RevisedAgenda - HealthWest · 9/28/2018 · MOTION CARRIED WITH MR. SCHRIER AND DR. SPRAGUE ABSTAINING. HWB-164 – It was moved by Commissioner Snider, seconded by Commissioner

TO: HealthWest Board Members

FROM: Janet Thomas, Chair, via Julia Rupp, Executive Director

SUBJECT: Full Board MeetingSeptember 28, 20188:00 AM – Mental Health Center, Board Room B

1) Call to Order

2) Approval of Minutes of August 31, 2018(Previously Forwarded)

Action

3) Committee Reports

A) Finance Committee(Attachment #1)

Action

4) Items for Consideration

A)

B)

C)

D)

E)

F)

Authorization to Approve the List of Contractual Changes for theEnclosed Providers for FY 18(Attachment #2)

Authorization to Contract with the Lakeshore Regional Entity10/1/2018 to 9/30/2019(Attachment #3)

Authorization to Accept Proposed Vendor/Provider Changes List inAttachment A(Attachment #4)

Authorization to Approve the Re-privileging of Gregory Green, MD(Attachment #5)

Authorization to Add Two (2) Full-time Stabilization SpecialistPositions and Three (3) Master’s Level Clinicians(Attachment #6)

Authorization to Reclassify a Supports Coordinator Position to aWrap-Around Coordinator Position(Attachment #7)

Action

Action

Action

Action

Action

Action

Revised Agenda

September 28, 2018Page 2 of 2

The County of Muskegon will provide necessary reasonable auxiliary aides and services, such as signers for the hearing impairedand audio tapes of printed materials being considered at the meeting, to individuals with disabilities who want to attend the meetingupon 24-hours’ notice to the County of Muskegon. Individuals with disabilities requiring auxiliary aids or services should contact theCounty of Muskegon by writing or calling Administration, Hall of Justice, Fourth Floor, 990 Terrace Street, Muskegon, MI 49442(231/724-6505 TDD-231/722-4103).

G) Authorization to Sign a Contract with Michigan Public HealthInstitute (MPHI)(Attachment #8)

Action

5) Old Business

6) New Business

7) Communication

A) Director’s Report(To be distributed)

Information

8) Audience Participation

9) Adjournment Action

/ab

c: County Administration

HEALTHWEST

FULL BOARD MEETING MINUTES

September 28, 20188 a.m.

Mental Health Center

CALL TO ORDER

The regular meeting of the Full Board was called to order by Chair Thomas at 8:02 a.m.

ROLL CALL

Members Present: Janet Thomas, Marvin Engle, Charles Nash, Jason ColemanJeff Fortenbacher, John Snider, II, Cheryl Natte, Dr.Remington Sprague,John Schrier, Stephanie Umlor

Members Excused: None

Others Present: Brandy Carlson, Amber Berndt, Dave McElfish, Susan Plotts, JudyCohen, Marcia Vandenburg, Julia Rupp

Guests: None

MINUTES

It was moved by Mr. Schrier, seconded by Mr. Coleman, to approve the minutes of the August31, 2018, meeting as written.

MOTION CARRIED.

COMMITTEE REPORTS

Finance Committee via Janet Thomas

HWB–155 – It was moved by Commissioner Snider, seconded by Commissioner Engle, toapprove the expenditures for the month of August in the amount of $5,843,199.02.

MOTION CARRIED.

HWB-156 – It was moved by Commissioner Snider, seconded by Commissioner Engle, toaffirm continuation of HealthWest agreements that are non-expiring and include State Facilities,Medicaid Health Plans, Commercial Health Insurance Plans, Interagency Agreements (most ofwhich have no monetary exchange), Colleges/Universities Affiliation Agreements, CMHSPBoard Access Agreements (County of Financial Responsibility (COFR)), Substance AbuseReferral Agreements, and Nursing Home Agreements. With the exception of the StateFacilities, Commercial Health Insurance Plans and COFR Agreements, these agreements areprimarily for coordination and collaboration of our services. All may be terminated by writtennotification to the other party with an effective date of termination.

MOTION CARRIED WITH MR. FORTENBACHER ABSTAINING.

HWB-157 – It was moved by Commissioner Snider, seconded by Commissioner Engle, toapprove the enclosed list of changes/additions to HealthWest contractual purchases listedabove which total $185,000.00, with no change to the current budget approved by theHealthWest Board on May 25, 2018 required to meet these needs.

MOTION CARRIED.


HWB-158 – It was moved by Commissioner Snider, seconded by Commissioner Engle, toauthorize a request for pricing for leases of ten vehicles from the State Vehicle Procurement (MIDeal) list to replace or supplement vehicles for HealthWest.

MOTION CARRIED.

HWB-159 – It was moved by Commissioner Snider, seconded by Commissioner Engle, toaccept the listed FY 2019 inpatient, partial hospitalization, and ECT rates with the fourteen (14)Community Inpatient providers listed on Attachment A: Hospitals Contracting with the InpatientAffiliation for FY 2019, effective October 1, 2018 through September 30, 2019, at the listed ratesfor each hospital.

MOTION CARRIED WITH DR. SPRAGUE ABSTAINING.

HWB-160 - It was moved by Commissioner Snider, seconded by Commissioner Engle, toapprove the extension of Fiscal Year 2017/2018 vendor/provider contracts for up to ninety (90)days for those vendors/providers who have not completed Fiscal Year 2018/2019 ratenegotiations or submitted their Provider Network Re-Applications.

MOTION CARRIED.

HWB-161 - It was moved by Commissioner Snider, seconded by Commissioner Engle, tocontinue contracts with the aforementioned Substance Use Disorder Services vendors/providersto continue providing treatment services effective October 1, 2018 through September 30, 2019.


HWB-162 - It was moved by Commissioner Snider, seconded by Commissioner Engle, toaccept the proposed changes by those vendors/providers listed in Attachment A: FY 2018/2019Proposed Vendor Changes, effective October 1, 2018 through September 30, 2019.

MOTION CARRIED.

HWB-163 – It was moved by Commissioner Snider, seconded by Commissioner Engle, tocontract with those service vendors/providers who have submitted written agreements tocontinue service provision at the current Fiscal Year 2017/2018 rates for the time periodeffective October 1, 2018 through September 30, 2019.

MOTION CARRIED WITH MR. SCHRIER AND DR. SPRAGUE ABSTAINING.

HWB-164 – It was moved by Commissioner Snider, seconded by Commissioner Engle, toauthorize the HealthWest Executive Director to sign a contract with Poppy Hernandez to providecultural diversity training for all HealthWest staff effective November 1, 2018 through September29, 2019, not to exceed $3,000.00.

MOTION CARRIED.

HWB-165 – It was moved by Commissioner Snider, seconded by Commissioner Engle, toauthorize the HealthWest Executive Director to sign a contract with American YouthFoundation/Camp Miniwanca to provide parent and youth leadership camps from November 1,2018 through November 3, 2018, not to exceed $4,000.00.

MOTION CARRIED.


ITEMS FOR CONSIDERATION

Authorization to Approve the List of Contractual Changes for the Enclosed Providers forFY 2018

HWB-166 – It was moved by Commissioner Engle, seconded by Mr. Snider, to approve theenclosed list of changes/additions to HealthWest contractual purchases listed above which total$339,854.00, with no change to the current budget approved by the HealthWest Board onMay 25, 2018 required to meet these needs.

MOTION CARRIED WITH MR. SCHRIER ABSTAINING.

