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HomeMy WebLinkAboutBG MINUTES for 4-13-2021 (final copy) FRANKLIN COUNTY COMMISSIONERS COMMISSIONER’S Human Services Administrator’s Office David S. Keller, Chairman Human Services Building John T. Flannery 425 Franklin Farm Lane Robert Ziobrowski Chambersburg, PA 17202 www.franklincountypa.gov Hearing Impaired Number: (717) 264-8474 Human Services Administrator Telephone: (717) 261-3893 Stacie M. Horvath FAX: (717) 261-0999 smhorvath@franklincountypa.g ov Franklin County Human Services Block Grant Meeting Minutes Date: April 13, 2021 Time: 12:00 – 2:00 P.M. ~Virtual~ Attendance: Voting Members Voting Members Persons with Community Staff Staff Staff Lived Experience Experience Reps. Rev. James Fox Douglas Wilburne Stacie Horvath Stacy Rowe Glenda Helman Aging Criminal Justice Human Services Human Services Director Advocate Specialist Community Advocate Administrator Fiscal Manager Grants Management Michael Straley Pastor John Kratz John Thierwechter Stacey Brookens Stacy Yurko Drug & Alcohol Faith Based Assistant County MH/IDD/EI Information & Advocate Specialist Community Advocate Administrator Administrator Referral/211/ Training Coord. Zachary McCauley Sherri Sullivan Lori Young Ashley McCartney Christy Unger Early Intervention/Family Employment/Training/ MH/IDD/EI MH/IDD/EI Drug & Alcohol Advocate Specialist Education IDD Program Fiscal Administrator Community Advocate Lorna Blanchard Sonja Payne Bonnie Speaks Erin Nye Christy Briggs Intellectual & Developmental At Large Aging MH/IDD/EI HSA Disabilities Community Advocate Fiscal Deputy Fiscal Advocate Specialist Administrator Greg Colbert Kim Crider Justin Slep Missy Reisinger Sharyn Overcash Homeless Assistance Health Planning Veterans Affair TMCA Human Services Advocate Specialist Community Advocate Director Managed Care Administrative Assistant Shawn Haines Cori Seilhamer Aging Department MH/IDD/EI Director Mental Health Program Jane Cline Becky Leidig MH/IDD/EI MH/IDD/EI IDD Program Fiscal 1 Acronyms: C&Y = Children & Youth HSDF = Human Services Development Fund D&A = Drug & Alcohol HUD = Housing and Urban Development DHS = Department of Human Services I&R = Information & Referral EI – Early Intervention MH/IDD/EI = Mental Health/Intellectual & ESG = Emergency Solutions Grant Developmental Disabilities/Early Intervention FY = Fiscal Year SCCAP = South Central Community Action HCP = Healthy Communities Partnership Program HS = Human Services TMCA = Tuscarora Managed Care Alliance HSBG = Human Services Block Grant Meeting Documents Sent Out: 1. Human Services Block Grant Meeting Agenda 2. Meeting Minutes from the last Block Grant Meeting (2/3/2021) 3. Human Services Block Grant Fiscal Year 20-21 Mini Grants Program Descriptions 4. Human Services Block Grant Fiscal Year 20-21 Mini Grant Summary I. Welcome and Introductions Stacie Horvath welcomed everyone to the meeting. Each individual introduced themselves. II. Welcome New Members of the Human Services Block Grant Committee 1. Lorna Blanchard – Member role is Intellectual Developmental Disabilities 2. Zachary McCauley – Member role is Early Intervention/Family 3. Rev. James Fox – Member role is Aging 4. Greg Colbert – Member role is Homeless Assistance The Human Services Block Grant has 12 Voting Member positions. All 12 positions are filled. Voting Member Erin Grant, the Mental Health Advocate Specialist, was unable to attend today’s meeting. Erin gave her proxy vote to Stacie Horvath. She stated that she would like to be counted as a positive vote. There will be a total of eleven (11) voting member votes for today’s meeting. III. Approval of February 3, 2021 Meeting Minutes ● Rev. James Fox approved the motion ● Mike Straley seconded the motion ● All Voting Members approved IV. Human Services Block Grant Mini-Grants (Glenda Helman) a. HSBG Mini-Grants Review Team Recommendations o At the end of February 2021, Stacy Rowe determined there would be an excess amount of funding above the five (5) % the Block Grant is permitted to carry-over for the Fiscal Year 20-21 Grant. That left the Block Grant with approximately $100,000. o With that amount of funding, the Block Grant Advisory Committee decided to issue Mini-Grants and distribute them to the community. The first thing they put 2 together was a Planning Committee. The Planning Committee determined what the applications; Scoring Sheets along with the timelines would look like. They started to get the Request for Funding Proposal (RFP) together. o The Request for Funding Proposal (RFP) was approved and distributed on March 12, 2021. o Next, a Review Committee was put together. The Review Committee would review the applications received and they would score them. The committee came together for discussion. o The County Commissioners would make the final approval before the funds would be distributed to the organizations who will receive the grant allocations. b. HSBG Advisory Board Mini-Grants Approval (Stacy Rowe) Currently, we are projecting funds available for carry over into 21-22 in the amount of $386,207. The County is required to contribute two point seven (2.7) % match on State expenditures. Since the expenditures are lower than anticipated, the County contribution for Fiscal Year 20-21 is estimated to be $160,000. The Block Grant is permitted to retain up to five (5) % of total State funding. This total is $280,146. Currently, we are projecting carry-over funding in the amount of $386,207. As of now, we are over the allowable five (5) % by $106,061. Any funding over the 5% carry-over amount would need to be returned to the State at the end of the fiscal year. The FY 19-20 Retained Earnings Plan allocated $49,000 to the Aging Program for Personal Care. Aging is not able to utilize the funding. Funds need to be used by June 30, 2021. Stacy Rowe will ask the Block Grant Committee for a vote to re-allocate the Fiscal Year 19-20 Retained Earnings of $49,000. The Shelter Support Program, through the Housing Assistance Program, is outsourced to the South Central Community Action Program (SCCAP). Through February the shelter was running at a deficit of $24,000. They requested funding to cover the deficit for the shelter. Stacy Rowe is requesting that the Block Grant allocate a portion of Fiscal Year 19- 20 Retained Earnings of $49,000 to cover the shelter deficit of $24,000.This funding will be utilized to assist in the cost of the operation for the shelter. They are supporting all of the COVID requirements on a daily basis. VOTE: ● John Kratz motioned to approve ● Zachary McCauley seconded the motion ● “Yes” Votes = Eleven (11) “No” Votes = zero (0) “Abstained” = zero (0) First Request Family Care Services - $9,000 – Update their Website and Family Portal This will serve Intellectual and Developmental Disabilities families as well as families within the Children and Youth populations. It will help them recruit, maintain and communicate with existing caregivers, foster families and provider agencies they work with. The creation of the Family Portals will allow families to access forms that they need and submit them through the Portal. It will also provide training materials and information the families can 3 use. The website will also provide a platform to attract and recruit potential foster/adoptive families, adult caregivers for Intellectual Developmental Disabilities (IDD) life sharing and financial donors for their adoption programs. Question (Sonja Payne): The money is to develop and pay for the ongoing support or the Family Care Services will they be able to sustain the cost to run the updated website? Answer (Stacy Rowe): The funding would be to update their existing website and to create the Family Portal. The ongoing cost would be sustained at their level. Comment (Rev. James Fox): With the issues we are currently facing with the pandemic, this is one of the areas which is most important and supportive of individuals who could be somewhat isolated. Stacy Rowe added that she has spoken with the Director of Children & Youth. He reported that the Portal is very much needed. Currently, everything is done on paper which causes delays. VOTE: ● Mike Straley motioned to approve ● John Kratz seconded the motion ● “Yes” votes = Eleven (11) “No” votes = zero (0) “Abstained” = zero (0) Second Request Mental Health Association – $4,917 - Marketing and Educational Materials They are asking to replace old and outdated marketing along with educational materials for general mental health awareness. As evidenced by the numbers of individuals engaging in mental health and seeking mental health services across the County, especially within the last year, it’s imperative that the Mental Health Association provide updated information to the community about mental health conditions, what services are available and how the association can assist individuals. VOTE: ● Rev. James Fox motioned to approve ● Kim Crider seconded the motion ● “Yes” Votes = Ten (10) “No” Votes = zero (0) “Abstained” = one (1) Third Request Waynesboro New Hope Shelter - $14,996 – Emergency Shelter Services The emergency shelter provides safe housing for up to thirty-nine (39) residents. They house men, women and children, in separate facilities. Residents are provided with services to find permanent housing. They are also provided with twenty-four (24) hour monitors to ensure resident safety; temporary housing in an atmosphere of safety, dignity and respect; case management services to assist residents in setting and attaining goals; educational classroom training in principles of life skills, job skills, computer skills and recovery from addiction. The $14,996 will provide 652 nights of shelter support for up to 15 households. The funding would go towards the current Waynesboro New Hope Shelter staff. 