Service Monitoring and Oversight Sub-Committee

Of the Local Business Planning Committee

 May 2, 2003; 9:00 a.m.

MINUTES

MEMBERS    Karen Campbell, Campbell and Associates

PRESENT:      Carol Doyle, Cardinal Clinic

                        Laura Lloyd, Davis, Lloyd & Associates

                        Alfred Spriggs, L.I.F.E. Concepts

                        Kiya Thomas, IPA/Peterkin & Associates

                        Faith Edgeson, Changing Lifestyles

                        Michelle Davis, Davis & Associates, Inc.

                        Rose Ferguson, Fergie’s Behavior Center

STAFF             Terry Eads, MIS Director, CCMHC

PRESENT:      William H. Robinson, Residential Services Director, CCMHC

 William H. McDougal, Substance Abuse Services Director,

 CCMHC

 Stacy Martin, Clerk to the Area Board, CCMHC

I.          Welcome

             Members were welcomed and introductions were made.

II.        Announcements

·          Information from the FARO conference was shared including the Revised Service Records Manual Update (ATTACHMENT A).

-          There was a lot of information shared at the conference regarding HIPAA and the State Plan.

-          Marilyn Brothers gave a seminar and provided a handout on the service definitions.

-          Regarding IPRS, new service definitions will be coming out along with service array and benefits package; anticipate this information going into effect July 1, 2003, per Betty Cogswell and Spencer Clark at the State.

-          According to the State’s Contract Officer, there is a rebid process with EDS, but expect to use EDS for next two years.  New contract will be a complete re-write.  The functionality in the future is still unknown.  The two-year extension on EDS contract will provide the new contractor enough time to re-write and redesign.

·          Regarding Direct Provider Billing, the State has requested EDS do a high-level design work to allow providers to bill directly to the State.

·          Regarding HIPAA:  some changes with new transaction codes sets.  If billing to Medicaid, may have possible changes.  Therefore, members were cautioned to keep an eye out for potential changes. Mark Botts, with the Institute of Government is “in the know” regarding HIPAA and conducted a seminar on this topic at FARO.  In an attempt to ease tension and anxiety, he explained that HIPAA monitoring will be complaint driven.  The Federal Government is fully aware that not everyone is compliant, but the expectation is to continue to work toward full compliance.

-          Even if a complaint is substantiated, provider will be given the opportunity to fix problem before fines are levied.

-          In extreme cases, facilities/providers are not providing quality care because they are not sharing valuable and necessary health care information in fear of violating HIPAA regulations.  This is a problem that will be addressed.

·          For those that wish to attend, Mr. Eads announced that the next FARO conference is scheduled for September 21 through 24, 2003 in Asheville.

III.       Agenda Adjustments

None

IV.       Approve Minutes of April 25, 2003 Meeting

A motion was made by Ms. Thomas to accept the minutes as written.  Motion was seconded by Mr. Robinson.  Therefore, minutes were accepted as written.

V.         Discussion on Monitoring

For those that did not have a copy, the Strategic Plan Matrix for Service Monitoring and Oversight was distributed and members were informed that this item will be discussed at the next meeting.

VI.       Round Robin

This committee will continue to meet every other week, but intends to extend the duration of each meeting.

VII.      Next Meeting

Friday, May 16, 2003 at 9:00 a.m.