Jennifer O’Callaghan (term expiration December 31, 2019) Motion made by Jeff Beal, seconded by Aaron Baier: Elaine Fisher as a member of the DD Subcommittee for a four year term previously held by Kay Wood (term expiration December 31, 2019) Motion made by Aaron Baier, seconded by Don Noble: Harold Baker as a member of the DD Subcommittee to complete the term of Rebecca Costa (term expiration December 31, 2017) Motion made by Marie Walsh, seconded by Jackie Leaf: ReBecca Smith as member of the CD Subcommittee to complete the term of Aaron Baier (term expiration December 31, 2017) Motion made by Mike Johnson, seconded by Marie Walsh: Judi Riley as member of the CD Subcommittee to complete the term of Kimberly McRae Friedman (term expiration December 31, 2017) Each motion unanimously approved by the CSB members. Nominations approved by the CSB will be brought before the Health and Human Services Committee for approval on May 12, 2016. Resolutions will be prepared for the Chair of the Cortland County Legislature, Donnell Boyden, as Sponsor, for vote of the full Legislative body on May 26, 2016 (Gail Spitzer noted that if the Legislature voted to approve all of the above prospective members, there will be only one remaining vacancy) ---PAGE BREAK--- CSB Meeting – April 26, 2016 Agenda Item: Director’s Report Mark Thayer Staffing – Outpatient Clinic: LMSW hired to begin May 16 (vacant since January, intake process backed up) – Full time Clinic Director (Director and senior social workers dividing responsibility – still looking) – Dr. Campagna scheduled to return to work on May 2 Electronic Medical Records process going very slowly – training plan in place, anticipate July to be fully operational, being implemented in stages Corporate Compliance: Office of Medicaid Inspector General (OMIG) audit update; response submitted April 14, 2016 – briefing held for Budget Director and some legislators – OMIG will issue a final report, 30 days to file administrative appeal – Madison and Tompkins Counties in this process also – payments expected to begin during the administrative process (payment plan options: pay over 5 years with interest, money coming from billing or pay all at once) – still working to coordinate joint effort with other Counties to meet with OMIG officials and attorneys – responsible for attorney and auditor fees, added onto possible “fines” – OMIG has been assigned fiscal targets each year; these fines have already been incorporated in 2016 budget which may limit positive negotiations (settle $676k+ / high estimate $851k+ none of which was caused by fraud, waste or abuse) Alex (Huntington Ofner) Updates: *May is MH Month, MH Walk May 25, farther than last year – MHA Dinner, May 5 *Youth MH First Aid - Alex and Christopher Driscoll – May 21 – vacancies, contact Alex: [EMAIL REDACTED] or [PHONE REDACTED] *Proclamations from City and from County at respective May meetings (Mark: all events bigger this year; Alex has done a great job coordinating) County Jail is part of a pilot program offering Vivitrol treatment for qualified volunteer inmates, diagnosed as opioid users – at time of release, inmates at greater risk over overdose; with Vivitrol injection the person has approximately 30 days to connect with treatment – injections donated by manufacturer in jail and help with co-payment while in Vivitrol treatment (Lisa Cutia: this additional support helps reduce recidivism) – next Jail Services meeting May 5; discuss grant opportunity in collaboration with other counties Emergency Services Meeting – Thursday, April 28 with CRMC reviewing after-hour and emergency protocols Long Term Managed Care Committee established; with providers to problem-solve – next meeting May 18, 12:30 in County Office Building Syracuse Recovery Services, LLC – provisional approval transfer of ownership of ASI – RFP for jail services to be reviewed by County Attorney Regional Updates – Katko/Magnarelli meetings – development of crisis system (money saved from inpatient bed closures) Tie in funding streams DSRIP) creation of crisis/emergency services – many issues when trying to use multiple sources of funding DSRIP – Next regional meeting May 4, 2:00 at Cayuga Medical Center – DSRIP struggling to get community based organizations to sign contracts of partnership: DSRIP willing to do targeted outreach to achieve – MH Department, Health Department, DSS, Department on Aging meeting with County Attorney regarding possibly one blanket contract with Care Compass Network, still retain autonomy Next Regional Planning Unit Behavioral Health Subcommittee meeting May 11 @ 2:00 – location TBD Implementation timeline of Adult BH Managed Care throughout NYS provided – State meeting in Albany May 2-3, presentations by Commissioner of MH and DOH to discuss Medicaid Managed Care – Don Noble asked Mark to discuss the progress of roll out up to this point – live in NYC, difficulty with billing/payments due to new processes, other problems due to new regulations which were not clear or in place – ideally these problems will be resolved before the remainder of the State begins participating. Managed Care presents challenges in coordination of care and being able to navigate through various systems – concern is that consumers do not get the same level of personal service and are not able to have services, or stop receiving the services, they need – the cohesive nature of Cortland County providers of care, will make it possible to develop processes to ensure no one falls through the cracks Agenda Item: 2017 Annual County Plan – Survey and Conversation Needs Assessment Report 2016 (copy provided) filed last year, can be used as a template to begin 2017 Annual Plan – there have been accomplishments since last year but many of the priorities are ongoing (local voice, services being tracked and monitored, transportation, etc.) – Subcommittees, priorities broken down by each discipline – highlight needs and unique challenges for Cortland County in our Plan – (Chris Hyde: does population in summary include students? Discussion about students from SUNY Cortland effecting local services - it would be helpful if there was more college involvement in this process) – surveys were sent out to distribution lists for all subcommittees and CSB, only 20 returned – data will be compiled and discussed at May Subcommittee meetings Agenda Item: Discussion: Orientation meeting Set date after Legislature vote May 26 Next Meeting: Joint CSB / Subcommittees meeting May 24, 2016 – Legislative Chambers / Pre-CSB meeting May 17 – 12:30 p.m. @ MH Clinic Agenda Item: Adjourn Chair Lisa Cutia asked for a motion to adjourn Motion made by Jackie Leaf, seconded by Donald Noble – meeting adjourned at 5:30 p.m. Minutes submitted by Gail L. Spitzer [EMAIL REDACTED] [PHONE REDACTED] Minutes available upon request – Posting to County Website currently unavailable