Authorization to Contract with the Lakeshore Regional Entity 10/1/2018 to 9/30/2019

HWB-167 - It was moved by Commissioner Engle, seconded by Ms. Umlor, to authorize theHealthWest Executive Director to sign the FY2019 contract between HealthWest and theLakeshore Regional Entity effective October 1, 2018 through September 30, 2019, to providethe following services: Medicaid Managed Specialty Supports and Services, Concurrent 1915(b)(c) Waiver Program(s),The Healthy Michigan Program, Flint 1115 Demonstration Waiver,and Substance Use Disorder Community Grant Programs.

MOTION CARRIED.

Authorization to Accept Proposed Vendor/Provider Changes List in Attachment A

HWB-168 - It was moved by Commissioner Engle, seconded by Commissioner Snider, toaccept the proposed changes by those vendors/providers listed in Attachment A: FY 2018/2019Proposed Vendor Changes, effective October 1, 2018 through September 30, 2019.

MOTION CARRIED WITH MR. SCHRIER ABSTAINING.

Authorization to Approve the Re-privileging of Gregory Green, MD

HWB-169 – It was moved by Ms. Natte, seconded by Commissioner Snider, to approve thecontinued privileging of Gregory G. Green, M.D. in the areas of psychiatric evaluation,psychopharmacology, medical evaluation, certification, and authorize/approve clinical treatmentand clinical/internship supervision for licensure for the MI Adult, MI Child, DD, Geriatric, andChemical Dependence populations, effective for two (2) years from the date of approval.

MOTION CARRIED.

Authorization to add two (2) Full-time Stabilization Specialist Positions and three (3)Master’s Level Clinicians

HWB-170 - It was moved by Mr. Schrier, seconded by Dr. Sprague, to authorize the addition ofthree (3) Master’s Level Clinician positions (Pay Grade HX-00250, Funding Org 7320) and two(2) Stabilization Specialist (Pay Grade HX-00160, Funding Org 7334) effective October 1, 2018.

MOTION CARRIED.

Authorization to Reclassify a Supports Coordinator Position to a Wrap-AroundCoordinator Position

HWB-171 - It was moved by Commissioner Engle, seconded by Mr. Coleman, to authorize thereclassification of the Supports Coordinator, position X11127/7341 (Pay Grade HX-00160) to aWrap-Around Coordinator (Pay Grade HX-00210, Funding Org 7040) effective September 28, 2018.

MOTION CARRIED.


Authorization to sign a contract with Michigan Public Health Institute (MPHI)

HWB-172 - It was moved by Dr. Sprague, seconded by Commissioner Snider, to approve theHealthWest Executive Director or designee sign a contract with the Michigan Public HealthInstitute (MPHI) to assist in their carrying out the activities and its obligations of the StateInnovation Model Project (SIM) under the Funding Source Agreement they have with theMichigan Department of Health and Human Services (MDHHS), effective October 1, 2018through September 30, 2019, at a rate of $50.00 per hour, not to exceed the sum of$120,000.00.

MOTION CARRIED.OLD BUSINESS

There was no old business.

NEW BUSINESS

There was no new business.

COMMUNICATION

A. Director’s Report(See Attached)

B. Mr. Snider shared with the board that it is anticipated that the Beacon/LRE contract willbe ready for signatures this morning.

C. Mr. Fortenbacher brought up a topic he feels is important that we keep our eye on, andthat’s both the Medicaid work requirements and the increase in minimum wage. Hefeels as though we’ll be okay with the work requirements but one concern if theyincrease the minimum wage is how it will be funded. Ms. Rupp discussed how it willpredominantly affect our CLS workers however, if you increase the minimum wage, youalso have to increase everyone else as well. Legislature does not support that. Anotherimportant effect from the wage increase is that it will likely affect many who will nowmake too much to qualify for Medicaid and then those individuals become thecommunity’s responsibility.

AUDIENCE PARTICIPATION

There was no audience participation.

ADJOURNMENT

There being no further business to come before the board, the meeting adjourned at 8:27 a.m.

Respectfully,

Janet ThomasBoard Chair

/abPRELIMINARY MINUTES

To be approved at the Full Board Meeting of October 26, 2018

HEALTHWEST

FINANCE COMMITTEE REPORT TO THE BOARD

via John Snider, Committee Chair

1. The Finance Committee met on September 21, 2018.

* 2. It was recommended, and I move, to approve expenditures for the month ending August31, 2018, in the total amount of $5,843,199.02.

* 3. It was recommended, and I move, to affirm continuation of HealthWest agreements thatare non-expiring and include State Facilities, Medicaid Health Plans, Commercial HealthInsurance Plans, Interagency Agreements (most of which have no monetary exchange),Colleges/Universities Affiliation Agreements, CMHSP Board Access Agreements(County of Financial Responsibility (COFR)), Substance Abuse Referral Agreements,and Nursing Home Agreements. With the exception of the State Facilities, CommercialHealth Insurance Plans and COFR Agreements, these agreements are primarily forcoordination and collaboration of our services. All may be terminated by writtennotification to the other party with an effective date of termination.

* 4. It was recommended, and I move, to approve the enclosed list of changes/additions toHealthWest contractual purchases listed above which total $185,000.00, with no changeto the current budget approved by the HealthWest Board on May 25, 2018 required tomeet these needs.

* 5. It was recommended, and I move, to authorize a request for pricing for leases of tenvehicles from the State Vehicle Procurement (MI Deal) list to replace or supplementvehicles for HealthWest.

* 6. It was recommended, and I move, to accept the listed FY 2019 inpatient, partialhospitalization, and ECT rates with the fourteen (14) Community Inpatient providerslisted on Attachment A: Hospitals Contracting with the Inpatient Affiliation for FY 2019,effective October 1, 2018 through September 30, 2019, at the listed rates for eachhospital.

* 7. It was recommended, and I move, to approve the extension of Fiscal Year2017/2018 vendor/provider contracts for up to ninety (90) days for thosevendors/providers who have not completed Fiscal Year 2018/2019 ratenegotiations or submitted their Provider Network Re-Applications.

* 8. It was recommended, and I move, to continue contracts with the aforementionedSubstance Use Disorder Services vendors/providers to continue providing treatmentservices effective October 1, 2018 through September 30, 2019.

* 9. It was recommended, and I move, to accept the proposed changes by thosevendors/providers listed in Attachment A: FY 2018/2019 Proposed Vendor Changes,effective October 1, 2018 through September 30, 2019.

*10. It was recommended, and I move, to contract with those service vendors/providers listedin Attachment A who have submitted written agreements to continue service provision atthe current Fiscal Year 2017/2018 rates for the time period effective October 1, 2018through September 30, 2019.

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Attachment #1

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Page 1 of 2

*11. It was recommended, and I move, to authorize the HealthWest Executive Director tosign a contract with Poppy Hernandez to provide cultural diversity training for allHealthWest staff effective November 1, 2018 through September 30, 2019, not toexceed $3,000.00.

*12. It was recommended, and I move, to authorize the HealthWest Executive Director tosign a contract with American Youth Foundation/Camp Miniwanca to provide parent andyouth leadership camps from November 1, 2018 through November 3, 2018, not toexceed $4,000.00.

/ab

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Page 2 of 2

HEALTHWEST

FINANCE COMMITTEE MEETING MINUTESFriday, September 21, 2018

8:00 a.m.Mental Health Center

Board Room

CALL TO ORDER

The regular meeting of the Finance Committee was called to order by Chair Snider at 8:00 a.m.

