HomeMy WebLinkAboutResolutions - 1996.06.13 - 24763MISCELLANEOUS RESOLUTION 196118
BY: PUBLIC SERVICES COMMITTEE - SHELLEY TAUB, CHAIRPERSON
IN RE: OAKLAND COUNTY CI PASARR ANNUAL AGREEMENT WITH THE
MICHIGAN DEPARTMENT OF MENTAL HEALTH
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of Mental Health has
requested renewal of the Board's annual agreement regarding
"PASARR" (nursing home PreAdmission Screening and Annual Resident
Reviews), which sets out the requirements for each party in the
process; and
WHEREAS "PASARR" evaluations are a requirement of the
federal Nursing Home Reform Act, commonly referred to as "OBRA"
and a condition of the State's continued receipt of Medicaid
funding; and
WHEREAS the terms of the proposed "PASARR" agreement have
been reviewed and are acceptable to the Administration and
Corporation Counsel; and
WHEREAS the agreement has been approved by the Oakland
County Community Mental Health Services Board
NOW THEREFORE BE IT RESOLVED that the Oakland County Board
of Commissioners approves the attached agreement with the
Michigan Department of Mental Health governing nursing home
preadmission screening and annual resident reviews, as modified,
with the Michigan Department of Mental Health.
Chairperson, on behalf of the Public Services Committee, I
move the adoption of the foregoing resolution.
PUBLIC SERVICES COMMITTEE
AGREEMENT
between
THE MICHIGAN DEPARTMENT OF MENTAL HEALTH
AND
Oakland County Community Mental Health Board
This AGREEMENT is made by and between the MICHIGAN DEPARTMENT OF
MENTAL HEALTH, hereafter referred to as the "DEPARTMENT," and Oakland County
Community Mental Health Board, hereinafter referred to as the "BOARD" to be effective October
1, 1995, through September 30, 1996. This agreement supersedes previous agreements with the
Oakland County Community Mental Health Board.
I. PURPOSE
This agreement is intended to specify the requirements for the completion of
PREADMISSION SCREENINGS and ANNUAL RESIDENT REVIEWS (hereinafter
referred to as PASARR) for individuals who are located in the BOARD'S county(ies)
presenting for nursing home admission or who are currently a resident of a nursing home
located in said county, as required by the Omnibus Budget Reconciliation Act (hereinafter
referred to as OBRA) of 1987 and the method of costing, billing and payment for these
services. This agreement is to replace any previous contract or amendment related to
preadmission screenings and annual resident reviews and to render said contract null and
void as of October 1,1995.
II. REQUIREMENTS
A. Evaluations and assessments as described herein shall be prepared and submitted in
accordance with the following documents:
1. Medical Services Administration (MSA) Bulletin 94-10.
2. Federal Register/Vol 57, No. 230/Monday, November 30, 1992/Rules and
Regulations/Subpart C - Preadmission Screening and Annual Resident
'Review of Mentally Ill and Mentally Retarded Individuals.
The DEPARTMENT will notify the BOARD of any changes in these documents due
to federal rules and state requirements. Such changes will be incorporated in this
contract within sixty (60) days of the DEPARTMENT's notification to the BOARD
unless otherwise provided by federal regulations.
PREADMISSION SCREENING
B. The BOARD will provide evaluations and assessments for all individuals located in
1
the BOARD'S county(ies) who are presented for admission to a nursing home
regardless of the location of the admitting facility and for whom a Level 1
Preadmission Screening procedure (DSS Form 3877) has identified the possible
presence of a mental illness or a developmental disability. This evaluation and
assessment will be completed and an appropriate determination made prior to
admission of the individual to a nursing home. This evaluation and assessment will
be completed utilizing criteria specified in Paragraph A above.
C. The BOARD agrees that Preadmission Screenings will be completed and required
documentation submitted to the DEPARTMENT within four (4) working days of
referral of the individual to the Board by whatever agent makes referral by an
appropriately completed DSS Form 3877.
D. In the event that a Preadmission Telephone Authorization is necessary, because
hospital discharge will occur within forty-eight (48) hours and a nursing home bed
is available, the BOARD may obtain a telephone authorization from the
DEPARTMENT's OBRA office. When requesting a telephone authorization, the
BOARD will have completed all evaluations and assessments as specified in
Paragraph A. above and will verbally provide all necessary information for the
DEPARTMENT to make the required determinations. Following the approval or
denial of the placement, the BOARD will submit the completed evaluation, in
writing, to the DEPARTMENT within four (4) working days of the referral as
specified in Paragraph C. above. Upon review of the submitted documents, the
decision related to admission and to level of service may be altered if the information
does not match the information provided during the telephone approval.
ANNUAL RESIDENT REVIEW
E. The BOARD will provide Annual Resident Reviews to all nursing home residents
who are located in the BOARD's county(ies) and who have been identified through
the Preadmission Screening or Initial Resident Review process as having either a
mental illness or developmental disability or who have otherwise been identified to
the BOARD by submission of DSS Form 3877. This evaluation and assessment must
be completed utilizing criteria specified in Paragraph A. above.
F. The BOARD agrees that Annual Resident Reviews will be completed and required
documentation submitted to the DEPARTMENT within fourteen (14) calendar days
of receipt by the BOARD of an appropriately completed DSS Form 3877 from the
nursing facility(ies). In the case of Annual Resident Reviews of persons who have
been admitted to a nursing facility without a preadmission screening as an exempted
hospital discharge, the BOARD will complete a review and submit required
documentation to the DEPARTMENT within seven (7) calendar days of referral. In
either situation, if a BOARD is unable to comply with this requirement in a particular
2
case, the BOARD will notify the DEPARTMENT.
