HomeMy WebLinkAboutResolutions - 1997.11.06 - 25164October 23, 1997
Miscellaneous Resolution #97224
BY: Shelley G. Taub, Chairperson, Public Service Committee
IN RE: Community Mental Health Board Full Management Contract Amendment
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Oakland County Board of Commissioners entered into a Full
Management Contract with the State of Michigan Department of Community Health
effective October 1, 1994, for the provision of Community Mental Health
services for Oakland County; and
WHEREAS, the Full Management Contract states, "Amendments may be made
only by written agreement of the Department, and the Board acting under the
authority of Oakland County Board of Commissioners resolution authorizing such
an amendment."
WHEREAS Resolution #96158 states, "that termination of the Full
Management Contract (except as provided in Part I (A) (8) of the contract), or
amendment of the contract, shall require the prior and express approval of the
Oakland County Board of Commissioners".
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners, approves the attached four amendments to the Community Mental
Health 1996/97 Full Management Contract.
AMENDMENT #1: DCH Funding Authorization dated 2/26/97
AMENDMENT #2: DCH Funding Authorization dated 5/29/97
AMENDMENT #3: DCH Funding Authorization dated 6/23/97; and
(3A) Earned Revenue Contract Amendment dated 7/1/97
Mr. Chairman, of behalf of the Public Services Committee I move the adoption
of the foregoing resolution.
4
PUBLIC SERVIAES COMMITTEE
Revenues
550-01-00-2589
550-01-00-8101
550-01-10-2589
557-05-10-2500
Expenditures
550-05-00-3282
557-05-10-3042
559-53-10-3042
State Matching Payments
County Match
Reimb. State Share Medicaid
Medicaid Waiver - Federal Share
Subtotal
Contingency
Child Model Waiver - Client Services
MORC - DD SIP's
Subtotal
TOTAL
$204,996 $0
22,777 0
30,731 30,731
45188 45.188
$303.692 $75.919
$227,773 $0
81,907 81,907
(5.9881 (5.9881
5303.692 S75.919
COMMUNITY NIEINTALL. HEALTH
CMH RESOLUTION
BY: Fran Amos, Oakland County CMH Board
IN RE: Amendment to the FY 96-97 Full Management Contract with Michigan Department of Community
Health
TO THE OAKLAND COUNTY COMMUNITY MENTAL HEALTH BOARD
Chairperson, Ladies and Gentlemen:
WHEREAS the full management contract between the Michigan Department of Community Health and
Oakland County Community Mental Health as the County agent specifies the terms and conditions for funding and
service delivery of the Oakland County Community Mental Health Board Programs; and
WHEREAS the FY 96-97 full management contract was approved at the January 21, 1997 Community
Mental Health Board meeting; and
WHEREAS the Michigan Department of Community Health (DCH) revised the original FY 96-97 funding
authorization with an updated authorization dated February 26, 1997; and
WHEREAS the revised February 26, 1997 authorization increases the Total DCH Funding to Oakland
County Community Mental Health by $324,223 and increases the Total Maximum County Obligation by $32,610
for FY 96-97; and
WHEREAS the Permanency Planning and Tobacco Tax authorizations have been previously included in
the Biennial Budget based on prior notification from the Michigan Department of Community Health.
WHEREAS the revised February 26, 1997 authorization decreases the Medicaid cap by S946,082 due
to additional responsibilities for Medicaid enrollees being postponed until July and the CMH Director will
speak with DCH about the Medicaid cap adjustment needed to handle the additional Medicaid enrollee
responsibilities targeted for July; and - - _ _
NOW THEREFORE BE IT RESOLVED that the Oakland County Community Mental Health Services
Board approves the attached amended financial pages to the "Michigan Department of Community Health/Oakland
County Community Mental Health Services Board Contract for Full Management" for FY 1996-97.
BE IT FURTHER RESOLVED that the Biennial Budget is amended as follows:
Community Mental Health Fund (22297) FY 1996/97 FY 1997/98
Chairperson, on behalf of the Oakland County CMH Board, I move the adoption of the foregoing
resolution.