ROLL CALL

Committee Members Present: Marvin Engle, Charles Nash, Janet Thomas, Jeff Fortenbacher, JohnSnider, Dr. Remington Sprague

Committee Members Excused: None

Add’l Board Members Present: Jason Coleman

Also Present: Brandy Carlson, Amber Berndt, Sam Wolff, Dave McElfish, Judy Cohen,Marcia Vandenberg, Pam Beane

Guests: None

MINUTES

It was moved by Commissioner Engle, seconded by Commissioner Nash, to approve the minutes of theAugust 24, 2018, meeting as written.

MOTION CARRIED.

ITEMS FOR CONSIDERATION

A. Approval of Expenditures for August 2018

It was moved by Ms. Thomas, seconded by Dr. Sprague, to approve expenditures for the month endingAugust 31, 2018, in the total amount of $5,843,199.02.

MOTION CARRIED.

B. Interim Analysis of Expenditures

Ms. Carlson presented the expenditures for the month of August 2018 noting that HealthWest is 4.6%under budget.

C. Interim Analysis of Revenues

Ms. Carlson presented the Interim Analysis of Revenues through August 31, 2018. There was nothingunusual to report.


D. Interim Balance Sheets of August 2018

Ms. Carlson presented the Interim Balance Sheets of August 2018, noting that there was a negativecash balance of ($2,395,472.49) for Fund 2220. Fund 7930 has a positive cash balance of$395,157.92.

E. HealthWest Expenditures Financial Statement

Ms. Carlson presented the HealthWest Expenditure report for August 2018 which shows the estimatedtrue variance to date of ($177,376). Expenditures are under budget to date.

F. Finance Update – Fees and Inpatient Summary

The Substance Abuse Fee Report has a negative total variance of ($5,327) through the month ofAugust 2018. It should be noted that this variance report is based on the budget approved by theHealthWest Board during the month of May 2018.

The Other Fees Report has a negative total variance of ($1,932,938) through the month of August2018. The variance report is based on the budget approved by the HealthWest Board during the monthof May 2018.

The Inpatient Summary Report indicates a negative variance to date of ($319,691) for CommunityInpatient, which is based on the budget approved by the HealthWest Board during the month of May2018.

G. Budget Variance Analysis Report

Our projected budget variance, based on the budget approved by the HealthWest Board during themonth of May 2018 is a little over ($1,661,034). Contingencies of $815,555 have been made torecognize risk management activities (such as the implementation of the CANS and ANSAassessments and contract rate negations) and the Medicaid Supplemental. That would leave us with anet negative variance of approximately ($845,479) after the first 11 months of the fiscal year. Due to thedifferent periods of the budget year that these variances are calculated over, this would prorate out to anegative variance of approximately ($1,113,464) for the whole fiscal year.

However, this figure does not really give us a true picture of where we stand as we are not able to usethe different funding sources (i.e., State GF and Medicaid, etc.) to offset each other’s shortfalls.Therefore, a truer picture would be as follows:

Medicaid (Traditional) ($636,670)Medicaid (Healthy Michigan) ($406,770)Medicaid (Autism) $95,620State General Fund ($165,645)

H. Month End Projection Trends

Ms. Carlson presented the month-end projection trends for board member review.

I. Medicaid Eligibles by Program

Ms. Carlson presented the Medicaid Eligibles trends for HM, DAB, and TANF for board member review.


J. Authorization to Affirm the Continuation of the Non-expiring HealthWest Agreements Listed inAttachment A.

It was moved by Ms. Thomas, seconded by Commissioner Engle, to affirm continuation of HealthWestagreements that are non-expiring and include State Facilities, Medicaid Health Plans, CommercialHealth Insurance Plans, Interagency Agreements (most of which have no monetary exchange),Colleges/Universities Affiliation Agreements, CMHSP Board Access Agreements (County of FinancialResponsibility (COFR)), Substance Abuse Referral Agreements, and Nursing Home Agreements. Withthe exception of the State Facilities, Commercial Health Insurance Plans and COFR Agreements, theseagreements are primarily for coordination and collaboration of our services. All may be terminated bywritten notification to the other party with an effective date of termination.

MOTION CARRIED WITH MR. FORTENBACHER ABSTAINING.

K. Authorization to Approve the Enclosed List of Changes/Additions to HealthWest Contractual Purchases

It was moved by Commissioner Nash, seconded by Commissioner Engle, to approve the enclosed listof changes/additions to HealthWest contractual purchases listed above which total $185,000.00, withno change to the current budget approved by the HealthWest Board on May 25, 2018 required to meetthese needs.

MOTION CARRIED.

L. Authorization to Request Pricing for the Leasing of Ten (10) Vehicles from the State VehicleProcurement (MI Deal)

It was moved by Commissioner Engle, seconded by Ms. Thomas, to authorize a request for pricing forthe leasing of ten (10) vehicles from the State Vehicle Procurement (MI Deal) list to replace orsupplement vehicles for HealthWest.

MOTION CARRIED.

M. Authorization to Accept Rates for the Fourteen (14) Community Inpatient Providers Listed inAttachment A

It was moved by Ms. Thomas, seconded by Mr. Fortenbacher, to accept the listed FY 2019 inpatient,partial hospitalization, and ECT rates with the fourteen (14) Community Inpatient providers listed onAttachment A: Hospitals Contracting with the Inpatient Affiliation for FY 2019, effective October 1, 2018through September 30, 2019, at the listed rates for each hospital.


N. Authorization to Approve the Extension of 2017/2018 Contracts Who are Still in Negotiations

It was moved by Commissioner Nash, seconded by Commissioner Engle, to approve the extension ofFiscal Year 2017/2018 vendor/provider contracts for up to ninety (90) days for those vendors/providerswho have not completed Fiscal Year 2018/2019 rate negotiations or submitted their Provider NetworkRe-Applications.

MOTION CARRIED.

O. Authorization to Contract with the Attached SUD Service Providers through September 30, 2019

It was moved by Commissioner Nash, seconded by Commissioner Engle, to continue contracts with theaforementioned Substance Use Disorder Services vendors/providers to continue providing treatmentservices effective October 1, 2018 through September 30, 2019.



P. Authorization to Accept the Proposed Changes by Vendors in the Attached List

It was moved by Commissioner Engle, seconded by Commissioner Nash, to accept the proposedchanges by those vendors/providers listed in Attachment A: FY 2018/2019 Proposed Vendor Changes,effective October 1, 2018 through September 30, 2019.

MOTION CARRIED.

Q. Authorization to Contract with Service Providers who have agreed to Continue Services at 2017/2018Rates

It was moved by Mr. Fortenbacher, seconded by Commissioner Nash, to contract with those servicevendors/providers listed in Attachment A who have submitted written agreements to continue serviceprovision at the current Fiscal Year 2017/2018 rates for the time period effective October 1, 2018through September 30, 2019.


R. Authorization to Contract with Poppy Hernandez for Cultural Diversity Training

It was moved by Commissioner Nash, seconded by Commissioner Engle, to authorize the HealthWestExecutive Director to sign a contract with Poppy Hernandez to provide cultural diversity training for allHealthWest staff effective November 1, 2018 through September 30, 2019, not to exceed $3,000.00.

MOTION CARRIED.

