HomeMy WebLinkAboutResolutions - 1997.12.11 - 25010December 11, 1997
MISCELLANEOUS RESOLUTION #97296
BY: Public Services Committee, Shelley G. Taub, Chairperson
IN RE: BOARD OF COMMISSIONERS/COMMUNITY MENTAL HEALTH - EXTENSION OF FISCAL YEAR
1996/1997 FULL MANAGEMENT CONTRACT
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the full management contract between the Michigan Department of
Community Health and Oakland County specifies the terms and conditions for
funding and service delivery of the Oakland County Community Mental Health Board
Programs; and
WHEREAS the 1996/1997 Full Management Contract has been extended for a 90
day period that commenced on 10/1/97, but will expire on 12/31/97 under existing
extension provisions of this contract; and
WHEREAS the Michigan Department of Community Health is presently awaiting
final federal approval in order to fully implement their intended "risk-sharing"
managed care plan in all such future full management contracts; and
WHEREAS the Michigan Department of Community Health formally, in writing,
notified the Oakland County on December 10, 1997, of its desire to again extend
the current 1996/1997 Full Management Contract for an additional three month
period, ending March 31, 1998, as detailed in the attached letter from the
Michigan Department of Community Health.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
hereby concurs in and accepts this Michigan Department of Community Health intent
and offer to extend the parties current 1996/1997 Full Management Contract
through March 31, 1998, on the same terms and conditions contained in the current
contract between the parties, except and subject to the following two conditions:
1. Oakland County's receipt of the additional Michigan Department of
Community Health funds described in the attached December 10, 1997
correspondence from the Michigan Department of Community Health
(William J. Allen, Deputy Director); and
2. The subsequent approval and acceptance of this same 1996/1997 Full
Management Contract extension, through March 31, 1998, by the
Oakland County Community Mental Health Services Board at their
December 1997 meeting.
BE IT FURTHER RESOLVED that any further proposed Michigan Department of
Community Health amendments or extensions to the current Full Management Contract
or any new proposed contracts for full management between the Michigan Department
of Community Health, the Oakland County Board of Commissioners and the Oakland
County Community Mental Health Services Board shall require the prior and express
approval of the Oakland County Board of Commissioners.
Chairperson, on behalf of the Public Services Committee, I move the
adoption of the foregoing resolution.
PUBLIC SERVICES COMMITTEE
c)1146
DMH DIRECTOR OFFICE Fax:1-517-335-3090 Dec 10 '97 16:25 P.01/05
•
STATE OF MICHIGAN
raw
JOHN ENGLER. Governor
DEPARTMENT OF COMMUNITY HEALTH
LEWIS CASS DUILDINC
LANSING. MICHIGAN 48913
JAMES K. HAVEMAN. JR., Director
December 10, 1997
Sandra Lindsey, A.C.S.W.
Executive Director
Oakland County CMHSP
1200 North Telegraph
Pontiac, Michigan 48341-0047
Dear Ms. Lindsey:
This letter serves as a follow-up to our meeting December 8, 1997 regarding the extension of the
current full management contract with the Oakland County Community Mental Health Services
Program. Yesterday I signed and issued a memorandum to all Executive Directors of Community
Mental Health Services Programs regarding an update on managed care time lines and our intent
to extend all CMEISP contracts for an additional three month period to March 31, 1998. You
should receive a copy of this memorandum today.
As discussed during our meeting on Monday, the Department of Community Health submitted
1915b waivers to the Health Care Financing Administration several months ago to enter into a
sole source specialty managed care contract with CMHSPs for the provision of community mental
health services. We anticipated approval of these waivers to implement the new specialty
managed care contract January 1, 1998, Unfortunately, the waivers have not yet been approved
and will not be approved in time for the January 1 implementation date.
In this regard, it is the intent of the Department of Community Health to extend the current
contract with your Program for another three month period through March 31, 1998. The new
target date for implementing the Specialty Managed Care Contract with all CMHSPs is April 1,
1998. In addition, the managed care earned contract will be extended for this same three month
period.