Oakland County CMH Board
ii
REPORT
BY: MANAGEMENT AND BUDGET
IN RE: COMMUNITY MENTAL HEALTH - ADJUSTMENTS TO TOTAL CMH BUDGET - APPROVED
BY CME BOARD MAY 19,1997
To the Oakland County Board of Commissioners Chairperson
Chairperson:
Having reviewed the above-referenced budget adjustments, Management and
Budget-CMH Fiscal Services Unit reports with the following:
1) The budget amendments were approved by the Community Mental Health
Board at its meeting held on May 19, 1997, to reflect adjustments
as a result of Contract Activity.
2) The budget amendments in summary will increase the total CMH Fund
Budget by $645,492 for FY 1996/97 and $417,719 for FY 1997/98 with
modifications in funding sources detailed as follows:
FUNDING SOURCE FY 1996/97 FY 1997/98,
State Matching Payments $224,101 $45,616
Medicaid Reimbursement 75,919 75,919
Fee Income 0 0
Intergovernmental Transfer 0 0
Other - OBRA PASSAR 341,800 341,800
County Match 3,672 (45.616)
TOTAL S645,492 $417,719
3) Miscellaneous Resolution #95098 (revised Grants Procedure)
authorizes the Board of Commissioners Chairperson to approve
adjustments to the CMH Fund within a 15% variance of the total CMH
Fund Budget as approved by the Board of Commissioners which is
$149,629,261 for FY 1996/97. For FY 1996/97, the $645,492
increase in budget from the following amendments represents a
.4314% variance; for FY 1997/98, the adjustments represent a
.2813% variance.
4) As authorized by Miscellaneous Resolution #95098, the Board of
Commissioners Chairperson is requested to approve the following
budget amendments to the CMH Fund:
Community Mental Health Fund (22297) FY 1996/97 FY1997/98
FULL MANAGEMENT CONTRACT WITH MICHIGAN DCH
Revenues
550-01-00-2589 State Matching Payments $204,996 $0
550-01-00-8101 County Match 22,777 0
550-01-10-2589 Reimb. State Share Medicaid 30,731 30,731
557-05-10-2500 Medicaid Waiver - Federal Share 45,188 45.188
Subtotal 5303,692 S75.919
Expenditures
550-05-00-3282 Contingency $227,773 $0
557-05-10-3042 Child Model Waiver - Client 81,907 81,907
Services
559-53-10-3042 MORC - DD SIP's (5,988) (5.988)
Subtotal $303.692 S75,919
TOTAL 12 12
County Match
State Match Payment
OBRA PASSAR Reimbursement
Subtotal
Community Mental Health Fund (22297)
CONTRACT ACTIVITY
Revenues
550-01-00-8101
550-01-00-2589
556-55-30-2357
FY 1996/97 FY 1997/98
(19,105) (45,616)
19,105 45,616
341.800 341.800
S341.800 S341.800
Pmenditures
550-05-00-3282
555-39-00-3160
556-01-00-3042
556-95-00-3155
555-02-00-3041
555-02-10-3042
555-02-00-3747
555-32-10-3042
55-32-00-3747
556-55-30-3041
Contingency
DD State Residential
Clubhouse - Client Services
MI State Inpatient
MIA Group Home - Clinical Services
MIA Group Home - Client Services
MIA Group Home Transportation
DD Group Home - Client Services
DD Group Home - Transportation
' OBRA PASSAR - Clinical Services
Subtotal
TOTAL
(32,980) (48,208)
(58,543) (117,085)
(10,335) (10,335)
(115,000) (292,712)
2,277 0
151,839 342,122
4,199 9,133
57,021 114,041
1,522 3,044
341.800 341.800
S341.800 S341.800
a
Approved by:
4)1,19
Date John P. McCu
Oakland Coun
ch, Chairperson
Board of Commissioners
Informationak/Copy:
Finance and Personnel Committee
Revenues
550-01-00-2589
550-01-10-2589
557-05-10-2500
expenditures
555-39-00-3160
557-05-10-3042
$(14,841) $(14,841)
23,916 40,681
29.432 50.064
$38.507 575.904
$(14,841) $(14,841)
53,348 90,745
538.507 $75.904
State Matching Payments
Reim. State Share Medicaid
Medicaid Waiver - Federal Share
Subtotal
DD State Residential
Child Model Waiver - Client Services
Subtotal .