S. Authorization to Contract with Camp Miniwanca to Provide Leadership Camps for both Parents andYouth

It was moved by Commissioner Engle, seconded by Dr. Sprague, to authorize the HealthWestExecutive Director to sign a contract with American Youth Foundation/Camp Miniwanca to provideparent and youth leadership camps from November 1, 2018 through November 3, 2018, not to exceed$4,000.00.

MOTION CARRIED.

OLD BUSINESS

There was no old business.

NEW BUSINESS

There was no new business.

COMMUNICATIONS

Mr. Snider updated the Board on the LRE’s progress working towards an accepted agreement with Beaconand it is expected that they will reach a deal by the end of the month.

Ms. Carlson notified the Board of HealthWest being awarded the two-year $2 million dollars/year CCBHC grantfunding along with WMCMH, Allegan CMH, and Easter Seals.

DIRECTOR’S COMMENTS

There were no communications from the Director.


AUDIENCE PARTICIPATION

There was no audience participation.

ADJOURNMENT

There being no further business to come before the committee, the meeting adjourned at 8:44 a.m.

Respectfully,

John SniderCommittee Vice-Chair

JS/ab

PRELIMINARY MINUTESTo be approved at the Finance Meeting of

October 19, 2018

The County of Muskegon will provide necessary reasonable auxiliary aids and services, such as signers for the hearing impaired and audio tapes ofprinted materials being considered at the meeting, to individuals with disabilities who want to attend the meeting upon twenty-four hours notice to theCounty of Muskegon. Individuals with disabilities requiring auxiliary aids or services should contact the County of Muskegon by writing or calling thefollowing: Administration, Hall of Justice, Fourth Floor, 990 Terrace Street, Muskegon, Michigan 49442, (231) 724-6505. TDD - (231) 722-4103.

REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION

COMMITTEEFinance Committee

BUDGETED NON BUDGETED PARTIALLY BUDGETEDX

REQUESTING DIVISIONAdministration

REQUEST DATESeptember 28, 2018

REQUESTOR SIGNATUREBrandy Carlson, Chief Financial Officer

SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES)

Approval of the following changes/additions to HealthWest contractual purchases is requested from theHealthWest Board for FY 2018.

PO # Vendor Board Motion Amount Amount Needed Increase Amount18180153 Daybreak HWB-138 $418,850 $485,850 $67,00018180842 Harbor Hall 109, 135, 144 $16,000 $21,000 $5,00018180072 Amanda Family HWB-138 $518,646 $531,000 $12,35418180089 Crockery Creek HWB-138 $47,200 $48,700 $1,50018180076 Fa-Ho-Lo Family HWB-138 $521,840 $553,840 $32,00018180078 Kelly's Kare HWB-138 $196,000 $204,000 $8,00018180091 Kelly Grant - CLS 139, 144 $237,400 $252,400 $15,00018180221 Ronald Debose HWB-135 $25,000 $35,000 $10,00018180154 Samaritas HWB-139 $1,632,395 $1,692,395 $60,00018180135 HGA – Autism 140, 144 $845,000 $919,000 $74,00018180136 Goodwill 139, 131 $522,000 $572,000 $50,00018180086 Lydia Hodges HWB-138 $158,000 $163,000 $5,000

Total Amount $339,854

Muskegon County Accounting Department is requesting assurance that there are proper approvals in placefor all contractual purchases, including increases to existing contracts/purchase orders.

The above list includes those contracts or purchase orders whose earlier board motions were approved foran amount lower than the current contractual Purchase Orders. The request is to increase the Board-approved amounts to match the current Purchase Orders.

There is no change to the current budget approved by the HealthWest Board on May 25, 2018 required tomeet these needs.

SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES)

I move to approve the enclosed list of changes/additions to HealthWest contractual purchases listed abovewhich total $339,854.00, with no change to the current budget approved by the HealthWest Board onMay 25, 2018 required to meet these needs.

COMMITTEE DATE COMMITTEE APPROVALYes No Other

BOARD DATE BOARD APPROVALYes No Other

HWB 166-B

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Attachment #2


COMMITTEEFinance Committee


REQUESTING DIVISIONHealthWest


REQUESTOR SIGNATUREBrandy Carlson, Chief Financial Officer


Authorization is requested to approve signing the FY 2019 contract between HealthWest and the LakeshoreRegional Entity for the following services, effective October 1, 2018 through September 30, 2019.

Medicaid Managed Specialty Supports and ServicesConcurrent 1915 (b)(c) Waiver Program(s)The Healthy Michigan ProgramFlint 1115 Demonstration WaiverSubstance Use Disorder Community Grant Programs

Attached you will find a summary list of the changes from the FY2018 PIHP/CMHSP Sub Contract.


I move to authorize the HealthWest Executive Director to sign the FY2019 contract between HealthWestand the Lakeshore Regional Entity effective October 1, 2018 through September 30, 2019, to provide thefollowing services: Medicaid Managed Specialty Supports and Services, Concurrent 1915 (b)(c) WaiverProgram(s),The Healthy Michigan Program, Flint 1115 Demonstration Waiver, and Substance Use DisorderCommunity Grant Programs.



HWB 167-B

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Attachment #3

FY2019 PIHP/CMHSP Sub Contract - Summary of Changes from FY2018

IDENTIFIED CHANGEMDHHS/PIHP

Page #FY2019 PIHP/CMHSP

Revision Page #Part I, Section 7.0 - PIHP Responsibilities 16

Amendment #1 – P.3N/A

Part I, Section 18.1.13 HCBS Transition Implementation 25Amendment #1 – P.4

23 Paragrapheffective October 1st

Part II, Section 6.3 Customer Services and AttachmentP6.3.1 229 - 261

Amendment #1 – P. 5-48

N/A – SeeReferenced

AttachmentsPart II, Section 6.3.1 Recipient Rights/Grievance andAppeals and Attachment P6.3.1.1 262 – 288

Amendment #1 – P.49 – 76


AttachmentsPart II, Section 7.8.2.6 Programs with CommunityInpatient Hospitals

60Amendment #1 – P.77

N/A

Part II, Section 8.4.1.7 Autism including Behavior AnalysisPayments (no longer applicable)

70Amendment #1 – P. 78

NA

Part II, Section 8.4.1.7 Medical Loss Ratio (to replaceformer Autism section now removed from contract) 77 NA

Part II, Section 8.4.2.1 Integration of Behavioral Healthand Physician Health Services 72 N/A

Part IIB, Section 11.0 Subcontractor Information to BeRetained at the PIHP 87 N/A

Contract attachment P4.1.1 Person Centered Planning.134

Amendment #1 – P. 82


AttachmentsContract attachment P7.7.1.1 PIHP ReportingRequirements 331

Amendment #1 – P.


AttachmentsContract attachment P8.0.1 PIHP rate certificationletters, SUD block grant allocations and Section 428schedules

407 N/A

Part I, Section 33.0 Program Integrity with Office ofInspector General (OIG) updates


6923 K

Part I, Section 18.1.14 Compliance with 42 CFR 438 StateResponsibilities


2423 K

Part II, Section 2.9 IMD Services per CMS requirements 51Amendment #2 – P.38

N/A

Part II, Section 4.13 Recovery Policy removing identicalsection from pages 38-39 as this section is duplicated onpage 40 of the contract.

