HomeMy WebLinkAboutMH Provider Meeting Minutes 03-9-18Mental Health Provider Meeting
Friday, March 9, 2018
MH [1] 3/9/18
MEETING MINUTES
Welcome & Introductions
Everyone introduced themselves and their agency affiliation.
Provider Announcements and Updates
NHS
NHS will be changing their name to Merakey effective April 1st, 2018. Merakey is a
Greek word meaning to put your heart and soul into what you do.
Keystone Rural Health Center
Keystone will be closing for a half day on May 3rd, 2018 to pack up their office to move
on Friday, the 4th. Keystone will open Monday, the 7th with normal business hours. The
new office is located at 110 Chambers Hill Drive (across from Century Trust building
on Fifth Avenue).
Mental Health Association
MHA will be holding their Annual Art Show May 18th – 20th, 2018 at the MHA Office
located on 478 Grant Street. Opening Reception will take place on May 18th from 5:00
p.m. to 8:00 p.m. including refreshments.
Housing Overview
If anyone has any questions regarding housing, please call or email Tracy Radtke (717-264-
5387 ext. 21249 or teradtke@franklincountypa.gov).
Housing Programs –
HUD 1/2: this is a grant received through HUD, which is a master lease program. It is
for a single individual (not families or couples) which is stated on the lease. The County
signs the lease as the tenant and the individual is the subtenant. This program is for
individuals deemed chronically homeless and have a serious mental illness. In order to
meet the chronically homeless criteria, the individual must be homeless (living in
places not fit for habitation) for at least twelve (12) continuous months or for four (4)
separate occasions in the past three (3) years that cumulatively total twelve (12)
months. These individuals do not need to have an income. The grant will pay for their
entire rent. The individual is responsible to pay for all utilities unless it is included in
their rent. However, they will not pay more than 30% of their income.
Shelter Plus Care: this is a lease between the tenant and the landlord. Individuals are
required to pay 30% of their income. If income decreases, individuals need to notify
Housing Program Specialists so an income re-calculation can be completed. If the
individual does not have an income, we try to find apartments where utilities are
included in the rent. The same criteria for homelessness and requiring a serious mental
illness follow as for HUD 1/2.
Mental Health Provider Meeting
MH [2] 3/9/18
Housing Expansion: this is county funded not through HUD. The same criteria follow
as HUD 1/2 with length of homelessness and must have a serious mental illness. An
income is required as the County pays up to 1/3 of the adjusted income toward rent
and the individual is responsible for all utilities.
Projects for Assistance in Transition from Homelessness (PATH): this program is
funded through the state. It is for individuals with a serious mental illness and they
must have an income. They have to be able to show that they can maintain housing
and have documentation of income for each household member. A financial
assessment is completed. The individuals must be homeless or at imminent risk of
being homeless. PATH’s definition of homeless is different than the before mentioned
programs. If an individual is living with friends, couch surfing, etc. they may qualify for
assistance. Funds will either cover a security deposit for a new apartment or one
month’s behind rent if the individual has an eviction notice.
Family Housing Grant: this program is for families where anyone in the family can
have a mental health diagnosis. The diagnosis does not need to be a serious mental
illness. Documentation is required to show someone in the household does have a
mental illness. The family must be homeless or at imminent risk of becoming homeless.
These funds can be used for security deposit, first month’s rent, utility deposit,
emergency utility payment, and household supplies.
» This is not a guaranteed yearly program as it is unknown the amount of funds
that may be received next year. If you are working with families who may meet
the criteria for this grant, please call as soon as possible. There are currently
funds available that must be utilized by the end of the fiscal year.
The wait time to get into a program varies. If an individual qualifies for supportive housing,
the Program Specialists work with the landlord. If there is an apartment available, they could
potentially move in right away. Some of the programs require Program Specialists to look for
places to rent for individuals then meet with those landlords to explain the program and
process which can result in a longer wait time than other programs.