4 VOTE: ● Lorna Blanchard motioned to approve ● John Kratz seconded the motion ● “Yes” Votes = Eleven (11) “No” Votes = zero (0) “Abstained” = zero (0) Fourth Request House of Hope - $7,000 – Recovery Support The request is to provide materials and equipment to provide the Financial Peace University Program to the recovery house residents. The program is a six (6) week course designed to help individuals learn to save and plan for the future. The program will provide essential knowledge to help the residents get back on their feet. Through the process participants will work on building a resume, job interview skills and applying for jobs online. The $7,000 will cover costs for the facilitator, all of the course materials, six (6) computers, a TV and a DVD system to help facilitate the course as well as a printer. There are twelve (12) residents, at one (1) time, at the House of Hope. Question (John Kratz): The request to the grant was $14,000 but the proposed expenditure is $7,000. What is the thinking behind the funding at fifty (50) %? Answer (Stacie Horvath): There was scoring as well as specifics to how the grant was written. Based upon the score and the description regarding the twelve (12) computers, the amount was decreased. Instead of funding the twelve (12) computers, with the COVID restrictions, will all twelve (12) residents be all together at one time? The funding request will be to fund six (6) computers and the rest of the information they need. This is with the understanding, this Block Grant is Public dollars and that anyone can submit an additional proposal in the future. Answer (Glenda Helman): It is the plan of House of Hope to continue to offer this program ongoing, being able to utilize this equipment to do so. Once an individual completes the program, the equipment will remain with the House of Hope for ongoing services. VOTE: ● Mike Straley motioned to approve ● John Kratz seconded the motion ● “Yes” Votes = Eleven (11) “No” Votes = zero (0) “Abstained” = zero (0) Fifth Request TrueNorth - $26,000 – Chambersburg Supported Living Program This was submitted as two (2) requests, $13,000 for each apartment. Stacy Rowe combined two (2) requests into one (1) request. TrueNorth, the Supported Living Program currently provides housing to sixteen (16) individuals living with a mental health diagnosis. Approximately, two (2) years ago, they started a renovation project. This would add two (2) new additional apartments and an additional community room. 5 TrueNorth is currently ready to move two (2) individuals into the two (2) additional apartments. They also have individuals waiting and ready to move into the program. In order to move the individuals into the apartments they have to provide the apartments with furnishings, equipment and new home kits. Some of the funding they received in order to help them with the building project did not allow for these types of items. Supported Living allows an individual to live independently. They do have access to the Support Staff 24/7. The Support Staff live in a building close to the apartments where the individuals are residing. The Support Staff assists with teaching individuals about everyday living. They provide community integration skills such as how to access transportation, employment skills, grocery shopping, going to the pharmacy, etc. Question (Doug Wilburne): Is this a long term solution or is it a long term solution? Do the residents have only so many months to occupy the apartments or stay with the program? Answer (Erin Nye): There is no time limit to how long an individual can stay with the program. There will be an approval on each request. VOTE #1: $13,000 for one (1) of the new apartments ● Doug Wilburne motioned to approve ● Rev. James Fox seconded the motion ● Approvals: o “Yes” Votes = Eleven (11) o “No” Votes = zero (0) o “Abstained” = zero (0) VOTE #2: $13,000 for the other new apartment ● Greg Colbert motioned to approve ● Doug Wilburne seconded the motion ● Approvals: o “Yes” Votes = Eleven (11) o “No” Votes = zero (0) o “Abstained” = zero (0) Sixth Request TrueNorth - $9,000 – Chambersburg Supported Living Program The request is going towards the furnishings and equipment for the new Community Room. In the Community Room the residents will be able to have activities such as cooking classes, medication management and other various training activities. VOTE ● Lorna Blanchard motioned to approve ● Kim Crider seconded the motion ● Approvals: o “Yes” Votes = Eleven (11) o “No” Votes = zero (0) o “Abstained” = zero (0) 6 Seventh Request South Central Community Action Program (SCCAP) - $14,000 – Home Start Program They are working through the Franklin Together Reentry Coalition; the Home Start Program will secure appropriate home plans and housing for current discharge-eligible inmates in order to be released from jail. Without an approved home plan, individuals must remain in jail until one can be found, which can take days, weeks or months after the individual's release date. Funding will allow for individuals who have served their sentence to be released from jail and reenter the community in a timely manner. This is eligible under the Homeless Assistance Program. Question (Mike Straley): What will the money be used for? Answer (Glenda Helman): The money will be used to provide housing for individuals who would be released from the jail after they have served, at least, their minimum