44 N/A

Part II, Section 7.7.5 adding new section for MichiganFidelity Assistance Support Team (MiFAST) boilerplatelanguage


51 A LastParagraph55

Part II, Section 7.7.6 adding new section for GlobalAppraisal of Individual Needs (GAIN) I Core Process 57

Amendment #2 – P.6627 Q28

Part II, Section 7.8.2.4 Third Party ResourceRequirements


N/A

Part II, Section 8.4.2 Contract Withholds technicalcorrection


N/A

REVISED ATTACHMENTS (Amendment #2)

Attachment P1.4.1 TR for Behavior Treatment Plans

Attachment P4.4.1.1 Person Centered Planning Policy

Attachment P6.3.1 Customer Service Standards Tag line addition

Attachment P7.1.1 Credentialing and Re-credentialing Process technical correction

Attachment P7.7.1.1 PIHP Reporting Requirements – technical and format changes to include:

· Removal PIHP of Administrative Cost Report· Removal of Medicaid HRA Report· Add Medicaid Services Verification Report· Add Office of Inspector General Program Integrity activity reporting· Add six month Medicaid Unit Net Cost report with new language

Attachment P39.0.1 Compliance Examination Guidelines

ADDED/EDITED LANGUAGE:

Page 8(Deleted)

Remove Exhibit G: Training Grid

Page 11(Edited)

E. Responsibilities Grid: Exhibit A: Responsibilities Grid is currently undernegotiation. This item serves as a placeholder until such time as thesenegotiations are complete.

Page 11(Deleted)

G. 2 Service Selection Guidelines for intensity scope and duration

Page 17(Added)

12. Member will ensure that the provider directory is available in paper orelectronic form upon request without charge. It must also be available onthe Member’s website in a machine-readable file and format.

Page 301(Added)

8. Member shall notify Payor within six (6) days of any changes to thecomposition of the provider network organizations that negatively affectaccess to care. Changes in provider network composition that MDHHSdetermines to negatively affect recipient access to covered services maybe grounds for sanctions.

Page 61(edited)

Updated form name/number of the MDHHS Standard Consent form to MDHHS5515.

Page 913(Removed)

Exhibit E: Performance Incentive Payment

Page 913(Add)

Exhibit E: Subrecipient Award

IDENTIFIED CHANGEMDHHS/PIHP FY2019 AMENDMENT #1

MDHHS/PHIPPage #

FY2019 PIHP/CMHSPRevision Page#

7.8.2.6. Programs with Community Inpatient Hospitals Amendment 1 – Page 3 N/A

7.9.3 – MDHHS Standard Consent Form Amendment 1 – Page 4

Page 613 – MDHHSStandard Consent

FormPart II.A Sections 7.8.2.6 Programs with CommunityInpatient Hospitals, 7.9.3 MDHHS Standard ConsentForm, 8.4.2.1 Performance Bonus Incentive Pool

Amendment 1 –Page 5 -8 N/A

32.1 Medication Assisted Treatment (MAT)Amendment 1 –

Page 9 N/AGambling37.0 Michigan Gambling Disorder PreventionProject (MGDPP)

Amendment 1 –Page 10 – 11 N/A

Attachment P.7.7.1.1 – PIHP Non-Financial ReportingRequirements Schedule Including SUD Reports

Amendment 1 –Page 12 N/A

Attachment P.8.0.1 – Contract FinancingAmendment 1 –

Page 15 & Following N/A

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the rule. The Member will cooperate with MDHHS and the Payor policy guidance and monitoring standards which will include what functions are delegated, oversight standards and expectations, remediation strategies for both initial and ongoing compliance, to assure full compliance with the HCBS requirements and the state's approved transition plan no later than March 2019 as required by the rule.

Effective October 1, 2017, the Member will not enter into new contracts with new providers of services covered by the Federal HCBS Rule (42 CFR Parts 430,431, 435, 436, 440, 441 and 447) unless the provider has obtained provisional approval status through completion of the HCBS New Provider Survey, demonstrating that the provider does not require heightened scrutiny. Provisional approval allows a new provider or an existing provider with a new setting or service to provide services to HCBS participants for 90 days. Providers and participants will receive the comprehensive HCBS survey within 90 days of the individuals IPOS. Providers will complete the HCBS survey and cooperate with the PIHP to demonstrate 100% compliance with the Federal HCBS rule and State requirements as promulgated by the Michigan Department of Health and Human Services and documented in the Michigan Statewide Transition Plan. Failure to complete the provisional approval process and the ongoing approval process will result in the exclusion from participating in Medicaid or Healthy Michigan Plan funded HCBS services.

K. 42 CFR 438 State Responsibilities (Part I, Section 18.1.4). Member will comply with Part I, Section 18.1.4 of the MDHHS/PIHP Contract, including but not limited to: a. Make written materials that are critical to obtaining services available in

the prevalent non-English languages in its particular service area. b. Make written materials available in alternative formats upon request of

the potential enrollee or enrollee at no cost. Auxiliary aids and services must also be made available upon request of the potential enrollee or enrollee at no cost.

c. Make oral interpretation available in all languages and written translation available in each prevalent non-English language.

d. Make available in paper form upon request and electronic form, the providers web site URL. This at a minimum must include the following provider types. • Physicians, including specialists; • Hospitals; • Pharmacies; • Behavioral health providers • LTSS providers, as appropriate.

L. Management Information Systems (Part II, Section 7.7) The Member

shall ensure that Management Information Systems and practices have the

27

c. Use of software Service Manager (use Deerfield product name) purchased through Deerfield Behavioral Health with costs covered by BHDDA through Mental Health and Wellness Commission funding.

2. Ensure that each individual 18 years and older with a severe mental illness, who is receiving services on or after as of October 1, 2017, has a LOCUS completed as part of any re-assessment process during that and subsequent fiscal years.

3. Collaborate with the Payor for ongoing fidelity monitoring on the use of the tool.

4. Provide to the Payor the composite [and discrete data field not in PIHP Contract] scores for each LOCUS that is completed in accord with the established MDHHS reporting guidelines.

P. Adult Needs Strength Assessment (ANSA) Beginning January 1, 2018, the Adult Needs and Strengths Assessment (ANSA) will be administered by the Member for all new MI Adults at intake, and thereafter quarterly, when clinical presentation changes, and at discharge consistent with Payor policy and procedure.

Q. GLOBAL ASSESSMENT OF INDIVIDUAL NEED (GAIN) i-CORE (Part II,

7.7.6) Member will begin to use the GAIN-I Core as the exclusive substance use Disorder assessment tool and format beginning on 10/1/2018, with full implementation by March 30, 2019. By September 30, 2019, all other forms of biopsychosocial assessments will be eliminated

R. National Core Indicators (NCI) (Part II, Section 7.7.4) The Member will provide mailing addresses for the identified participants in

their geographic region who have been selected by the MDHHS for the NCI Surveys. The Member shall also obtain consents, coordinate appointments, and provide required background information on selected participants as necessary for the MDHHS’s identified contractor to complete face to face interviews with identified participants in the Member’s geographic region (a total of 400 interviews will be completed for the entire State of Michigan). The Member shall help with dissemination and use of the NCI data in the Member’s quality improvement activities.

S. Integrated Physical and Mental Health Care (Part II, Section 7.4) The Member will initiate affirmative efforts to ensure the integration of primary and specialty behavioral health services for beneficiaries. These efforts will focus on persons who have a chronic condition such as a serious and persistent mental health illness, co-occurring substance use disorder or

30

6. Assure that services are accessible, taking into account travel time, availability of public transportation, and other factors that may determine accessibility.

7. Assure that network providers do not segregate Member individuals in any way from other people receiving their services.

