QUALIFIED PROVIDER NETWORK

SUBCOMMITTEE

OF THE LME

September 30, 2002

1:00 p.m.

711 Executive Place ; Board Room  

PRESENT:    Vince Wagner , Director – Managed Care (chair), CCMHC

                        Densie Lucas , Assistant Area Director , CCMHC

                        Terry Eads , Director – MIS , CCMHC

                        Terri Knight , Director – Developmental Disabilities Services, CCMHC

                        William H. Robinson, Director – Residential Services, CCMHC

                        William H. McDougal, Director – Substance Abuse Services, CCMHC

                        Stacy Martin , Clerk to the Area Board, CCMHC

                        Karen Campbell, Campbell & Associates

                        Daniel Muldrow, Main Focus

                        Richard Varela, KV Consultants and Associates

                        Letsie Generette, RACA Services and Bryan and Associates

                        Curtis McCrimmon, EBM

                        Anthony McCrae, PFC

                        Rose Ferguson, FBC

                        Jacqueline Adams Cook, S&T We Care, Inc.

                        Arethia Robinson, Tricare Home

                        Alice Smith, Peterkin & Associates & IPA

    I.          Welcome                    

• Vince welcomed everyone to the meeting and extended his appreciation for members taking time out of their busy schedules to participate.

     II.        Introductions

• Vince introduced himself and asked everyone to go around the room and introduce themselves.

     III.       Agenda Adjustments

      None

      IV.       Approval of Minutes from September 23, 2002

            Minutes were accepted as written.

        V.        Update from “Training/Technical Assistance/Education Subcommittee”

• Mr. Varela reported that they have surfaced a draft document and have sent it to the sub-committee members who have e-mail.  He has not heard back from all of them as of yet. They will meet again immediately following this meeting. Will provide information to this committee by the end of next week regardless if the sub-committee members have all looked at it.

 VI.       Discussion of Qualified Provider Network Grid Comments/Ideas for Implementation

• Ms. Lucas informed members that if they think of comments outside of the meeting, they are welcome to call back and speak with either Mr. Wagner or her.  They will ensure topics are incorporated into the agenda.

        VII.     Review Qualified Provider Network Questionnaire

• Mr. Wagner distributed two draft surveys for consideration by members and asked for feedback.

• Will add the following to the survey:  “Would you like your or your organization’s name listed on a directory of Cumberland County Services/Providers for network purposes?”

• Mr. Wagner will update the draft and place on the web for completion as well as do a mass mailing to providers.

• Survey will be sent along with a cover letter providing a brief explanation and expressing the need for them to attend meeting.  Mr. Wagner will bring the cover letter into the next meeting for members’ approval.

• There was a suggestion of designing the letter and survey into a one-page, brochure-style format to bulk mail with a return-stamp affixed on the form.

• HIPPA and IPRS are driving a lot of things and providers really need to be aware of the guidelines.  Mr. Eads informed members that regarding IPRS, Medicaid will continue to process billing through the software up to a certain period.  Regarding HIPPA, can file for an extension and can do this through the CMS website (www.CMS.org).  Mrs. Martin informed members that it was her understanding that all extensions must be received no later than October 14.

     VIII.    Round Robin

• Mr. Varela inquired about the State having access to the minutes of  the committees.

• Mr. Varela led a discussion regarding his understanding of the spirit of reform as well as his experiences being told how unprofitable mental health work is.

-           Mr. Wagner commented that the spirit of the plan is to open the network (which will include the Area Program), is to give consumers choice.

-           Ms. Lucas responded that the LME will divest of services in an orderly fashion to maintain quality of services provided; will require enhanced competencies and training.

     X.        Next Meeting

·        The next meeting is scheduled for Monday, October 7, 2002; 3:00 p.m.

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