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QUALIFIED PROVIDER NETWORK
SUBCOMMITTEE
OF THE LME
September
3, 2002
1:00
p.m.
711
Executive Place; Board Room
PRESENT:
Vince Wagner, Director – Managed Care (chair), CCMHC
Terry
Eads, Director – MIS, CCMHC
Terri
Knight, Director – Developmental Disabilities Services, CCMHC
Debbie
Jenkins, Director – Child and Family Services, CCMHC
William
H. McDougal, Director – Substance Abuse Services, CCMHC
William
H. Robinson, Director – Residential Services, CCMHC
Stacy
Martin, Clerk to the Area Board, CCMHC
Carl
Noyes, Preferred Alternatives
Karen
Campbell
Jacqueline
Cook, S&T We Care, Inc.
Annette
M. Norris, Butler Memorial Center
Daniel
Muldrow
I.
Welcome
- Vince
welcomed everyone to the meeting and thanked them for their
dedication.
II.
Introductions
- Vince introduced himself and asked
everyone to go around the room and introduce themselves.
III.
Announcements
IV.
Agenda Adjustments
V.
Update from “Training/Technical Assistance/Education
Subcommittee”
- This
committee has not met yet.
VI.
Review of Qualified Provider Network Grid
- Vince
led discussion on each of the elements on the grid.
- Have
bits and pieces for the Qualified Provider Network and will
incorporate what was used for Carolina Alternatives.
- Would
like to put together a Network Development.
Develop and review existing historical information and make
changes. Tie in
available resources in community for both target and non-target
populations.
- Determine
what is acceptable to the State.
- Debbie
interjected that the committee needs to determine what services
are available, what services are needed/demand, and what the
penetration rate requirements are for services.
- There
was discussion regarding the roll of the NC Council in this
process.
- Some
members expressed concern about having a uniform criteria for
enrollment across the State so that providers aren’t having to
meet various requirements for the various communities.
- There
is need for guidance from the State in terms of defining
“qualified providers.” They
would like a demonstrated historical ability to deliver service.
Therefore, how do you handle new providers with no history.
- Debbie
Jenkins will pull together historical information from the era of
Carolina Alternatives and bring back to the next meeting.
- Need
to analyze current capacity to identify/meet community needs.
Establish a timeframe for network recruitment and meet
needs and identify gaps. This
process will evolve over a couple of years.
- Must
meet “best practices,” however, there isn’t a lot of
resources available that demonstrate what “best practice”
involves.
- Terry
Eads will look into the MAP INFO program that DSS uses.
Additionally, will look at what the Neusse Center is using.
- Members
were asked to read through the grid again and start working
through the language.
- There
was some concern expressed by providers present in terms of
administrative costs and no way to shift these costs.
Additionally, concern over the need for Medical Records
Personnel.
- There
was a suggestion that providers consider holding quarterly
meetings (like Magellan).
- Members
were asked to review the grid and the elements required to come up
with ideas of how each can be addressed/handled by the next
meeting.
- Stacy
will create a “roster” for committee members to have a means
of communicating with each other outside of the meeting.
VII.
Round Robin
No
discussion
VIII.
Next Meeting
·
The next meeting will be Monday,
September 9, 2002; 3:00 p.m.
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