TOTAL
oopAIwluNrrf IVI MAL. H ALT H
CMH RESOLUTION
BY: Fran Amos, Oakland County CMH Board
IN RE: Amendment #2 to the FY 96-97 Full Management Contract with Michigan Department of Community
Health
TO THE OAKLAND COUNTY COMMUNITY MENTAL HEALTH BOARD
Chairperson, Ladies and Gentlemen:
WHEREAS the full management contract between the Michigan Department of Community Health and
Oakland County Community Mental Health as the County agent specifies the terms and conditions for funding and
service delivery of the Oakland County Community Mental Health Board Programs; and
WHEREAS the FY 96-97 full management contract was approved at the January 21,1997 Community
Mental Health Boardmeeting; and
WHEREAS the Michigan Department of Community Health (DCH) revised the original FY 96-97 funding
authorization with a second updated authorization dated May 29, 1997; and
WHEREAS the revised May 29, 1997 authorization increases the Total DCH Funding to Oakland County
Coldfnunity Mental Health by $9,075 and does not increase-nor decrease the Total Maximum County Obligation
for FY 96-97; and
NOW THEREFORE BE IT RESOLVED that the Oakland County Community Mental Health Services
Board approves the attached amended financial pages to the "Michigan Department of Community Health/Oakland
County Community Mental Health Services Board Contract for Full Management" for FY 1996-97.
BE IT FURTHER RESOLVED that the Biennial Budget is amended as follows:
Community Mental Health Fund (22297) FY 1996/97 FY 1997/98
Chairperson, on behalf of the Oakland County CMH Board, I move the adoption of the foregoing
resolution.
Oakland County CMH Board
MADMIMMINUTESRES 97 \ 071 5 B RD \FMCAMD#2.CON
Fran Amog Chairperson
and County CMH, Services Board
Sandra M.
Lindsey, txecuth,e
Oakland County CMH Services 13(
'11114K14M110 FULL MANAGEMENT CONTRACT
FY 16-97 .Page 29
Signatures:
John P. McCulloch, ghairperson
Oakland County BO* of Commissioners
Date:1)/1 )19 ,1997
Date: 1C?-3----- . 1997
Date: 7 —2/--1 7 , 1997
•
, Date: ,1997
James K. Haveman, Jr., Director
Michigan Department of Community Health
Health_ Fund (222971
FY 1996/97 FY 1997/98
County Match (6,745) (22,396)
State Matching Payment 6.745 22.396
Subtotal 11 12
Community Mental
Revenues
550-01-00-8101
550-01-00-2589
dt
REPORT
BY: MANAGEMENT AND BUDGET
IN RE: COMMUNITY MENTAL HEALTH - ADJUSTMENTS TO TOTAL CMH BUDGET - APPROVED
BY CMH BOARD JULY 15,1997
To the Oakland County Board of Commissioners Chairperson
Chairperson:
Having reviewed the above-referenced budget adjustments, Management and
Budget-CMH Fiscal Services Unit reports with the following:
1) The budget amendments were approved by the Community Mental Health
Board at its meeting held on July 15, 1997, to reflect adjustments
as a result of Contract Activity.
2) The budget amendments in summary will increase the total CMH Fund
Budget by $11,950 for FY 1996/97 and $0 for FY 1997/98 with
modifications in funding sources detailed as follows:
FUNDING SOURCE
State Matching Payments
Medicaid Reimburse(State&Fed.)
Fee Income
Intergovernmental Transfer
Other
County Match
TOTAL
FY 1996/97
$(8,096)
53,348
0
0
0
(6.74a).
838,507
FY 1997/98
$7,555
90,745
0
0
0
(22,396)
$75,”4
3) Miscellaneous Resolution #95098 (revised Grants Procedure)
authorizes the Board of Commissioners Chairperson to approve
adjustments to the CMH Fund within a 15% variance of the total CMH
Fund Budget as approved by the Board of Commissioners which is
$149,629,261 for FY 1996/97. For FY 1996/97, the $38,507 increase
in budget from the following amendments represents a .0257%
variance; for FY 1997/98, the adjustments represent a .051196
variance.
4) As authorized by Miscellaneous Resolution #95098, the Board of
Commissioners Chairperson is requested to approve the following
budget amendments to the CMH Fund:
Expenditures
555-27-10-3042
555-39-00-3160
556-95-00-3155
555-02-00-3747
555-02-10-3042
555-32-00-3747
555-32-10-3042
Child Care Institution
DD State Residential
MI State Inpatient
MI Group Home-Transp.
