The URL can be used to link to this page

Home My WebLink AboutResolutions - 1989.04.13 - 16930MISCELLANEOUS RESOLUTION NO 89078 March 23, 1983 BY: HEALTH AND HUMAN SERVICES COMMITTEE - SUSAN KUHN, CHAIRPERSON IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES - COMMUNITY MENTAL HEALTH NURSING HOME EVALUATIONS - NEW PROGRAM APPLICATION AND ACCEPTANCE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS: Mr. Chairperson, Ladies and Gentlemen: Whereas the Federal Omnibus Budget Reconciliation Act (OBRA) requires that all persons admitted to nursing homes from January 1, 1989 on, and all existing residents of nursing homes, be screened to determine whether they are in need of active treatment for mental illness or a developmental disability; and Whereas the Michigan Department of Mental Health has asked county Community Mental Health programs to arrange for these evaluations, with 100% of the cost to be reimbursed by the State, and has budgeted funds for this purpos,..e; and Whereas the Community Mental Health Services Board desires to provide for these evaluations in order to ensure that all nursing home residents receive appropriate mental health services, and citizens requesting ad- mission receive the most appropriate type of placement; and Whereas Community Mental Health has accordingly proposed to purchase OBRA evaluations from several qualified mental health agencies in the County, through professional service contracts, with the entire process coordinated by the CMH Geriatric Mental Health Service; and Whereas the full-year cost to purchase these evaluations for Oakland County nursing homes is estimated to be $1,014,960, to be reimbursed en- tirely by tne State, with no County matching funds required; and Whereas Commissioners Resolution No. 86186 requires that a new pro- gram application and acceptance of funds receive Board of Commissioners approval: NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commis- sioners approve the Community Mental Health Nursing Home Evaluation new program application request and acceptance of State funds as recommended by the Community Mental Health Services Board,. so long as no County matching funds are required. BE IT FURTHER RESOLVED that the Chairperson of the Oakland County Board of Commissioners be and is hereby authorized to execute said agreement. Mr. Chairperson, on behalf of the Health and Human Services Committee, I move the adoption of the foregoing resolution. ‘,1L--71.,ey'\\ HEALTH AND HUMAN SERVICES COMMITTEE Misc. 89078 REPORT TO THE HEALTH AND HUMAN SERVICES COMMITTEE BY: DEPARTMENT OF MANAGEMENT AND BUDGET IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES - COMMUNITY MENTAL HEALTH NURSING HOME EVALUATIONS - NEW PROGRAM APPLICATION AND ACCEPTANCE Pursuant to Miscellaneous Resolution #86166, the Department of Management and Budget has reviewed the proposed program and reports as follows: 1. The Michigan Department of Mental Health has offered Oakland County Community Mental Health funds to conduct nursing home patient evaluations as required by the Omnibus Budget Reconciliation Act of 1987 (OBRA); 2. The Community Mental Health Division's application estimates the annual cost of these evaluations to be $1,014,960, this amount will fund 2,000 evaluations of mentally impaired individuals and 160 evaluations of developmentally disabled individuals; 3. The Michigan Department of Mental Health has agreed to cover 100% of the evaluation cost, no County matching funds are required; 4. The evaluations will be conducted by current CMH staff and contracted agencies. No additional personnel are required. 5. Finance Committee action is required to amend the 1989 Community Mental Health Division Budget allocating $1,014,960 to a new unit in Community Mental Health named "OBRA", and recognizing $1,014,960 in state reimbursement in a new revenue account named "CBRA Reimbursement". COMPONET 1989 APPLICATION/ACCEPTANCE BUDGET AMENDMENT OAKLAND COUNTY COMMUNITY MENTAL HEALTH 1989 0.B.R.A, NURSING HOME EVALUATION PROGRAM APPLICATION/ACCEPTANCE REVENUE 0.B.R.A. REIMBURSEMENT $1,014,960 (3-22200 -166-01-00-2357) TOTAL REVENUE $1,014,960 EXPENSES CLINICAL SERVICES- D.D. $120,960 (4-22200-166-78-00-3041) CLIENT SERVICES-M. I. (4-22200-166-78-00-3042) $894,000 TOTAL EXPENSES $1,014,960 PREPARED BY: BUDGET DIVISION-TS MARCH 1989 April 13, 1989 FISCAL NOTE BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON IN RE: DEPARTMENT OF INSTITUTIONAL AND HUMAN SERVICES- COMMUNITY MENTAL HEALTH NURSING HOME EVALUATIONS- NEW PROGRAM APPLICATION AND ACCEPTANCE- MISCELLANEOUS RESOLUTION #89078 TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Mr. Chairperson, Ladies and Gentlemen: Pursuant to Rule XI-G of this Board, the Finance Committee has reviewed Miscellaneous Resolution #89078 and finds: 1) The Michigan Department of Mental Health has offered Oakland County Mental Health funds to conduct nursing- home patient evaluations as required by the Federal Omnibus Budget Reconciliation Act of 1987 (OBRA); 2) The Community Mental Health Division's application estimates the annual cost of these evaluations to be $1,014,960. This amount will fund 2,000 evaluations of mentally impaired individuals and 1.60 evaluations of developmentally disabled individuals; 3) The Michigan Department of Mental Health has agreed to cover 100% of the evaluation cost, no County matching funds are required. 