12/10/97 WED 17:31 [TX/RI NO 89401
DMH DIRECTOR OFFICE Fax:1-517-335-3090 Dec 10 '97 16:25 P.02/05
. • • • •
Sandra Lindsey, A.C.S.W.
December 10, 1997
Page 2
These contract extensions and implementation date changes will allow more time to assure that
waivers are approved, that funding methodologies (i.e., Medicaid capitation rates and general
fund formula) are completed, and upon completion funding information is distributed for timely
review by all CMHSPs. This will also provide more time for CMHSPs and Substance Abuse
Coordinating Agencies to prepare for the specialty managed care contract requirements. In this
respect, I want to acknowledge and commend you and your Board for receiving CARF
accreditation and taking other necessary steps to meet certification requirements.
Other target dates are being established to assure that the Department and CMHSP system
statewide will be prepared for the April 1, 1998 implementation date. Although further
modifications may be needed, the negotiations regarding the model Specialty Managed Care
Contract should be completed by the end of December, 1997, Funding information, as described
above, for the Specialty Managed Care Contract should be distributed for your review by
February 1, 1998, so we can settle funding issues as soon as possible. Meeting these target dates
should help assure that we are prepared for the new April 1, 1998 target date to implement the
Specialty Managed Care contract with your Program.
As to the three month contract extension, I want to restate our intent to extend your current
contract with the same terms and conditions for a three month period beginning January 1, 1998
and ending March 31, 1998. Attached to this letter is a revised funding authorization, which
reflects funding for the first quarter of this fiscal year (i.e., October 1 ) 1997 to December 31,
1997), and the extended contract period covering January 1, 1998 through March 31, 1998. This
authorization includes adjustments for tobacco tax funding and state hospital and center trade-off
earnings. We will need to amend this authorization at a later time (hopefully within the next two
weeks) to reflect the residential direct care worker wage increase pass-through funding_
Your Program's carry-forward from FY 1996-97, in accordance with Section 226 of the Mental
Health Code, is not shown on this authorization. Carry forward funds will be reported and
reflected on your final expenditure report to the Department. Medicaid savings realized through
the FY 1996-97 Managed Care Earned Contract will not be shown on this authorization, but will
be paid to your Program under a separate cost settled arrangement specific to that contract.
During our meeting on December 8, you discussed your County's resolution prohibiting your
Program from assuming transfer of responsibility for state leased specialized residential property
upon expiration, and management of existing state leased specialized residential property located
in your county. Most of these state lcased properties are currently occupied by your residents
under the care of the Macomb-Oakland Regional Center, Inc, As you know, it is our practice
throughout the state to transfer state leased property to CMHSPs when leases expire.
12/10/97 WED 17:31 (TX/RX NO 89401
Sincerely,
DMH DIRECTOR OFFICE Fax:1-517-335-3090 Dec 10 '97 16:26 P.03/05
Sandra Lindsey, A.C.S.W.
December 10, 1997
Page 3
It is my understanding from our discussion regarding this matter at the December 8 meeting, that
your Board may be in a better position to assume transfer of responsibility for expiring leased
properties when it acquires authority status. I am willing to exercise lease renewal options for
these properties and home maintenance and management until the end of this fiscal year, with the
understanding that your Board will proceed toward acquiring authority status by October 1, 1998.
As indicated during our discussion, if the Department assumes home Maintenance and
management responsibilities, it will be necessary to remove finding previously transferred to your
Program for these purposes. At a minimum, this will include funding for (1) property specialists
and developers (including fringes and related costs); (2) exception funding for development and
home repair; and (3) finding for residential contracts for home maintenance. Please work closely
with Jeff Patton to reconcile the amount of funds to be transferred back to the Department for this
purpose.
Should you have questions regarding this letter, please contact Jeff Patton.
WilhanyVAllen, Deputy Director for
Mental Health and Substance Abuse Services
WJA/im
Attachment
cc: James K. Haveman, Jr.