MI Group Home-Client Ser
DD Group Home-Transp.
DD Group Home-Client Ser
Subtotal
TOTAL
(5,880) (21,900)
(4,521) (14,601)
(64,892) (215,921)
1,840 6,183
68,932 231,638
118 1,902
4,403 12.699
12 IQ
IA 12
Full Management
Revenues
550-01-00-2589
550-01-10-2589
557-05-10-2500
Contract with Michigan DCH
State Matching Payments
Reimb. State Share Medicaid
Medicaid Waiver - Federal Share
Subtotal
Ivy 96/97
$(14,841)
23,916
29.432
538.507
py 97/98
$(14,841)
40,681
575.904
Szaeaditursa
555-39-00-3160
557-05-10-3042
DD State Residential
Child Model Waiver - Client Services
Subtotal
TOTAL
$(14,841)
53,348
538.507
$(14,841)
90,745
$75.904
1.2
Approved by:
John P. McCulloctl, phairperson
Oakland County B4a4d of Commissioners
Informational Copt*
Finance and Persdinel Committee
7/Zji117
Date
COMMUNITY MENTAL HEALTH
CMH RESOLUTION
BY: Fran Amos, Oakland County CMH Board
IN RE: Amendment #3 to the FY 96-97 Full Management Contract with Michigan Department of Community
Health
TO THE OAKLAND COUNTY COMMUNITY MENTAL HEALTH BOARD
Chairperson, Ladies and Gentlemen:
WHEREAS the full management contract between the Michigan Department of Community Health and
Oakland County Community Mental Health as the County agent specifies the terms and conditions for funding and
service delivery of the Oakland County Community Mental Health Board Programs; and
WHEREAS the FY 96-97 full management contract was approved at the January 21, 1997 Community
Mental Health Board meeting; and
WHEREAS the Michigan Department of Community Health (DCH) revised the original FY 96-97 funding
authorization with a third updated authorization dated June 23, 1997 to include funding for new recipients placed on
the Child Model Waiver and reduce base funding for the transfer of responsibility of two recipients to their residing
county; and
WHEREAS the revised June 23, 1997 authorization decreases the Total DCH Funding to Oakland County -
Community Mental Health by $30,115 and does not increase nor decrease the Total Maximum County Obligation
for FY 96-97; and
NOW THEREFORE BE IT RESOLVED that the Oakland County Community Mental Health Services
Board approves the attached amended fmancial pages to the "Michigan Department of Community Health/Oakland
County Community Mental Health Services Board Contract for Full Management" for FY 1996-97.
BE IT FURTHER RESOLVED that the Biennial Budget is amended as follows: -
Community Mental Health Fund (222971 FY 1996/97 FY 1997/98
Revenues
550-01-00-2589 State Matching Payments 5(44,230) 5(73,981)
550-01-10-2589 Reimb. State Share Medicaid 14,115 41,342
557-05-10-2500 Medicaid Waiver - Federal Share 17.370 50.877
Subtotal S(12.745) $18.238
Expenditurel
555-39-00-3160 DD State Residential 5(44,230) 5(73,981)
557-05-10-3042 Child Model Waiver - Client Services 31.485 92.219
Subtotal S(12.7451 518.238
TOTAL 112
Chairperson, on behalf of the Oakland County CMH Board, I move the adoption of the foregoing
resolution.
Oakland County CMH Board
NMDMINWINUTESIRES97\08278RDTMCAMD#3.CON
gy 1996/97
$(155,564)
181,485
(38.666)
S(12.745)
py 1997/98
$(167,021)
242,219
(56.960)
18. 238
County Match
State >latching Payment
Subtotal
DD State Residential
MIA State Inpatient
DD State Inpatient
MIA Group Home-Transportation
MIA Group Home
DD Residential Group Home
DD Outpatient/Clinical
Subtotal
TOTAL
Revenues
550-01-00-8101
550-01-00-2589
Expenditures
555-39-00-3160
556-95-00-3155
557-95-00-3157
555-02-00-3747
555-02-10-3042
555-32-10-3042
557-52-00-3042
(4,466)
(2,907)
(42,010)
(2,000)
261
41,749
2,907
2.000
SS/
IMPORT
BY: CMH FISCAL SERVICES
IN RE: COMMUNITY MENTAL HEALTH - ADJUSTMENTS TO TOTAL CMH BUDGET - APPROVED
BY CNN BOARD AUGUST 27,1997
To the Oakland County Board of Commissioners Chairperson
Chairperson:
Having reviewed the above-referenced budget adjustments, CMH Fiscal
Services Unit reports with the following:
1) The budget amendments were approved by the Community Mental Health
Board at its meeting held on August 27, 1997, to reflect
adjustments as a result of Contract Activity.
