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Home My WebLink AboutMH Provider Meeting Minutes 3-13-15Mental Health Provider Meeting Human Services Building Friday, March 13, 2015 1 MEETING MINUTES  Welcome and Introductions Everyone introduced themselves and their agency affiliation.  Provider Announcements and Updates Pennsylvania Counseling Services (PCS) ~ acquired a new bilingual Outpatient Therapist two months ago, Rita Chacon. Rita specializes in MH and Drug and Alcohol evaluations and treatments. She is able to work in conjunction with Dr. Witmer. Contact 717-261-1426 to be transferred to patient registration. Patient registration also has bilingual staff to get individuals scheduled. Occupational Services, Inc. (OSI) ~ OSI has purchased new space to expand their destruction services; renovations have been taking place the last 10 months. The location is at the old Gibbles Pretzel plant on Industrial Drive. OSI is working with Service Access & Management, Inc. (SAM) to promote MH referrals. Anyone interested in working and would like to explore this option, please let OSI know. Also, any agencies that need shredding done, please utilize OSI. OSI has a secure certification for their destruction services. Open House will take place in June. The Meadows/UCBH ~ Laura Staubb is the Program Manager for UCBH Partial program. Mental Health Association (MHA) ~ Walk-the-Walk will be held on May 22nd for Franklin County. Comprehensive, Continuous, Integrated Systems of Care (CCISC) ~ the Committee has come up with a County credentialing tool. This will be offered to outpatient providers in May that are interested in becoming County identified as a co-occurring credentialed facility.  Children’s Services Representatives from CASSP, TMCA and PerformCare were not present. TMCA has recently hired a Children’s Specialist – Kristen Kennedy.  Standing Agenda Items  County Announcements/Information Reports due since our last MH Provider Meeting: - MCR Report (program funded providers only) - Quarterly Report of Expenditures (July – December) Reports due prior to our next MH Provider Meeting: - Audited Reports (for fiscal year ending June 30th) - Progress Report on Outcomes in Appendix A Mental Health Provider Meeting Human Services Building Friday, March 13, 2015 2 - Quarterly Report of Expenditures (January - March) - Appendix A for upcoming fiscal year - Budget/Rate Letter for upcoming fiscal year - Staff Roster for upcoming fiscal year (if appropriate) - Unit Assumptions for upcoming fiscal year (if appropriate) - Budget Narrative for upcoming fiscal year (if appropriate) Psychiatric Admissions Reporting Overview (handout) This report is reflecting October 1 – December 31 for 2013 and 2014. The number of persons and admissions has increased but the length of stay has decreased. There are still three beds at the EAC. There has been a period of time recently that there were not many EAC referrals. Two of the three beds are currently being utilized by Cumberland/Perry County residents. If a referral would be received, Franklin/Fulton does have first right of refusal for any beds that become available. Franklin/Fulton is currently three over the bed cap of five at the Danville State Hospital. One person will be coming out on short term leave to the Long-Term Structured Residence (LTSR) in Dauphin County in the next week then hopefully discharged after. The other individuals have no active discharge plans right now.  New Agenda Items  Fiscal Reminders, Projection Sheets & Davis-Bacon Act – Becky Leidig Budgets are/were due March 15th. If anyone has any questions, please contact Becky at raleidig@franklincountypa.gov or 717-264-5387 ext. 21120. Billings are due the 15th of the month following the previous month. Example: March billings are due April 15th. Program funded providers’ billings are due the 20th of the month. Projection and billing reports are due the 20th of the month as well. End of year invoices are due by July 15th. If there are any issues in meeting deadlines we need to be aware as soon as possible. Davis-Bacon Act applies to federal funds. The Act states if providers have expenditures utilizing federal funds over $2,000 it requires prevailing wages to be paid to workers. The Act refers to renovation improvements, such as carpeting, painting, etc. Repairs do not fall under the Act. However, if you are repairing something and upgrading at the same time, it would need reviewed. Anything that costs over $2,000 please send to us so we can evaluate and approve it to make sure it does not have federal funds. The request will be reviewed and sent back as soon as possible. A procedure statement will be coming out to clarify the Davis-Bacon Act. Mental Health Provider Meeting Human Services Building Friday, March 13, 2015 3  Cost Settlement Items – Jim Gilbert (in Ed Franchi’s absence) Final cost settlement for FY 2013-2014 – If providers have not yet submitted their audit please remember they are due by the end of March, if an extension was granted. Final cost settlement for FY 12-13 should be completed in about a month. Letters have been sent out for final cost settlement for FY 11-12 Planning ahead for interim cost settlement for FY 14-15 – friendly reminder that internally generated financial reports for the entire fiscal year are due to the County by the end of July.  