4) The evaluations will be conducted by current CME staff and contracted agencies, no additional personnel are required; 5) The following amendments to the 1989 budget are recommended: Revenue 3-22200-166-01-00-2357 0.B.R-A. Reimbursement $1,014,960 Expenses 4-22200-166-78-00-3041 0.B.R.A. Clinical Services $ 120.960 4-22200-166-78-00-3042 0.B.R-A. Client Services 894,000 $1,014,960 $ -0- 6) The following amendment to the resolution is recolmended after the first BE IT FURTHER RESOLVED" - "BE IT FURTHER RESOLVED that this program. will not be implemented until written assurances have been received from the Michigan Department of Public Health that they will reimburse the County for 100% of the evaluation cost." fnnursing COMPONET 1989 APPLICATION/ACCEPTANCE BUDGET AMENDMENT OAKLAND COUNTY COMMUNITY MENTAL HEALTH 1989 0.B.R.A. NURSING HOME EVALUATION PROGRAM APPLICATION/ACCEPTANCE REVENUE 0.B.R.A. REIMBURSEMENT $1,014,960 (3-22200-166-01 -00 -2357) 'TOTAL REVENUE $1,014,960 EXPENSES CLINICAL SERVICES - D.D. $120,960 (4-22200-166 -78 -00 -3041) CLIENT SERVICES -N. I. (4-22200-166 -78 -00 -3042) $894,000 TOTAL EXPENSES $1,014,960 PREPARED BY: BUDGET DIVISION -TS MARCH 1989 OBRA SUMMARY The Omnibus Budget Reconciliation Act of 1987 (OBRA) has three sections that affect Oakland County's mental health system. The goal of this Federal legislation is to prevent inappropriate nursing home placements and to assure mental health treatment for those who need it 1) As of January 1, 1989, nursing facilities have been prohibited from accept- ing new persons having, or thought to have, a mental illness or mental retar- dation unless that individual has been evaluated by Community Mental Health and found to be in need of the level of care that a nursing facility provides. 2) As of July 1, 1989, all nursing home residents having or thought to have a mental illness or developmental disability must undergo annual Community Mental Health evaluations to reassess mental health status and the need for active treatment or discharge. 3) Persons having a mental illness or mental retardation who require custodial care as opposed to nursing care will be denied admission to the nursing home and will be referred to the Department of Mental Health for placement. The Department of Mental Health estimates that in the first phase of OBRA (1989), Oakland County can expect to be asked to conduct 2,160 OBRA evaluations. DMH will reimburse CMH with 100% State funds at CMH's cost. The following agencies in the community have agreed to provide evaluations for the remainder of the fiscal year. Each participating agency will be allowed to provide evaluations for all individuals referred to that agency by Geriatric Mental Health Service. Oakland Family Services Metropolitan Health Care Corporation Square Lake Clinic Maple Clinic Madison Community Hospital Geriatric Mental Health Service will also do some of the evaluations itself, and be reimbursed by the Department of Mental Health. Total Average Cost for M.1. Evaluations $447.00 x 2,000 $ 894,000 D.D. Evaluations $756.00 x 160 $ 120,960 $1,014,960 RESOLUTION # 89078 ' April 13, 1989 Moved by Susan Kuhn supported by McCulloch the resolution be adopted. Moved by Caddell supported by Moffitt the resolution be amended to agree with the Fiscal Note. A sufficient majority having voted therefor, the amendment carried. Vote on resolution, as amended: AYES: Olsen, Pernick, Price, Rewold, Skarritt, Wolf, Aaron, Caddell, Chester, Crake, Ferrens, Hobart, Jensen, R. Kuhn, S. Kuhn, Law, McCulloch, McPherson, Moffitt, Oaks. (20) NAYS: None. (0) A sufficient majority having voted therefor, the resolution, as\amended, was adopted. STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lynn D. Allen, Clerk of the County of Oakland and having a seal, do hereby certify that I have compared the annexed copy of the attached resolution, adopted by the Oakland County Board of Commissioners at their regular meeting held on A pr il 13 , 1989 with the original record thereof now remaining on file in my office, and that it is a true and correct transcript therefrom, and of the whole thereof. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County at Pontiac,Michigan this 13th day of April ,1989 4,,A14 LYNN'D. ALLEN, County Clerk Register of Deeds Deputy Clerk