The budget amendments in summary will decrease the total CMH Fund
Budget by $12,745 for FY 1996/97 and increase by $18,238 for FY
1997/98 with modifications in funding sources detailed as follows:
FUNDING SOURCE .
State Matching Payments
Medicaid Reimburse(State&Fed.)
Fee Income
Intergovernmental Transfer
Other
County Match
TOTAL
3) Miscellaneous Resolution #95098 (revised Grants Procedure)
authorizes the Board of Commissioners Chairperson to approve
-------- adjustments to the.CMH-Fund-Within .-all5t_variance.of_the_total_CMFL
Fund Budget as approved by the Board of Commissioners which is
$149,629,261 for FY 1996/97. For FY 1996/97, the $12,745 decrease
in budget from the following amendments represents a (.0085%)
variance; for FY 1997/98, the.adjustments represent a .0123%
variance.
4) As authorized by Miscellaneous Resolution #95098, the Board of
Commissioners Chairperson is requested to approve the following
budget amendments to the CMH Fund:
CONTRACT ACTIVITY -
Community Mental Health Fund (22297)7? 19 9 6/97 • FY1997/98
(22,760)
22.760
14.
(10,808)
(218,191)
(8,000)
1,399
216,792
10,808
LA=
C210081Eit2AentAl
Revenues
550-01-00-2589
550-01-10-2589
557-05-10-2500
Expenditures
555-39-00-3160
557-05-10-3042
FY 1996/97 FY 1997/98
($20,000) ($20,000)
520.000 _ _ $20.000
$ - 0 - $ - 0
rf 1996/97
( $470,840)
200,000
16,380
125,000
28,080
2,000
16,380
8,000
50,000
25.000
5 - 0 -
FY 1997/98
($470,840)
200,000
16,380
125,000
28,080
2,000
16,380
8,000
50,000
25.000
5 - 0 -
FY 1996/97 FY 1997/98
$20,472 $20,472
( 20.472) ( 20.472)
5 - 0 -
FY 1996/97
$236
(236)
5 - 0 -
FY 1997/98
AMENDMENT #3 TO THE FY 96-97 FULL MANAGEMENT CONTRACT WITH MICHIGAN DCH
Health Fund (222971
State Matching Payments
Reimb. State Share Medicaid
Medicaid Waiver - Federal Share
Subtotal
DD State Residential • •
Child Model Waiver - Client
Services
Subtotal
TOTAL
fY 1996/97 7Y1997/98
$(44,230) $(73,981)
14,115 41,342
17.370 50.877
S(12.745) 518.238
$(44,230) $(73,981)
214.111 '2.219
S(12.745) $18.238
BUDGET REALIGNMENT, 2ND QUARTER, FY 96/97, AND FY 97/98
Community Mental Health Fund (22297)
Revenue:
CMH Administration,
550-01-00-8101 County Match
550-01-00-2589 State Matching Payments
- To Revenue - -
expenditures:
(Reallocation of Children's Contracted Services)
558-52-00-3041 Clinical Service(Child.-Outpatient/Clinical)
555-27-10-3042 Client Services (MI Children, Child Caring Inst.