8. Member shall notify Payor within six (6) days of any changes to the composition of the provider network organizations that negatively affect access to care. Changes in provider network composition that MDHHS determines to negatively affect recipient access to covered services may be grounds for sanctions.

V. Special Health Care Needs. Beneficiaries with special health care needs

must have direct access to a specialist, as appropriate for the individual’s health care condition, as specified in 42 CFR 438.208(c)(4). This standard does not apply to SUD Community Grant services. (Part II(A), Section 5.5)

W. Indian Health Service/Tribally-Operated Facility or program/Urban Indian Clinic (I/T/U). Providers are required to pay any Indian Health Service, Tribal Operated Facility Organization/Program/Urban Indian Clinic (I/T/U), or I/T/U contractor, whether participating in the provider network or not, for Member-authorized medically necessary covered Medicaid managed care services provided to Medicaid beneficiary/Indian enrollees who are eligible to receive services from the I/T/U provider either (1) at a rate negotiated between the Member and the I/T/U provider, or (2) if there is no negotiated rate, at a rate not less than the level and amount of payment that would be made if the provider were not an I/T/U provider. (Part II(A), Section 5.6)

X. STAFFING AND TRAINING REQUIREMENTS

A. The Member, pursuant to this Agreement, shall ensure that:

1. All services by the Member’s staff and the staff of the Member’s subcontractors, are provided in a manner that demonstrates cultural competency; and,

2. Staffing consistency and programming continuity are maintained in the provision of services.

B. The Member shall provide notice to the Payor immediately whenever services and/or staffing of services required hereunder have not been or cannot be provided.

C. The Member, pursuant to this Agreement, shall ensure that the Member’s staff and the staff of the Member’s subcontractors, when performing services required hereunder, comply with all applicable provisions and requirements

51

Balance Budget Act of 1997 (BBA) require that the Chief Executive Officer (CEO) or designee of the Member certify the accuracy of the data.

The Member must cooperate with Payor in carrying out validation of data provided by the Member by making available recipient records and a sample of its data and data collection protocols. Members must certify that the data they submit are accurate, complete and truthful. An annual certification from and signed by the CEO or the Chief Financial Officer (CFO), or a designee who reports directly to either must be submitted annually. The certification must attest to the accuracy, completeness, and truthfulness of the information in each of the sets of data in this section.

Payor and the Members agree to use the Encounter Data Integrity Group (EDIT) for the development of instructions with costing related to procedure codes, and the assignment of Medicaid and non-Medicaid costs. The recommendations from the EDIT group have been incorporated into the Attachment P 7.7.1.1 of the MDHHS/PIHP Master Contract.

Consistent with Part II, 7.7.5 Michigan Fidelity Assistance Support Team (MiFAST), a Michigan Fidelity Assessment Support Team (MiFAST) review is required prior to implementation or use of specific Medicaid codes or modifiers. The specific Medicaid codes or modifiers are at the following link: http://www.michigan.gov/mdhhs/0,5885,7-339-71550_2941_38765-463726--,00.html

B. Encounter Data Reporting: (Part II, Section 7.7.2) In order to assess quality of care, determine utilization patterns and access to care for various health care services, affirm rate calculations and estimates, the Member shall submit encounter data containing detail for each recipient encounter reflecting all services provided by the Member. Encounter records shall be submitted monthly via electronic media in the HIPAA compliant format specified by Payor. Member will ensure that a minimum of 90 percent of professional claims are submitted to the Payor within 60 days of the last day of the month in which the service was provided. Encounter level records must have a common identifier that will allow linkage between Payor’s and the Member’s management information systems. Encounter data requirements are detailed in the Reporting Requirements Attachment P.7.7.1.1 of the MDHHS/PIHP Master Contract.

The following ASC X12N 837 Coordination of Benefits loops and segments are required by the Payor for reporting services provided by and/or paid for by the Member:

Loop 2320 – Other Subscriber Information

61

258 of 1974, as amended), the Michigan Public Member Health Code (PA 368 of 1978 as amended), and 42 CFR Part 2. (Part I, Section 17.0)

MDHSS Standard Consent Form: It is the intent of the parties to promote broader sharing of behavioral health records, including mental health records, for the purposes of payment, treatment, and coordination of care in accordance with Public Act 559 of 2016, and substance use disorder records via electronic health information exchange environments pursuant to 42 CFR Part 2.

To accomplish these ends, the parties shall use and accept the standard release form that was created by MDHHS (MDHHS-5515) under Public Act 129 of 2014. Accordingly, Members have the opportunity to submit comments to the Payor regarding challenges and successes with using MDHHS-5515. For all electronic and non-electronic Health Information Exchange environments, the Member shall implement a written policy that requires the Member and its provider network to use, accept, and honor the standard release form that was created by MDHHS under Public Act 129 of 2014. The Member shall ensure its policies, procedures, forms, legal agreements, and applicable training materials are updated in accordance with Public Act 559 of 2016.

15. Byrd Anti-Lobbying Amendment: 31 U.S.C. 1352 and 45 CFR Part 93. No appropriated funds may be expended by the recipient of a Federal contract, grant, loan, or cooperative agreement to pay any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any of the following covered Federal actions: the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (Part I, Section 18.1.8)

16. Davis-Bacon Act: (All contracts in excess of $2,000). (40 U.S.C. 276a to a-7) -- When required by Federal program legislation, all construction contracts awarded by the recipients and sub-recipients of more than $2,000 shall include a provision for compliance with the Davis-Bacon Act (40 U.S.C. 276a to a-7) and as supplemented by Department of Labor regulations (29 CFR part 5), "Labor Standards Provisions Applicable to Contracts Governing Federally Financed and Assisted Construction"). Under this act, contractors shall be required to pay wages to laborers and mechanics at a rate not less

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EXHIBIT E

LAKESHORE REGIONAL ENTITY SUB-RECIPIENT AWARD

FY2019 2 CFR 200.331 (a)(1) – Requirements for pass-through entities

SUBRECIPIENT: HEALTHWEST

MEDICAID

CFDA #93.778 [see Exhibit D, Funding, Methodology, and Payments sections 4.1.1.5 and 4.1.1.7]

Awarded by: Michigan Department of Health and Human Service $43,735,364

HEALTHY MICHIGAN PLAN

CFDA #93.778 [see Exhibit D, Funding, Methodology, and Payments sections 4.1.1.3]

Awarded by: Michigan Department of Health and Human Service $5,533,626

SUBSTANCE USE DISORDERS GRANT [see Exhibit D, Funding, Methodology, and Payments sections 4.1.1.6 and 4.1.1.8]:

COMMUNITY GRANT CFDA #93.959

PREVENTION CFDA #93.959

PARTNERSHIP FOR SUCCESS

CFDA #93.243 $982,114 N/A N/A

PUBLIC ACT 2 (PA2 LIQUOR TAX) FUNDS CFDA #N/A

[ see Exhibit D, Funding, Methodology, and Payments section 4.1.1.9] $165,377

MI YOUTH TREATMENT IMPROVEMENT & ENHANCEMENT CFDA #93.243

OPIOID STATE TARGETED RESPONSE (O-STR) GRANT CFDA #93.788

$0 TBD

STATE DISABILITY ASSISTANCE (SDA) FUNDS - CFDA #N/A

$27,526

*Grant project descriptions for specialty grants will be provided under separate cover.


COMMITTEEFull Board


REQUESTING DIVISIONNetwork Development


REQUESTOR SIGNATUREJudy Cohen, Network Manager


HealthWest Board authorization is requested to accept the proposed contract changes by those vendors/providerslisted in Attachment A: FY 2018/2019 Proposed Vendor Changes, effective October 1, 2018 throughSeptember 30, 2019.

