County Case Management Services
Board of Directors Meeting - Minutes for February 6, 2013
Courtyard by Marriott-Ankeny
2405 SE Creekview Dr., Ankeny, IA
Present: Harlan Hansen, Jack Willey, Paul Merten, Elaine Armstrong, Ellen Gaffney, Larry Vest, Terrance Nuezil, Jill Davisson, Chuck Rieken, Tim Schumacher
Staff: Deb Eckerman Slack, Jackie Olson Leech, Cindy Chappelle, Linda Kemp, Brad Holtan, Robin Harlow
Call to Order: Paul Merten called the meeting to order at 7:00 AM.
Minutes from previous meeting: Motion to approve minutes from previous meeting made by Ellen Gaffney, seconded by Jill Davisson. Motion carried unanimously.
Financial: Brad Holtan presented the Balance Sheet ending 1/31/13. Also presented was the Income Statement Analytical. Motion made by Jack Willey to accept the financial report, seconded by Elaine Armstrong. Motion carried unanimously.
Board Membership: Carl Mattes, Supervisor from Humboldt County, has agreed to be a member of the CCMS Board. Motion to accept him made by Chuck Rieken, seconded by Larry Vest. Motion carried unanimously. The recommendation will next be presented to the ISAC Board for final approval.
Staff Report: Deb Eckerman Slack reported that the CSN/TCM module is being used live. Cindy Chappelle is in charge of providing requested training on the system for case managers. Several such trainings have already been provided. Robin Harlow stated that out of the potential 834 users in the system, 400 are actively using it.
Deb reported that Bob Lincoln, from the County Social Services Region, has sent an RFP seeking proposals to provide a suitable electronic records system that fits his vision of a system for case management files with provider access as well. Robin and his team are working to submit a proposal for the TCM/CSN system. This region currently has 21 counties as members.
Deb presented a copy of the completed User Agreement developed by ISAC lawyer, Kristi Harshbarger which would allow DHS Case Management to utilize the CSN/TCM module. Signing of the agreement may be delayed until regions are firmly established. Motion made to approve the agreement by Jack Willey, seconded by Ellen Gaffney. Motion carried unanimously.
Deb presented a copy of the FY14 Medicaid Cost Containment Initiatives report. Included are efforts to reduce the cost of TCM by removing the responsibility to do assessments (SIS to be done instead) and to automatically enroll all clients with CMI into the Health Home program thus eliminating the need for TCM. She has sent a letter to Jennifer Vermeer and Director Palmer regarding this. Jack Willey requested that this letter be shared with the Board. Deb has a meeting scheduled with representatives from DHS and other parties to discuss the realities of the proposals.
Strategic Plan updated. Review of By-Laws and the 28E Agreements with counties will be addressed when the Regions have been established. Planning has begun for the 2013 Conference this summer.
Commission Report: Jack Willey and Jill Davisson reported that the commission has been focused on the MH/DD Redesign. They are seeking guidelines regarding Managed Care Plans and 28E Agreements. Of grave concern are the problems evoked by the lack of funding for the transition to a regional system. They have contacted the Governor and Legislature by letter stating concerns.
Next Meeting: March 14, 2013, at the Marriott-Downtown Hotel, time 7 AM.
Adjournment: Motion to adjourn by Jack Willey, seconded by Chuck Rieken. Motion carried unanimously. Meeting adjourned at 8:25 AM.