557-52-00-3041 Clinical Service (DD Adult-Outpatient/Clinical)
557-75-00-3042 Client Service (DD Recreational Program)
557-85-00-3042 Client Service (DD Adult-Shared Parenting)
557-88-00-3042 Client Service (DD Adult-HAB Waiver)
558-52-00-3041 Clinical Service (Child.-Outpatient/Clinical)
558-52-00-3042 Client Service (Child.-Outpatient/Clinical)
558-71-00-3042 Client Service (Children Respite)
558-83-00-3042 Client Service (Children - Wrap. Flex)
Subtotal Children's
(Transfer Client From Children to Adult)
557-88-00-3042 Clinical Service (Child.-Outpatient/Clinical)
557-89-00-3042 Client Services (DD Adult-In-Home HAB)
Subtotal Children's
(Adjustment For Prior Yr. Cost Settlement)
555-27-10-3202 Adjust. Of Prior Yr. Expenditure
555-27-10-3042 Client Services (Belmont Pines)
Subtotal Belmont Pines
page 2
1996/97
' $3,865.72
(53.865.72)
5 - 0 -
FY 1996/97
$15,000.00
(S15.000.00
5 - 0 -
FY 1996/97
($800)
SIM
S - 0 -
($8,000).
$1.442
-0 -
rf 1997/98
FY 1997/9*
$15,000.00
(515.000.001
- 0 -
FY 1997/98
($800)
- 0 -
($8,000)
58000
5-0-
•••n
John P. Mc
Oakland Co
loch, Chairperson
y Board of Commissioners
Dat
(Adiustment For Prior Yr. Cost Settlementl
555-27-10-3202 Adjust. Of Prior Yr. Expenditure
555-27-10-3042 Client Services (St Vincent/Sarah Fisher))
Subtotal St. Vincent/Sarah Fisher
(Creation of New Wrap Flex Unit and Transfer Budget1
558-83-00-3042 Client Services (Wrap Flex)
558-82-00-3042 Client Services (Wraparound) )
Subtotal MI-Children Wraparound
rBudget Adiustment - DD Ancillary to DD-HAB. Pharmacy It
Ram=
550-01-00-2589 State Match Payment
550-01-00-8101 County Match
Sub-Total Revenue
555-70-10-3042 DD Ancillary
557-88-00-4828 DD Adult In-Home HAB
Sub-Total Expenditures
(Budget Adjustment From Comm. Intez. To DD HAB
Revenues,
550-01-00-2589 State Match Payment
550-01-00-8101 County Match
550-01-10-2511 Reimburse State Share Medicaid
557-88-10-2500 Medicaid Waiver-Federal Share
Sub-Total Revenue
Euradana
557-82-00-3042 DD Contracted - Community Integration
558-83-00-3042 Client Services (Wrapflex)
557-88-10-3042 DD Adult-In Home HAB
558-82-00-3042 Client Services Wraparound
• Sub-Total Expenditures
FY 1996/97
($135,000)
(15,000)
67,245
82.755
5-0-
($150,000)
(30,000)
150,000
30,QQ_Q
5 - 0 -
FY 1997/98
($135,000)
(15,000)
67,245
82.755 — -
5 - 0 -
($150,000)
( 30,000)
150,000
301ga
5 - 0 -
Approved by:
Informationl
Finance and
I Copy:
Personnel Committee
page 3
COMMUNITY MINTJU. NIALTH
RESOLUTION BY: Judith Summers, Chairperson Finance & Personnel Committee
IN RE: AMENDMENT TO THE FY 96197 EARNED REVENUE CONTRACT WITH THE MICHIGAN
DEPARTMENT OF COMMUNITY HEALTH.
TO: THE OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
Chairperson, Ladies and Gentlemen:
WHEREAS the Earned Revenue Contract with the Michigan Department of Community Health
was approved at the March 18, 1997 Community Mental Health Board meeting; and
WHEREAS the Earned Revenue Contract provides for reimbursement of CMH costs for pre-
admission screening and continued stay reviews of inpatient and day hospital services under the State's
Medicaid Managed Care program for the period 10/1/96 to 9/30/97; and
WHEREAS the Michigan Department of Community Health has requested an amendment to the
contract to incorporate the expanded responsibilities to cover all Medicaid recipients, including those
enrolled in health plans (HMOs, Clinic Plans, Qualified Health Plans) and revised administrative review
cap as of July 1,1997; and
WHEREAS the Medicaid Administrative activities earned contract maximum billable amount has
been increased from $149,661 to $166,586 to accommodate these expanded responsibilities; and
WHEREAS the direct service target claims paid by Medical Services Administration and
authorized by Oakland County Community Mental Health has been increased from $3,966,276 to
$4,374,114 to increase services;
NOW THEREFORE BE IT RESOLVED that the Oakland County Community Mental Health
Services Board approves the attached contract amendment with the Michigan Department of Community
Health, and recommends the same for concurrence by the Oakland County Board of Commissioners.