BACKGROUND

Several providers have submitted written requests for changes. The attached proposed changes have been reviewedand negotiated by the Network Manager and are recommended for HealthWest authorization. Reasons for thesechanges are included on Attachment A.

• Pioneer Resources


I move to accept the proposed changes by those vendors/providers listed in Attachment A: FY 2018/2019 ProposedVendor Changes, effective October 1, 2018 through September 30, 2019.



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Attachment #4

Attachment A: FY 2018/2019 Proposed Vendor Changes Page 1 of 1Full Board Meeting: September 28, 2018

ATTACHMENT A: FY 2018/2019 Proposed Vendor Changes

Vendor Name/Address Vendor/Provider Service FY 17/18Rate

ProposedFY 18/19

Rate

Unit Amount ofChange

% of Change

Pioneer Resources, Inc.601 Terrace StreetSuite 100Muskegon MI 49440

Projected Expenditure:$563,102.00

● Personal Care andCLS in a SpecializedResidential Setting-Mill Iron Home(Replacing the

Broadway Home)

$207.13Broadway Home

Rate

$223.48 Per Diem +$16.35 7.9% increase onceresidents move in.

New Home. Opening inOctober and movingresidents from BroadwayHome. Rate at Broadwaywas $207.13 and willincrease to the rate of$223.48 once theresidents move in.

Increased rate iscomparable to the twoother homes with thesame level of needs. Allsix of the ladies who livethere use wheelchairs andneed assistance withmobility, and five requirethe use of lifts.


COMMITTEEFull Board


REQUESTING DIVISIONNetwork Development


REQUESTOR SIGNATUREJudy Cohen, Network Manager


The following physician, Gregory G. Green, M.D., is requesting to be re-privileged by HealthWest in order tocontinue providing Psychiatric and Medical Director Services. Dr. Green has completed a Physician PrivilegingApplication/Approval Form, his updated vitae, three Peer/Coworker Reference Forms, a Statement of Truth form,and a Privileging Application Consent Form to obtain his Physician Profile Data from the American MedicalAssociation (AMA) Physician Master file.

Gregory G. Green, M.D., received his M.D. from Wayne State University School of Medicine in 1999, and hereceived his residency training in General Psychiatry and a Fellowship in Child and Adolescent Psychiatry at theUniversity of Michigan ending in June 2002. He is Board Certified in General Psychiatry and in the medicalsubspecialty of Child and Adolescent Psychiatry. Dr. Green began his full time employment as a contractedPsychiatrist in December, 2009 and was part time for a year from November 2008 to December, 2009.Dr. Green previously worked in a private practice at the Lighthouse Professional Clinic in Ludington, MI and wasa Staff Psychiatrist at Spectrum Health Ludington Hospital, Hadley Center, as well as a Psychiatric Consultant tothe Community Mental Health Boards in Manistee-Benzie Counties, Mecosta County, and Osceola County.

Dr. Green is also serving as the Medical Director for Ottawa County CMH and for the Lakeshore Regional Entity(which encompasses Kent, Lake, Mason, Muskegon, Oceana, Ottawa, and Allegan counties) sinceOctober 1, 2013. Since May 2014, Dr. Green has been appointed as a Clinical Assistant Professor at MichiganState University, Department of Psychiatry. He has brought a number of medical students and PhysicianAssistant students to HealthWest to complete their psychiatric rotations.

His three references were excellent and, to date, there have been no Medicaid/Medicare or other FederalSanctions reported to the AMA by the Department of Health and Human Services, any branch of the U.S. Military,the Veteran’s Administration, or the U.S. Public Health Service. Dr. Green’s State of Michigan Physician andControlled Substance licenses, his Drug Enforcement Administration (DEA) license information are current andare maintained in his contract file.

Dr. Green is requesting privileging in the areas of psychiatric evaluation, psychopharmacology, medicalevaluation, certification, authorize/approve clinical treatment, and clinical/internship supervision for licensure forthe MI Adult, MI Child, DD, Geriatric, and Chemical Dependence populations. Dr. Green’s privileging has beenreviewed and approved by F. Remington Sprague, M.D., HealthWest Board member.


I move to approve the continued privileging of Gregory G. Green, M.D. in the areas of psychiatric evaluation,psychopharmacology, medical evaluation, certification, and authorize/approve clinical treatment andclinical/internship supervision for licensure for the MI Adult, MI Child, DD, Geriatric, and Chemical Dependencepopulations, effective for two (2) years from the date of approval.



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Attachment #5


COMMITTEEFull Board


REQUESTING DIVISIONClinical Services


REQUESTOR SIGNATURECyndi Blair, Chief Clinical Officer


Request for three (3) full-time Master’s Level Clinician and two (2) full-time Stabilization Specialistpositions.

HealthWest is requesting approval to add three (3) additional Master’s Level Clinician positions (Pay GradeHX-00250, Funding Org 7320). These positions are required and fully funded by the Certified CommunityBehavioral Health Clinic (CCBHC) Expansion Grant HealthWest was recently awarded and will be part ofour new Outpatient unit serving mild to moderate consumers.

In addition, we are requesting two (2) additional Stabilization Specialist positions (Pay Grade HX-00160,Funding Org 7334) for our Youth Mobile Response and Stabilization Team, which is also required and fullyfunded by the aforementioned grant.


I move to authorize the addition of three (3) Master’s Level Clinician positions (Pay Grade HX-00250,Funding Org 7320) and two (2) Stabilization Specialist (Pay Grade HX-00160, Funding Org 7334) effectiveOctober 1, 2018.



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Attachment #6


COMMITTEEFull Board


REQUESTING DIVISIONClinical Services


REQUESTOR SIGNATURECyndi Blair, Chief Clinical Officer


Request to Reclass a Supports Coordinator position to a Wrap-Around Coordinator.

Healthwest is requesting approval to reclass Supports Coordinator, position X11127/7341 (Pay Grade HX-00160) to a Wrap-Around Coordinator (Pay Grade HX-00210, Funding Org 7040). The Wrap-Around Teamneeds additional staff resources and the Supports Coordinator position is vacant and no longer needed forthe program it is assigned to.


I move to authorize the reclassification of the Supports Coordinator, position X11127/7341 (Pay Grade HX-00160) to a Wrap-Around Coordinator (Pay Grade HX-00210, Funding Org 7040) effective September 28, 2018.



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Attachment #7


COMMITTEEFull Board


REQUESTING DIVISIONAdministration


REQUESTOR SIGNATUREJulia Rupp, Executive Director


HealthWest Board authorization is requested for HealthWest to contract with the Michigan Public HealthInstitute (MPHI) (2436 Woodlake Circle, Suite 300, Okemos, MI 48864) to assist in their carrying out theactivities and its obligations of the State Innovation Model Project (SIM) under the Funding SourceAgreement they have with the Michigan Department of Health and Human Services (MDHHS), effectiveOctober 1, 2018 through September 30, 2019.

The Michigan Public Health Institute is subcontracting with HealthWest for the following work plan.1. Manage homeless, high-utilizer clients through the permanent supportive housing process, based on

the target population provided by MDHHS. This includes navigating them to housing, moving theminto housing, and maintaining their housing stability while coordinating with appropriate resourceproviders to address any additional social determinants of health.