FY 2015-2016 Contracts and Budgets – Steve Nevada FY 15-16 contracts and budgets were discussed at the last provider meeting. Historically, the encumbrance of multiple services may have been viewed as being able to automatically shift between services. The County is looking at it specifically by the budgeted item. It does not mean things cannot be shifted but we should not assume since a services is under the budgeted encumbrance that dollars can be shifted to another service that may be over the encumbrance. Providers should contact fiscal staff or Program Specialist if projections are showing over utilization before going over as soon as possible so that it can be analyzed to determine if the over utilization can be approved and if dollars can be shifted. This information should also be coming through on the projection sheets. If there is justification for the shift it can take place. Providers and the County have to be fiscally responsible with the available funding.  Goals and Outcomes – Steve Nevada Goals and outcomes is a big focus everyone will continue to see. Goals are already listed. However, the focus is on outcomes. The dollars utilized are grants dollars (Block Grant). A grant has outcome measures that have to be met and at this point, the Block Grant Committee wants to know where those outcomes are. The State gives the County allocation to the Block Grant. The Block Grant Committee then decides how to allocate those dollars throughout the seven categoricals. MH has been allocated at the past allocation level. Along with the allocating of dollars, the next step is to get what outcomes we are getting at with the dollars spent. The Block Grant also has a Priority Needs Assessment Outcomes Committee. It is a sub-committee that is looking at how to do outcomes; this is not to be confused with outputs (ex: the number of people served). Steve has been keeping the Block Grant apprised with the challenges that the County and providers are facing with providing outcomes. There has been discussion on having proxy outcomes as not Mental Health Provider Meeting Human Services Building Friday, March 13, 2015 4 everything applies across the board (for all providers). Outcomes will have to be individualized to providers somewhat but there will still need to be outcomes for comparison. The outcomes will also show the people all the good work that providers are doing. If any providers have any great outcomes they are already doing or have any questions, please contact Steve at sanevada@franklincountypa.gov or 717-264-5387 ext. 26002. The sub-committee looking at how to do outcomes contains provider input. The key the committee really wants to know is if the treatment was successful. Provider monitoring, satisfaction surveys and Compass Easy (CCISC) are outcomes that can be looked at. Ultimately, it would be great to get data sets to match up between the State, CPR, insurance, etc. but this would be a massive process that would cost a large amount of money. There was discussion on allocating money to focus on outcomes. At this point the Block Grant Committee prefers that funds go to services.  Governor’s Budget Proposal The proposed Governor’s budget looks good for Human Services. The proposal is restoring the 10% cut that MH previously took. However, nothing is set yet. Legislature has picked up ten republican seats. The proposed budget has a lot of tax increases. OMHSAS sent out a notice of a budget meeting that will be taking place. For FY 15-16, there is projected to be $1.4 billion deficit. Steve will pass on any information that he finds out.  Electronic Signature Process/Echo Sign – Erin Nye Just a reminder as we are approaching the upcoming fiscal year, contracts will be sent to Providers (and all others responsible for signing) through Echo Sign for electronic signature. An Electronic Signature Process was sent out to all providers to show how to navigate the Echo Sign process. The electronic signature process has changed the turnaround time significantly. If any providers did not receive the Electronic Signature Process or encounter any issues throughout the process, please contact Erin Nye at ednye@franklincountypa.gov or 717-264-5387 ext. 21309. The meeting was adjourned. Next Meeting: Friday, June 12, 2015 starting at 10:00 a.m. in the Human Services Building Remaining Meetings for 2015: (All second Fridays of the month beginning at 10:00 a.m.) September 11th December 11th