Community Mental Health Fund (22297) FY 96/97 FY 97/98
Revenues
556-91-30-2322 Medicaid Full-Cost Reimbursement 16.925
Subtotal $16.925
Expenditures
556-91-30-3128 Professional Services 16.925
Subtotal $16.925
TOTAL LQ
Chairperson, on behalf of the Finance and Personnel Committee I move the adoption
of the foregoing resolution.
Oakland County CMH B rd
IQ
22
EARNCON2.RES
L549'47
'Executive Directommunity Mental
Health Servides Program
Date
Date
DCH-MMC-1
MEDICAID MANAGED MENTAL HEALTH CARE
DEPARTMENT OF COMMUNITY HEALTH/COMMUNITY MENTAL HEALTH
SERVICES PROGRAM
REIMBURSEMENT AGREEMENT FOR REVIEW ACTIVITIES
CONTRACT AMENDMENT 1996-97
Due to changes in Medicaid policy, the following changes are made in the contract between the
Department of Community Health and Oakland Community Mental Health Services Program.
1. Sections II B, U C are amended, as of July 1, 1997, to include expanded responsibilities
to cover all Medicaid recipients, including those enrolled in health plans (HMOs, Clinic
Plans, Qualified Health Plans).
2. Attachment A: Medicaid Administrative activities earned contract maximum billable
amount is hereby revised to:
$166.586
The direct service target amount is revised to:
$4,374.114
William J. A119eCE0, Mental Health and
Substance Abuse Services
Department of Community Health
r REPORT
BY: MANAGEMENT AND BUDGET
IN RE: COMMUNITY MENTAL HEALTH - ADJUSTMENTS TO TOTAL CHB BUDGET - APPROVED
BY CMH BOARD JUNE 17,1997
To the Oakland County Board of Commissioners Chairperson
Chairperson:
Having reviewed the above-referenced budget adjustments, Management and
Budget-CMH Fiscal Services Unit reports with the following:
1) The budget amendments were approved by the Community Mental Health
Board at its meeting held on June 17, 1997, to reflect adjustments
as a result of Contract Activity.
2) The budget amendments in summary will increase the total CMH Fund
Budget by $11,950 for FY 1996/97 and $0 for FY 1997/98 with
modifications in funding sources detailed as follows:
FUNDING SOURCE FY 1996/97 FY 1997/98
State Matching Payments • $0 $13,707
Medicaid Reimbursement 16,925 0
Fee Income 0 0
Intergovernmental Transfer 0 0
Other - 0 0
County Match (4,975) (13.707)
TOTAL $1 14504 22
3) Miscellaneous Resolution #95098 (revised Grants Procedure)
authorizes the Board of Commissioners Chairperson to approve
adjustments to the CMH Fund within a 15% variance of the total CMH
Fund Budget as approved by the Board of Commissioners which is
$149,629,261 for FY 1996/97. For FY 1996/97, the $11,950 increase
in budget from the following amendments represents a .008%
variance; for FY 1997/98, the adjustments represent a .00%
variance.
4) As authorized by Miscellaneous Resolution #95098, the Board of
Commissioners Chairperson. is requested to approve the following
budget amendments to the CMH Fund:
Community Mental Health Fund (22297) FY 1996/97 FY1997/98
CONTRACT ACTIVITY
' Revenues
550-01-00-2589 State Matching Payments 0 13,707
550-01-00-8101 County Match (4.975) (13.707)
Subtotal (S4.975) 12
Expenditures
555-04-00-3041 MIA-Therapeutic Comm.- (51,135) (58,878)
555-04-10-3042 MIA-Therapeutic Comm.- Client (10,998) (12,663)
556-52-00-3042 MIA-Outpatient Clinical- (47,000) (47,000)
556-95-00-3155 MIA-State Operated Inpatient 0 (82,187)
550-05-00-3282 Contingency 4,090 0
551-20-00-3042 South Administration-Client 47,000 47,000
555-02-00-3747 MIA-Group Home Transportation 1,380 3,997
555-02-10-3042 MIA-Group Home Client 51,688 149,731
Subtotal (S4.975) 12
TOTAL 21 22
16.925
$16.925
16.925
$16.925
a
2
John P. Mc
Oakland Co
Information,
Finance and
, Chairperson
Board of Commissioners
Copy:
ersonnel Committee
22mmunity.aleatial,..1kalllainincL(222,22) py 96197 FY 97/98
• EARNED REVENUE CONTRACT
Revenues
556-91-30-2322 Medicaid Full-Cost Reimbursement
Subtotal
Expenditures
556-91-30-3128 Professional Services
Subtotal
TOTAL
Approved by:
Date
Resolution #97224 October 23, 1997
The Chairperson referred the resolution to the Finance and Personnel
Committee. There were no objections.