Children’s Services
TMCA Update – Gen Harper
Stakeholder Meetings have been moved to evenings. The meeting in December has fair
attendance of about twelve (12) members. However, the meeting that was held this
past Monday had only one (1) member attend. As a reminder, the meetings are for
individuals with Medical Assistance (Medicaid). Those who showed up for the March
meeting had Medicare as their primary. It appears that individuals are having a hard
time understanding the difference between Medicare vs. Medicaid. The access to
individuals with Medicare is more challenging than Medicaid. Gen is asking that
providers have a clear understanding of the difference between the two insurers. Gen
spoke to one of the differences being the credentialing of clinicians. Gen thanked
providers for encouraging individuals to come to the meetings. There will be four (4)
meetings a year at the Mental Health Association from 5:30 p.m. to 7:00 p.m. A flyer
will be sent out containing the dates of the meetings. There has been discussion on
trying to get child care to attend the next meeting. Gen will be reaching out to Wilson
who has a child care program.
Mental Health Provider Meeting
MH [3] 3/9/18
TMCA received a complaint from a member that they were kicked out of outpatient
because they were only attending their medication management appointments and
not their therapy sessions. There is a PA Code for Medicaid stating that a provider
cannot discharge an individual because they are not engaging in therapy if they are
only being seen for med management. If the individuals are not attending the
appointments to the provider’s level and standards of their service description, this is
understood.
PerformCare Update
Provider Profiling reports have been posted to the PerformCare website (click on
Provider section; Quality Improvements; then Provider Profiling). Reports are present
for Community Based Mental Health Services, Inpatient services, Family Based
services, Outpatient services, Partial Hospitalization and Substance Use services. A
mid-year report is posted in July and an end of the year report is posted in January.
CASSP Update
No update at this time.
County Announcements/Information
Reports due since our last MH Provider Meeting
» Audited Reports (for FY ending June 30th)
» Progress Report on Outcomes in Appendix A
» Internal Quality of Service Survey
» Quarterly Report of Expenditures (October – December)
Reports due prior to our next MH Provider Meeting
» 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
» Unit Assumptions for upcoming fiscal year
» Budget Narratives for upcoming fiscal year
FY 18-19 budgets and contract documents are due March 15th. If you need an
extension, please email the appropriate Program Specialist (Jim or Cori) or Becky
Leidig requesting an extension until a particular date. Budget packets or questions
pertaining to budget packets should be sent to Becky; contract documentation or
questions pertaining to said documentation should be sent to Jim or Cori.
Program goals (in Appendix A) are required for providers who have an encumbrance
of at least $50,000. Goals need to be measurable and not involved in standard
operating procedures. If your agency is to complete a certain task/requirement, the
County would discourage you from focusing on that as a goal unless you are trying to
improve that task/requirement.
Mental Health Provider Meeting
MH [4] 3/9/18
Psychiatric Admissions Reporting Overview
Jim reviewed the Community Psychiatric Hospital Admissions Report for the fourth
quarter of calendar years 2016 and 2017. There was a significant increase in number
of bed days but not much of an increase in admissions. The length of stay has also
increased.
Going forward, Extended Acute Care (EAC) will not be included on the report as an
EAC provider has not been established yet. This is still in the works.
Danville State Hospital – we are currently utilizing fourteen (14) beds. There are a few
individuals approaching discharge. Two (2) individuals have been on short term leave.
There is a significant wait time to access a bed at Danville now. There is potential of
discharging some individuals to South Mountain Restoration Center.
Sequential Intercept Model
There is no update to the Sequential Intercept Model at this time.
Annual Financial Audit
Annual Financial Audits are due December 31st of every year. There have been issues
with providers not requesting an extension. If you are unable to submit your financial
audit by December 31st, you must contact Ashley Yinger to request the approval of an
extension. The County does not require hard copies of the audit; an electronic copy is
acceptable.
New Agenda Items
If your agency is looking to start a new program or would like opportunity to present
an existing program and would like to be added to the agenda, please email Jim. If
there is something the County does that you would like to hear more about, please let
us know as well so we can provide information.
The meeting was adjourned.
Next Meeting
Friday, June 8, 2018 starting at 10:00 a.m. in the Human Services Building
[425 Franklin Farm Lane, Chambersburg]
Remaining 2018 Meetings
September 14th December 14th
Minutes by Erin Nye