Fran Amos
Michael Blaszczak
Jeff Patton
Rich Visingardi
Antonio Sieira
12/10/97 WED 17:31 (TX/RI NO 8940]
1_05 $6.398,870 (MIA)
1.05 $419,568 (MIC) 3DIJJO aOlD3KG HWG 060i -S2 -2.TS -T:xpj 1 2 3 4 5 8 7 8 9 10 II 12 13
17 TRADE OFFS AND 1907.90 STATE FACILITY FUNDING
1211097
I: BUDGET 9896 9647 MAX 96-97 1996-97 97-98 MAX POPULATION
ACTUAL 199647 FULL MGT INPT ACTUAL 1906-97 TRADEOFF $1 1997-98 FULL MGT eiPi RISK MAXIMUM
ARO FACILITY CONTRACT RATES RES 1 AVAIL CONTRACT COST AVAIL IN 97-96 RATES RES S AVAIL LIMIT LIABILITY
OATS (COL 3 X 4) DAYS (COL 4 A eq (COL 5 - T) (COL 6 X 9)
LAND !MPH 070 5211.00 1142,246 438 $99,418 $49,527 $240.00 $105,120
NORTHVILLE 1,370 $230.00 5314,237 1,114 5256,220 456.017 3239.02 1527,161
CVC 36,174 $214.00 17,720,007 20,377 34,313,678 13,311.340 131400 12.406,938
C.ARO 2,314 1252.03 $501,530 1,402 $403,704 1177,025 $232.00 $1.6162.914
REUTHER 4,241 1177.00 5746600 3,341 5608,357 $157,243 $19600 $1.311,946
TOTAL MIA 44.715 19.506.640 26,87'2 16,704,177 $3,802,253 55,093,971
FAIRLAWN 1,133 110.00 10 0 SO $0 KM $0
I HAWTHORN 11716 $183.00 11406,007 1,912 9392.090 356.711 1202.00 $399,606
TOTAL NC 2.220 $400,807 1,912 180,198 3611.711 $399.000
CARO OD 5.408 1142.00 11,100,005 6,401 3908,042 $2131,723 4142.00 $131,492
SOUTHGATE DO 306 1167.00 soogis 301 950,287 $668 $205.00 174,005
III PLEASANT DC 2,333 $15400 1356,290 1,902 1292,006 105,390 $119.00 11,186,025
TOTAL DD 11,107 11,509,917 8,664 11,262,137 1347,760 11,390,625
TOTAL INP 66,.110 $11,523,154 37,446 17,316,410 $4206,754 47,884,104
MORC MIA REINC 107,019 $000 10 0 $0 $0 $0.00 $0
FAIRLAWN RES 2,012 $0,00 SO 0 10 10 10.00 $0
4 CARO RES 2,724 $141.03 1403,339 5,004 1423,664 129,776 10.00 $0
4 A18 1.463 1102.00 5148,317 1,315 1134,130 $14,561 $0.09 $0
IAORC RES 1111,1707 10.00 TO 0 40 10 10.00 $o
)- AM 88,025 10.00 SO 0 $03 30 10.00 WZI
" 4 STII PLEA RES 002 932.00 $422,234 3,02 1310,004 1106,720 50.00 10
1... 2,3,4 ALS 7 ,016 197_00 5719,734 7,016 5080,455 139,279 10.00 SO o TOTAL 013 553 244,403 $1.744,114 14,791 $1,556,653 1117,401 so N., TOTAL RES 364,293 $1.744,114 14,796 51,656053 $187,481 So co ---, TOTAL 410136 113,267,276 52,244 18,673,063 14,304,215 17,884,104
1 05 $1,460,051 (DO)
A
I-• ; UNDINO FOR FAIRLAWN DAYS HAS BEEN MOVED TO HAWTHORN IN COL 8
-4 FUNDINO HAS BEEN REMOVED FROM twiT PLEASANT MS IN COL 6 AS A RESULT of THE TRANSFER OF. RESPONSIBILITY OF ONE WENT TO MUSKEGON EFFECTIVE WIN? FOR 1E3 DAYS.