(5,988) (5,988)
8303.692 S75,919
Medicaid Full-Cost Reimburse.
Amended Earned Revenue Contract
Revenues
556-91-30-2322
Subtotal
16,925 0
$16,925
FISCAL NOTE (M.R. #97224) November 9, 1997
BY: FINANCE AND PERSONNEL COMMITTEE, SUE ANN DOUGLAS, CHAIRPERSON
IN RE: COMMUNITY MENTAL HEALTH BOARD FULL MANAGEMENT CONTRACT AMENDMENT
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 revised DCH FY 96/97 funding authorization (Amendment #1)dated
February 26,1997 increases the Community Mental Health budget by
$303,692 and increases the County's obligation by $32,610.
2) The amended FY 96/97 Earned Revenue Contract effective July 1,
1997 increases the Community Mental Health budget by $16,925 and
does not increase nor decrease the County's obligation.
3) The revised DCH FY 96/97 funding authorization (Amendment #2)dated
May 29, 1997 increases the Community Mental Health budget by $38,507
and does not increase nor decrease the County's obligation.
4) The revised DCH FY 96/97 funding authorization (Amendment #3)
dated June 23, 1997 decreases the Community Mental Health budget by
$12,745 and does not increase nor decrease the County's obligation.
5) The following revenue budget amendment is recommended:
Community
Amendment #1
Revenues
550-01-00-2589
550-01-00-8101
550-01-10-2589
557-05-10-2500
Expenditures
550-05-00-3282
557-05-10-3042
559-53-10-3042
Mental Health (22297)
FY 96/97
State Matching Payments $204,996
County Match 22,777
Reimb. State Share Medicaid 30,731
Medicaid Waiver - Federal Share 45,188
Subtotal 8303.692
Contingency
Child Model Waiver - Client
Services
MORC - DD SIP's
Subtotal
TOTAL
$227,773
81,907
FY 97/98
$0
0
30,731
45,188
875,919
$0
81,907
Expenditures
556-91-30-3128 Professional Services
Subtotal
TOTAL
16,925 0
$16,925 IL
LQ.
(14,841) (14,841)
53,348 90,745
$38,507 $75,904
IQ
Amendment #2
Revenues FY 96/97 FY 97/98
550-01-00-2589 State Matching Payments (14,841) (14,841)
550-01-10-2589 Reimb. State Share Medicaid 23,916 40,681
557-05-10-2500 Medicaid Waiver - Federal Share 29,432 50,064
Subtotal $38,507 $75,904
Expenditures
555-39-00-3160 DD State Residential
557-05-10-3042 Child Model Waiver - Client
Services
Subtotal
TOTAL
Amendment #3
Revenues FY 96/97 FY 97/98
550-01-00-2589 State Matching Payments (44,230) (73,981)
550-01710-2589 Reimb. State Share Medicaid 14,115 41,342
557-05-10-2500 Medicaid Waiver - Federal Share 17,370 50,877
Subtotal $(12,745) $18,238
Expenditures
555-39-00-3160 DD State Residential (44,230) (73,981)
557-05-10-3042 Child Model Waiver - Client 31,485 92,219
Services
Subtotal
TOTAL
$(12,745) $18,238
Finance and Personnel Committee
•
D. Allen, County Clerk
Resolution #97224 November 6, 1997
Moved by Taub supported by Holbert the resolution be adopted.
AYES: Huntoon, Jacobs, Jensen, Johnson, Kingzett, Law, McCulloch,
McPherson, Millard, Obrecht, Palmer, Pernick, Powers, Schmid, Taub, Wolf, Amos,
Coleman, Devine, Dingeldey, Douglas, Garfield, Holbert. (23)
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 November 6, 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 6th day 9f NovembIlw-199