time if they have a home plan and are eligible to leave. Currently, they are using a boarding home model. This means they would pay a security deposit, first month’s rent and maybe pay for a few more months until the individual could pay their rent on their own. VOTE ● Mike Straley motioned to approve ● Rev. James Fox seconded the motion ● Approvals: o “Yes” Votes = Eleven (11) o “No” Votes = zero (0) o “Abstained” = zero (0) Eighth Request Laurel Life – Children’s Evidence Based Practices - $9,430 – Applied Behavioral Analysis To provide a service enhancement for Applied Behavioral Analysis (ABA) treatment services. All children authorized for ABA must first receive a Functional Behavioral Assessment for treatment planning. Currently, the facility has a limited number of assessment tools, which is delaying treatment for children that is needed in a timely manner. The funding will provide for additional assessment tools which will eliminate delays of needed treatment for children who are ABA eligible. Will result in increased efficiency and better outcomes. The standardized assessments can be very costly. It is not something they can purchase and use repeatedly for different individuals. VOTE ● Lorna Blanchard motioned to approve ● Greg Colbert seconded the motion ● Approvals: o “Yes” Votes = Eleven (11) o “No” Votes = zero (0) o “Abstained” = zero (0) 7 Ninth Request Healthy Communities Partnership (HCP) - $3,200 This is a dual request: $1,600 – Under Mental Health $1,600 – Under Substance Use Disorders Both requests are for Prevention Services. Healthy Communities Partnership (HCP) would like to use the funding to purchase videos and a one (1) year Streaming Services from Human Relation Media to provide tools they can use at various venues such as, school assemblies, classrooms, summer schools, and camp and youth groups. The videos will cover topics such as bullying, Mental Health Suicide Awareness and Preventive, Alcohol Abuse, alcohol and brain development as well as healthy habits. Vote ● Rev. James Fox motioned to approve ● Sonja Payne seconded the motion ● Approvals: o “Yes” Votes = Eleven (11) o “No” Votes = zero (0) o “Abstained” = zero (0) Question (Rev. James Fox): Are there any programs, within the Block Grant, associated with Human Services, for migrant workers that come to work in the fields? Has it ever been brought to the attention of the Block Grant? Answer (Stacie Horvath): We do not have any specific service providers or vendors that are just for migrant workers. There are overall individual services that migrant workers are welcome to apply for. The Block Grant does not have a program for that category. Stacie Horvath feels this would be a “fantastic” idea. (Stacy Yurko): Pathstone Corporation on Cleveland Avenue, Chambersburg works with different populations. They have an Early Childhood Education that is specifically for migrant workers. They also have emergency shelter and food services. It is very important migrant workers have some sort of documentation/identification. If they do not have this it makes it very hard for services to be provided. Stacie Horvath, Stacy Rowe and Glenda Helman thanked everyone for their time, support and dedication with the mini-grants. Glenda Helman wanted to let all of the members know that the recommendations that were made at today’s meeting will be going before the Commissioner’s, April 21, 2021 at 11:00 a.m. V. Fiscal Review and Update (Stacy Rowe) ● Currently, the Fiscal Year 20-21 allocations are slightly over $7.1 million. This included the carry-over amount from Fiscal Year 19-20 of $197,000. The allocations have been approximately $6 million. 8 ● Over the years, the Block Grant has received what the State calls a “one (1) time” funding. Although, the Block Grant has received additional funding over the last three (3) years. ● One (1) of the areas they have awarded Drug & Alcohol $46,000 for Opioid Use Disorder. Under Mental Health they awarded an additional $190,000 - $200,000 for the Community Mental Health Services Block Grant. ● Currently YTD numbers are through January 2021. Out of the $7.1 million that is allocated, we are projected to spend $6.1 million. ● For this current year, the Block Grant is projecting to be over the 5% carryover. Currently, the total projected funds available is $386,207. The votes that were received today, for the various items, will put the Block Grant within the five (5) % allowable carry-over. If this amount is increased by the end of the Fiscal Year, there may need to be additional decisions to make by June 30, 2021. VI. Human Services Program(s) Review ● Doug Wilburne (Voting Member, Criminal Justice Community Advocate) o They are working towards implementing case planning with the officers, a new initiative from the State. About seventy-five(75)% of the staff currently completed or enrolled in the county Crisis Intervention Team (CIT) mental health training. ● Stacey Brookens (Mental Health/Intellectual & Developmental Disabilities/Early Intervention) o Reaching out to the providers in the community to ask if there