2. Provide the following core services of Qualitative Supportive Housing:a. Pre-tenancy Servicesb. Housing Stabilization and Tenancy Sustaining Supportsc. Care Coordination

3. Provide trauma informed support and harm reduction services in pilot clients.4. Participate in systems improvement and evaluation activities as determined by MDHHS.5. Complete the Quality Supportive Housing Assessments at the start and end of the pilot.6. Participate in all required meetings and support calls for the purpose of progress reporting, training,

collaboration, and information sharing.7. Provide monthly data and billing reports as determined by MDHHS.8. Send progress reports along with invoices.

Two HealthWest Case Manager employees will provide the services for the project as appropriate and willnot charge higher than the maximum hourly rate of $50.00 per hour. The total payments from MPHI to theSubcontractor (HealthWest) will not exceed the sum of One Hundred Twenty Thousand and 00/100 Dollars($120,000.00). Additional staff may provide services for the project as appropriate and will not chargehigher than the maximum hourly rate of $50.00.


I move to approve the HealthWest Executive Director or designee sign a contract with the Michigan PublicHealth Institute (MPHI) to assist in their carrying out the activities and its obligations of the State InnovationModel Project (SIM) under the Funding Source Agreement they have with the Michigan Department ofHealth and Human Services (MDHHS), effective October 1, 2018 through September 30, 2019, at a rate of$50.00 per hour, not to exceed the sum of $120,000.00.



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Attachment #8

HealthWest Progress Report September 2018

Updates and Happenings from the

Customer Services DepartmentPlease consider the following special events and

par cipate if you are able.

The Suicide Awareness and Remembrance Walk

Saturday, September 29th at 11:00

380 W. Western Ave

Community Gathering

Thursday, October 25th at the

Women’s Club 280 W. Webster Ave.

This event includes spoken word poetry and communitydialogue about race and racism. Register at Eventbrite.

Other planned events include:

MYalliance System of Care is hos ng a parent and youth leadership camp in early November at Camp Miniwanca

HealthWest is partnering with the ARC and MOKA to holda I/DD training series; October 17th 4-5:30 at GVSUinnova on hub - “Community Connec ons Road Map” and Nov. 8th at Pioneer Resources from 4-530“Fundamentals of Developmental Disabili es & Demen a”

HealthWest is hos ng an event in collabora on with MAISD on suppor ng student behavior as part of quarterly trauma sensi ve schools learning opportuni es bringing na onal speaker Brian Mendler en tled “That One Kid”.

Updates:Our Psychological First Aid Specialist was deployed tosupport mental health crisis counseling for the recenthurricane Florence.

HealthWest has submi ed 2 grant proposals to further develop outreach and partnerships with faithcommuni es, this is considered best prac ce and we are looking for ways to strengthen our partnerships.

SIM/CHIR UpdateThere is much happening in this CMS funded project. Wehave 3 staff working to coordinate community clinicallinkages and to engage persons who have beenhistorically difficult to connect to needed services andsupports. These are individuals who are high u lizers and o en have complex co-morbid health condi ons along with many needs in social determinants of health.To help us we have received an addi onal grant through the project en tled “high u lizers” to help us provide stable housing for those who are also homeless. This is$200,000 that will be used for 20 persons to secure andkeep stable housing. The CHIR project has alsoiden fied an interven on they are calling “Resilient Communi es”. Our staff assigned to this project along with the 1 in 21 Resilience team is partnering with CHIR(Community Health Innova on Region) efforts to support a more trauma informed community, includingtraining medical partners about the impact of AdverseChildhood Experiences and the science of resilience. Wewill work with the Able Change process and iden fied communi es to implement addi onal interven ons the community members iden fy to help them and respondto their iden fied needs.

Addi onally, we'd like to highlight a newly developed video that provides a broad overview of socialdeterminants of health, clinical community linkages, andthe Community Health Innova on Region (CHIR) model. The video, tled “All Health is Local,” is meant tointroduce these concepts to community stakeholdersand pique interest in partnership opportuni es with CHIRs. Please watch and share the video!

MONTHLY DIRECTOR’S REPORT SEPTEMBER 2018

Mission Statement: To be a leader in integrated behavioral health care, inspiringhope and wellness in partnership with individuals, families, and the community.

~Julia Rupp

Page 2 of 2

HealthWest Progress Report September 2018

298 Update

The ac vity around this project has escalated quite a bit. The project has been divided into the following sub-commi ees:

· Leadership Group—All CEOs of health plans and CMHs. This sub-commi ee was established with assigned co-leads, one each from a CMH and a Health Plan. Each has a very specific charter which I can make available if youdesire.

· Technology—this group is dealing with needed changes in the CHAMPS system that must be addressed in the nextmonth.

· U liza on Management—will begin mee ng in 2 weeks.

· Repor ng—has met twice and is going through a very lengthy list of reports that are required by contract currentlyin either the CMH or PIHP contracts. Determining who will be required to submit each of the reports and theinforma on flow.

· Public Policy—reviewing all public policy documents a ached to the PIHP/CMH contract. Current Strategy is that trainings are being done on each of the key policies to help all par es understand what is involved. Many of these policies are brand new to the Health Plans.

· Finance—this group is the largest and includes most CEOs and CFOs. At the next mee ng Milliman will be presen ng data that the group can evaluate to help make decisions regarding the model. Many decisions in the other sub groups are wai ng for this work to be complete before they can move forward. (Claims would be an example)

· Case Management—this group has not yet met.

Addi onally the CMHs meet monthly with the MDHHS. Next mee ng we will further discuss the implementa on schedule of the CMHs moving in the direc on of becoming the CMHE (En ty that will manage all Substance Use Services). TheDepartment did announce to us this month that they intend on issuing an RFP only to the exis ng PIHPs (that are not in the risk corridor) to manage the unenrolled popula on by January 2019. The Pilot CMHs DO NOT think this is the best plan. The department believes this is the best solu on because it will not add an 11th PIHP. We do not agree. We have a mee ng planned with the Department and the PIHPs at the end of this month to discuss separa on issues with the PIHP.

LRE update

The nego a ons slowed down due primarily to costs issues. We an cipate that these issues will be resolved by tomorrow. Beacon came back with Best and Final Offer reducing their administra ve cost by 1.5 million. It is expected that the LRE andthe CMHs will also reduce the managed care administra on by 1.5 million. These discussions and the distribu on of those reduc ons are to take place Friday. Addi onally the LRE has issued and RFP for an Actuary to look at the funding and make recommenda ons on equitable funding distribu on in the region. This informa on will help us to know if we are ge ng an amount that is fair based on the popula on we serve. This work should be complete by the end of October. Greg Hoffman is the current Interim Director while the board is searching for a new CEO.

CCBHC Update

We are proud to be one of 25 CMHs in the Na on to be selected to receive the CCBHC grant. This was a highly compe ve grant and we had a real team effort to be able to complete. HealthWest is one of 4 CMHs in Michigan to receive the grant.Last week I par cipated in a press release event with Senator Stabenow in Kalamazoo. The full video is available on our web site. The printed Press release from the Senators office is a ached.

THANKS

I cannot express strongly enough how much my family and I appreciate the support we have received and con nue to receive from colleagues, the community and friends in the death of our son. It is a long and difficult road but we will getthrough it with your support.

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Documents

RevisedAgenda - HealthWest · 9/28/2018 · MOTION CARRIED WITH MR. SCHRIER AND DR. SPRAGUE ABSTAINING. HWB-164 – It was moved by Commissioner Snider, seconded by Commissioner