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QUALIFIED PROVIDER NETWORK
SUBCOMMITTEE
OF THE LME
October 21, 2002
3:00 p.m.
711 Executive Place; Board Room
MEMBERS Sharon Melvin, Release It And Let Go
PRESENT: Walter O. Whitfield, We Do Care, Inc.
Curtis McCrimmon, Evergreen Health Service
Rose Ferguson, Fergie’s Behavioral Center
Alice Smith, Peterkin & Associates and IPA
Cleveland Wilson, Your New Beginning
Jacqueline Adams Cook, Cumberland County
Care Providers Association
Arethia W. Robinson, Trucare Home
Letsie Generette, RACA Services/Bryant &
Associates
Angela Lee, Pierce & Associates, Inc.
Angela Gunter, Firm Foundations
Carolyn Stiles, Firm Foundations/Katam &
Associates
Karen Campbell, Campbell & Associates
Richard Varela, KV Consultants & Associates,
Inc.
Thomas Maxwell, S&T We Care
Helen Wilson, Evergreen Health Care
Services
STAFF Debbie Jenkins, Director – Child and Family
Services, CCMHC
PRESENT: Densie Lucas, Assistant Area Director, CCMHC
Terri Knight, Director – Developmental Disabilities Services, CCMHC
William H. McDougal, Director – Substance Abuse Services, CCMHC
Stacy Martin, Clerk to the Area Board, CCMHC
I. Welcome/Introductions
Ms. Jenkins welcomed everyone and introductions were
made.
II. Agenda Adjustments
None
III. Approval of Minutes from October 14, 2002
·
The name of Ms. Ferguson’s organization should be
changed to “Fergie’s Behavioral Center.” And Ms. Cook is
representing CAP Provider’s Association.
·
Ms. Ferguson made a motion to accept the minutes with
the noted corrections. Ms. Smith seconded the motion. Minutes were
approved by acclamation.
IV. Update from “Training/Technical Assistance/Education
Subcommittee”
·
Mr. Varela indicated that he is unclear what in
addition to the notes he provided at the last meeting, is required
from the subcommittee.
·
Mrs. Jenkins will provide an updated grid at the next
meeting for approval by the committee which will contain information
submitted by the subcommittee.
·
Mrs. Jenkins commented that the secretary has stated
that the Area Program will continue to provide services for the next
year while putting together its plan for divestiture. Other
committees made up of providers have determined that it will take
providers until 2004 to meet criteria for network membership.
·
There was discussion regarding the closing of the
Whitaker School and the availability of a locked facility in the
three regions. There was a discussion regarding providers in the
community developing their own locked facility. There is a
possibility of obtaining funds for the facility from the trust
fund.
- Ms. Smith questioned the number of current Level III
facilities that will end up qualifying for network membership.
·
Monday, October 28th is the next meeting of
the subcommittee.
V. Discussion of Qualified Provider Network Grid
Comments/Ideas for Implementation/Target Dates
·
Mrs. Jenkins said she will take information and put it
in format with tasks and strategies.
·
One of the members present expressed that she is
struggling with providers who insist on not being part of network
without understanding how this affects their funding with the State
and Medicaid dollars. There was discussion regarding EDS not
supporting Medicaid billing software next year. The need for
providers to communicate directly with EDS was emphasized.
·
Training Committee needs to look at how to get
information out on an ongoing basis.
·
Discussion regarding peer review panel to review
licensure/accreditation/competencies and to handle criteria for
determining provider network membership.
·
Discussion regarding the need for the network matching
the community needs assessment.
·
The LME will receive its funding to run the network
based on guidelines established by the State. They will take into
consideration the number of consumers, penetration rates, size of
network, service array, costs, best practices, etc..
·
In response to Ms. Lucas asking if any other providers
have questions regarding divestiture process, there was a discussion
regarding how the LME will get the message out that divesting has
begun and how providers will know if they qualify for the network.
VI. Review 2nd Draft of Qualified Provider
Network Cover Letter
·
Will add a statement requesting providers to return
the survey to the Area Program at the attention of the Qualified
Provider Network, with a contact name of Stacy Martin along with a
telephone number in the event that a provider has questions.
·
Cover letter and questionnaires will go out within
next week.
VII. Round Robin
·
Mrs. Knight elaborated on the need for the single
portal process in that in the event of a crisis, host area will have
to provide information until the home area can step in. This is
handled through a “Host Home Agreement.”
·
Ms. Jenkins explained the process of authorizations
and best practices processes with residential facilities. It is
critical that the networking and communication occurs.
VIII.
Next Meeting
Monday, October 28, 2002 at 3:00 p.m.
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