is Personal Protective Equipment (PPE) or any other type of equipment they are in need of. They are also looking to help with the housing piece of it. o They are receiving more money from the State to help with housing but there are some other needs such as rental and utility assistance. o They would like to put together a Community Outreach event where they can provide the community with supplies, such as sanitation items and making different types of masks with helpful information on them. And for the Homeless population, putting together backpacks with items they would need. A lot of the homeless do not want help from anyone. They prefer to be on their own. Stacey Brookens said they can still provide them with support and resources. May is Mental Health Awareness Month. The department would like to put this Community Outreach Event together along with a Proclamation for the Commissioner’s. She would like to tie this all together. o For Intellectual Developmental Disabilities (IDD), the department is focusing on support for a Shippensburg family who has twenty (20) adopted adult children with Intellectual Developmental Disabilities (IDD). The department would also like to use that support to help other individuals with Intellectual Developmental Disabilities (IDD). o The Co-responder Program - Cori Seilhamer is the Program Specialist in Mental Health. She oversees this program. Last week she presented at the Regional Conference. Several counties have reached out to her for support. They are considering the program for their counties. 9 o Early Intervention will be doing a Proclamation. The event will be held April 14, 2021 at the Commissioners offices. Jen Hawbecker, the department's Early Intervention Program Specialist, will attend. o There will be an event on Friday, April 16, 2021 in downtown Chambersburg to th kick off the 50 anniversary of The Week of the Young Child. o Stacey Brookens will be at the Neonatal Intensive Care Unit (NICU), at the Chambersburg Hospital. Early Intervention is working with the Neonatal Intensive Care Unit (NICU) to put together a Family Wellness Program. o There will be a Proclamation for May Mental Health Awareness Month. o If anyone would like more information regarding Mental Health/Intellectual & Developmental Disabilities/Early Intervention and the services they offer, please contact Stacey Brookens at sbrookens@franklincountypa.gov. o April is National Child Abuse Prevention Month. There are additional pinwheels available. Contact Children & Youth Services or someone at the Human Services Building. ● Erin Nye (Mental Health/Intellectual & Developmental Disabilities/Early Intervention) o There have been a little over 200 professionals trained for the Crisis Intervention Team (CIT). ▪ This is a forty (40) hour curriculum ▪ Currently there are 22 individuals attending the class. ▪ Cori Seilhamer has been offering a Crisis Intervention Team Refresher Course. This course is offered to the Crisis Intervention Team graduates. The course is on How to be Trauma Informed. ▪ The next forty (40) hour Crisis Intervention Team (CIT) course will take place in September. The course is already full. The course is twice a year, in April and September. o The Forensic Specialized Community Resident ▪ There continues to be a barrier with staff recruitment which is preventing the residential program from being operational. They are licensed and ready to go but have not been able to hire a full staff. o The department has reached out to schools to find out what type of Mental Health support they have, what assessments they are completing and what can be done to help them in terms of education and resources. o Child and Adolescent Service System Program (CASSP) ▪ The CASSP Coordinator and another agency in Chambersburg is looking to coordinate a Children’s Provider Meeting. This meeting is to have a better understanding of how to access Children’s Mental Health Services. ● Shawn Haines (Aging Services) o They are looking to start reopening the Senior Activity Centers. o The department continues to deliver meals. 10 o With the increase in vaccine rollout to the older adult population and lower positivity rates over the past few months, the department felt better positioned to begin planning for a modified Senior Center reopening. These reopening’s and activities will meet all CDC guidelines and State requirements, including limited capacity. The department understands the difficulty of the past year, especially for the older adult population who depends on the type of socialization the Centers provide as a large part of their overall well-being. The department is making this move in an effort to meet those needs, while also doing so as safely as possible. ● Stacie Horvath for Payton Mummert (Ombudsman) o Last week, Payton Mummert was able to have her first outdoor visit since last March, 2020. o All nursing facilities in Franklin County have received their vaccines. o Some of the facilities have slowly opened their doors for visitations. ● Christy Unger (Drug & Alcohol) o Their Prevention Services