QUALIFIED PROVIDER NETWORK

SUBCOMMITTEE

OF THE LME

October 14, 2002

3:00 p.m.

711 Executive Place; Board Room

PRESENT: 

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

                 Densie Lucas, Assistant Area Director, CCMHC

                 Debbie Jenkins, Director – Child and Family Services, CCMHC                       

                 Chris Dempster, Roxie Avenue Center Administrator, CCMHC

                 Stacy Martin, Clerk to the Area Board, CCMHC

                 Karen Campbell, Campbell & Associates

                 Curtis McCrimmon, Evergreen Health Care Services

                 Helen Wilson, Evergreen Health Care Services

                 Alice Smith, Peterkin & Associates & IPA

                 Cleveland Wilson, Your New Beginning

                 Angela Gunter, Firm Foundations

                 Thomas Maxwell, S&T We Care

                  Jacqueline Adams Cook, CAP Provider’s Association

                  Rose Ferguson, Fergie’s Behavioral Center

                  Lillie McNeill-Jones, Jones Group Home #1

                  Angela Lee, Pierce & Associates

                  Alice S. Carter, Loving Care Habilitation Services

                  Kiya Thomas, Magby & Associates

                  Walter O. Whitfield, We Do Care, Inc.

                   Sharon Melvin, Release It and Let Go

                   Arethia W. Robinson, TruCare Home

 I.          Welcome                    

• Mr. Wagner welcomed everyone to the meeting and extended his appreciation for members taking time out of their busy schedules to participate. Mr. Wagner reminded everyone to sign in and asked everyone to introduce themselves for the benefit of the numerous newcomers to the meeting.

 II.        Agenda Adjustments

            None

 III.       Approval of Minutes from October 7, 2002

      Minutes were approved as written

 IV.       Update on Area Program as a Service Provider

• Received a letter from Dr. Visingardi approving CCMHC to continue as a service provider for one year with the expectation that CCMHC will continue planning for divestiture of services.

• Mrs. Jenkins shared information regarding a template being used by other programs in setting up their provider network (See ATTACHMENT A).  There was discussion regarding fair way to set up the network which included a discussion of smaller providers contracting with larger providers who have the infrastructure to support requirements of the network.

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

·        Ms. Campbell reported that the subcommittee doesn’t meet again until 10/21 at 2:00 p.m.

·        Mrs. Jenkins and Mr. Wagner gave an overview of this committee for the benefit of new members.

·        Mrs. Jenkins introduced Angela Gunter from Firm Foundations who distributed a flyer (See ATTACHMENT B) and gave an overview of the type of training and support her organization can provide to local providers.

-           Ms. Gunter will forward a copy of the price list to Mrs. Jenkins to share with anyone who is interested in contracting with Firm Foundations.

VI.       Review of Draft Policies and Procedures for Qualified Provider Network

·        Mr. Wagner distributed three draft policies which are required as part of the plan (See ATTACHMENT C) and requested feedback from members.

·        Private Practitioners who contract directly with local providers need to submit their information to the LME also.

·        Since the State requires the LME to monitor all providers in the catchment area regardless if we utilize them, need clarification from the State regarding responsibilities and authority.

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

• Mr. Wagner solicited comments/ideas for implementation in the plan.

VIII.    Review 2^nd Draft of Qualified Provider Network Questionnaire Cover Letter

• Mr. Wagner distributed a draft of the cover letter and members made numerous changes. (See ATTACHMENT D).

IX.       Round Robin

• Ms. Cook shared information regarding the opportunity for someone to participate in “Sandhills Today” on WFSS.  Mr. Wilson, who is working with other media on a subcommittee from the Planning and Collaboration Committee will forward this information to his group.

• Ms. Smith encouraged providers to conduct a self-study looking internally to ensure they have critical components in place and to make corrections and address weaknesses.  Also, she stated that it is important for providers to work closer and dialogue as this is “a different day and time.”  Need to look at forming networks in terms of services and sharing resources as this may help save money while meeting criteria.

• Mrs. Jenkins gave feedback on a three-day IPRS training that a few CCMHC staff attended.  She explained that only one area program is billing under IPRS and if you don’t bill correctly, you cannot re-bill.

X.        Next Meeting

·        The next meeting is scheduled for Monday, October 21, 2002; 3:00 p.m.

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