III. RECORD, BILLINGS, AND REIMBURSEMENT
A. The BOARD will maintain all documentation and records concerning services
provided, client treatment recommendations and treatment plans, and verification of
compliance with standards for subsequent audit, and actual cost documentation for
a period of seven (7) years and assure that all such documents will be accessible for
audit by appropriate DEPARTMENT staff and other authorized agencies.
B. The BOARD will submit monthly billings to the DEPARTMENT for services
provided based on an actual cost basis as defined in "Revised Billing Procedures for
OBRA Pre-Admission Screening, Initial and Annual Resident Review for Nursing
Home Clients" DMH memorandum, William J. Allen, February 20, 1996, which is
attached to this Agreement. Only one (1) bill will be considered for payment per
month, and should be submitted for payment to the DEPARTMENT within forty-
five (45) days after the end of the month in which the service was provided, except
for the September bill which should be submitted within fifteen (15) days after the
end of the month. In the event that the BOARD realizes costs incurred after a billing
has been submitted, the BOARD may submit a revised billing. In any event, all bills
for services provided under this Agreement must be received by the DEPARTMENT
no later than October 15, 1996. Submitted bills will also include the number of
evaluations completed during the month being billed by completing the "Detail of
Services Billed" form. The forms attached to this contract are to be used for billings
submitted under this contract.
C. Payments made to the BOARD for these services will be included as earned revenue
from the DEPARTMENT on the final expenditure reports of the BOARD. Projected
expenditures will be specifically identified as part of the "Other Populations" section
the Service Summary and Spending Plan. Separation by MI and DD is not required.
Projections will be identified on Line E and footnoted in the summary and
appropriate detail page. All payments made under this Agreement are subject to the
requirements under the Single Audit Act of 1984. The CFDA number for the
federally funded portion of payments made to the BOARD under this agreement is
93.778.
IV. DEPARTMENT RESPONSIBILITIES
A. The DEPARTMENT agrees that for bills received for which the BOARD has a
contract and which are correctly and completely submitted on a timely basis as
specified in paragraph III. B., above, payments will be made within forty-five (45)
days of receipt of bills for approved services. All payments will be made at 100%
of the BOARD's charge as submitted.
3
B. Preparing claims for federal financial participation and submitting these claims to the
Department of Social Services will be the responsibility of the DEPARTMENT. The
BOARD will provide the DEPARTMENT with such documentation as may be
required to support claims for federal financial participation.
C. The DEPARTMENT will hold the BOARD financially harmless where the BOARD
has followed procedures as outlined in Federal Office of Management and Budget
Circular A-87, and has documentation as to the services performed. The Federal
Office of Management and Budget Circular A-87, is included with the document
entitled "Resident Billing Procedures for OB Pre-Admission Screening, Initial and
Annual Resident Reviews for Nursing Home Clients," DMH memorandum; William
J. Allen, February 20, 1996, as referenced in Paragraph III.B above. The BOARD
will be responsible where procedures related to these identified evaluations are not
followed or where documentation is lacking.
V. TERMINATION
The Agreement may be terminated by either party within sixty (60) days notice. Said notice
shall be made in writing and sent by certified mail. Termination will take effect sixty (60)
days from receipt of said notice.
VI. IDENTIFICATION OF ALTERATIONS
In signing this contract, the BOARD agrees that no alterations to the model contract provided
to the BOARD by the DEPARTMENT on October 1, 1995 have been made with the
exception of the change in this section itself, in the first paragraph of the contract, in page
2 (C), and in the signature block below. Any changes not identified will render this contract
null and void.
Chairperson, Oakland County Community Mental Health Services Board Date
James K. Haveman, Jr., Director, Michigan Department of Mental Health Date
Concurrence:
Chairperson, Oakland County Board of Commissioners Date
4
FISCAL NOTE (MR. #96118)
BY: FINANCE AND PERSONNEL COMMITTEE -SUE ANN DOUGLAS, CHAIRPERSON
IN RE: OAKLAND COUNTY CMH PASARR ANNUAL AGREEMENT WITH THE MICHIGAN
DEPARTMENT OF MENTAL HEALTH
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies, and Gentlemen:
Pursuant to Rule XII-F of this Board, the Finance and Personnel Committee has reviewed the above-
referenced resolution and finds:
1) The resolution approves an annual agreement that allows for full reimbursement of nursing home
preadmission screenings and annual resident reviews which are required by the Omnibus Budget
Reconciliation Act (OBRA) of 1987.
2) It is estimated that reimbursement from this agreement will be approximately $900,000 in the
current fiscal year.
3) Anticipated reimbursement from this agreement has been included in the Community Mental
Health Fund Budget, therefore, amendments to the Biennial Budget are not required.
FINANCE AND PERSONNEL COMMITTEE
IL
L. Brooks Patte
I HEREBY/2' •VE ,REGOING RESOLUTION
, County Executive Date
1
Resolution #96118 June 13, 1996
Moved by Taub supported by Wolf the resolution be adopted.
AYES: McPherson, Moffitt, Obrecht, Palmer, Pernick, Powers, Quarles,
Schmid, Taub, Wolf, Amos, Crake, Devine, Dingeldey, Douglas, Garfield, Holbert,
Huntoon, Jacobs, Jensen, Johnson, Kaczmar, Kingzett, Law, McCulloch. (25)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lynn D. Allen, Clerk of the County of Oakland, do hereby certify that the
foregoing resolution is a true and accurate copy of a resolution adopted by the
Oakland County Board of Commissioners on June 13, 1996 with the original record
thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the
County of Oakland at Pontiac, Michigan this 13th day of June 1996.
-,--LynnAD. Allen, County Clerk