continue. o There has been some decrease in services due to school models changing between hybrid and in person and virtual. This has delayed some of the Prevention Provision. The department is looking for some alternatives. They have had recent increases and requests for vaping assistance. To do more Vaping Prevention in the schools. o The department continues to fund Treatment and Medication Assisted Treatment (MAT). Currently, the costs have increased. They are seeing an increase in the number of individuals utilizing Medication Assisted Treatment (MAT). o They currently received additional funds from the Department of Drug and Alcohol Program (DDAP) to meet their Treatment needs for the remainder of this year. o Recovery Support in the community continues. o They have been looking at ways to expand and enhance Recovery Supports that already exist. o The department is in the process of setting rates for their residential providers. o In the process of beginning their monitoring for this spring. o Currently completing a five (5) year Treatment Needs Assessment and Plan. o Focusing on their community engagement. Working with new partners in the community. To make sure there are no individuals “falling through the cracks” who do not realize there is assistance out there. o If anyone would like more information about the Drug & Alcohol Department, please contact Christy Unger at clunger@franklincountypa.gov. ● Stacy Yurko (Information & Referral/211/Housing) o Currently, most is housing related in regards to Rental Assistance. South Central Community Action Program (SCCAP) is handling the Emergency Rental 11 Assistance Program, if COVID causes a family to not be able to pay their rent. In the first month they did $1.3 million in Rental Assistance. o There have been 69 households identified as homeless or fleeing Domestic Violence. ▪ Out of the sixty-nine (69) households, it accounts for approximately 119 individuals. ▪ Thirty of them are based on families. ▪ There are thirty-nine (39) that are single households. ▪ Thirty-three (33) are domestic violence households. ▪ Four (4) of them have been identified as a Veteran household. ▪ Twenty–eight (28) of the sixty-nine (69) households have been identified as having some sort of a disabling condition in the household. ● Justin Slep (Veterans Affairs) o This is in regards to a Veteran, a Veteran’s Caregiver or a Veteran’s spouse, if they have not received a COVID vaccine and they would like to have it, they can go to their area VA Center they would report to, which is Martinsburg, West Virginia. This is for all Veterans’. o Veterans Affairs is a department of four (4). They are located at the Human Services Building, 425 Franklin Farm Lane, Chambersburg. Please contact them with everything and anything that has to do with a Veteran and/or their family. Justin Slep, Director - jdslep@franklincountypa.gov. ● Missy Reisinger (Tuscarora Managed Care Alliance (TMCA) o Tuscarora Managed Care Alliance is a separate entity from the County. They receive Medicaid funding from the Department of Human Services, the State to provide Substance Abuse and Mental Health Services for individuals who are Medicaid eligible. o The last annual report, July, 2019 – December, 2020. They had 5,478 adults receive a Medicaid funded Behavioral Health Service in Franklin and Fulton County. There were 3,015 children that received a Behavioral Health Service in Franklin and Fulton County. This is a twenty-one (21) % Penetration Rate of the number of Medicaid eligible that had received Behavioral Health Services. As of December 31, 2020, Franklin County had 36,450 individuals, in the calendar year, who received Medicaid. Of that, 7,826 individuals, in the calendar year, received a service paid by Medicaid. o Over the course of the pandemic, they saw a one (1) % increase in the number of individuals receiving a Behavioral Health Service. There was a reduction in the individual number of units billed. ● Tuscarora Managed Care Alliance (TMCA) did an alternative funding arrangement. With approval from the Department of Human Services, they created an alternative funding methodology. They looked back eighteen (18) months and did an average cost of what providers were being paid out and as long as the providers would retain their staff and agreed to see individuals in person and on demand if needed, Tuscarora 12 Managed Care Alliance (TMCA) would pay their average. None of their providers closed their doors. ● Medicaid growth in Franklin and Fulton County, on an average, is increasing about 300 – 400 individuals per month. ● If anyone has questions about the Behavioral Health Services, either Substance Abuse or Mental Health, for individuals who have Medicaid or would like information on what type of services Tuscarora Managed Care Alliance (TMCA) provides, please contact Missy Reisinger, mlreisinger@franklincountypa.gov. VII. Next Scheduled Meeting: The next meeting will be scheduled for some time in May. Adjourn: ● Greg Colbert motioned to adjourn ● Sherri Sullivan seconded the motion ● All approved 13