.c., FUNDING HAS SEEN REMOVED FROM MT PLEASANT MS IN COL 5AS A RESULT of THE TRANSFER OF RESPONSIBILITY Of ONE WENT TO GREAT LAKES EFFECTIVE 711797 FOR 92 DAYS
1-FUNDING HAS SEEN REMOVED FROM MT PLEASANT ANO CARO IN COL 10A5 A RESULT Of THE TRANSFER Of RESPONSIBILITY EFFECTIVE 10/1 F27.
IN ORDER TO CORRECTLY FUND FOR THE MOVEMENT OF CLIENTS RESULTING FROM FAC1LTrf CLOSURES, FUNOING HAS BEEN MOVED FROM CVC AND CARO 01) TO NINI
..-.. REUTHER, CARO MIA AND MT PLEASANT. THIS WAS BASED ON THE NUMBER OF CLIENTS TO EACH FACILITY MULTIPLIED BY 305 DAYS.
6--I Da CLIENTS DAYS NET FUNDING --..
g CARO DO TO MT PLEASANT DO
14 5,110 $137,970
CARO DID TO CARO MIA 1 305 $43,100
'4 CVC TO CARO INA 12 4,300 1210,240
0 CVC TO NORTHVILLE 3 1,095 $27,375
co CVC TO REUTHER 9 3.206 (932,600)
to TOTALS . 39 14,235 $306,825 .e.,
o
CAGAN°
BORT ETHNIC
6647 PERMANENCY FLAMING
6647 SASE ADJUSTMENT .cuva J.M. To NAVIMENAC
-CLIENT S.C. TO CENTRAL
9147 OTHER -HUISSECT MS BUILDING
BUM TOBACCO TM -RESPITE
97438 REs OM CARE WORKER COON
07-011 465061..11PPORT -uoRC LEASE TRANSFERS
TOTAL BEFORE STATE FAC
STATE INPATIENT
STATE REMUS
TOTAL OEUDIATED AMOUNT
FIRGDWO 10finff-a2/31/97
FUNDING nytt174701111
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OBRA PLACEMENT SUBTOTAL
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wee 114410IAL RES WAN INC
113.911 WA TRANSFER
964116KC TRANSFER
0647 DO TRANSFER
SW M& TRANSFER
9647 LOCAL MATCH ADJ.
ge147 FlftiONG REVISM
9647 DO RES
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-GRAY HOME LEASE
-FAAUX*11
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-CLIENT M.M.
-MCNIC ST AT WE LOCAL MATCH
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$2111.977
S311.57Z
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DMH DIRECTOR OFFICE
ECARO
Fax:1 -517-335-3090
FULL YEAR Dec 10 '97 16:27 P.05/05
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$21,832
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12/10/97 WED 17:31 [TX/RI NO 8940]
FISCAL NOTE (Misc. #97296) December 11, 1997
BY: Finance and Personnel Committee, Sue Ann Douglas, Chairperson
IN RE: COMMUNITY MENTAL HEALTH BOARD EXTENSION OF THE 1996-1997 FULL MANAGEMENT
CONTRACT WITH THE MICHIGAN DEPARTMENT OF COMMUNITY 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 existing Full Management Contract with the State of Michigan
for Fiscal Year 1996/1997 was extended through December 31, 1997.
2) The resolution extends this contract for an additional ninety (90)
days to allow finalization of the new contract which will include
additional managed care responsibilities at capitation funding
arrangements.
3) The Recommended Biennial Budget is based upon the amount of
forecasted State funding that will be available to Oakland County.
Amendments to the Recommended Biennial Budget are not recommended
at this time. Further adjustment to the State funding are
expected and any budget amendments necessary will occur after
these additional adjustments are made.
FINANCE AND PERSONNEL COMMITTEE
Resolution #97296 December 11, 1997
Moved by Taub supported by Amos the resolution be adopted.
AYES: Powers, Schmid, Taub, Wolf, Amos, Coleman, Dingeldey, Douglas,
Fracassi, Garfield, Holbert, Huntoon, Jacobs, Jensen, Johnson, Kingzett, Law,
McCulloch, McPherson, Millard, Moffitt. (21)
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 December 11, 1997 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 11th day of December 1997.
+. Allen, County Clerk