HomeMy WebLinkAboutResolutions - 1998.08.20 - 25272REPORT (Misc. #98189) August 20, 1998
BY: FINANCE COMMITTEE - SUE ANN DOUGLAS, CHAIR
IN RE: COMMUNITY MENTAL HEALTH - RENEWAL OF EARNED REVENUE
CONTRACT WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
The Finance Committee, having reviewed the above referenced
resolution on August 13, 1998, recommends that the resolution be
amended in the NOW THEREFORE BE IT RESOLVED paragraph as follows:
NOW THEREFORE BE IT RESOLVED that the Oakland County
Board of Commissioners approves the attached Renewal of
the Medicaid Managed Care Earned Revenue Contract with
the Michigan Department of Community Health, for a period
beginning retroactively to January 1, 1998 and ending
September 30, 1998, AND THAT THE CHAIRPERSON OF THE BOARD
OF COMMISSIONERS IS AUTHORIZED TO SIGN SAID AGREEMENT.
Chairperson, on behalf of the Finance Committee, I move the
acceptance of the foregoing Report.
FINANCE COMMITTEE
FINANCE COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
August 20, 1998
Miscellaneous Resolution #98189
BY: Public Services, David L. Moffitt, Chairperson
IN RE: Community Mental Health - RENEWAL OF EARNED REVENUE CONTRACT WITH THE
MICHIGAN DEPARTMENT Of COMMUNITY HEALTH.
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of Mental Health has requested the
renewal of the Medicaid Managed Care Earned Revenue Contract with the Oakland
County Community Mental Health Services Board; and
WHEREAS this contract provided for reimbursement of CMH costs for pre-
admissions and continued stay reviews of inpatient and day hospital services
under the State's Medicaid Managed Care program; and
WHEREAS the prior Medicaid Earned Revenue Contract was for a term
beginning October 1, 1997 and ending December 31, 1997; and
WHEREAS since the prior contract's expiration, January 1, 1998, both
parties have continued to perform the mutual services and promises contained
in their prior Medicaid Earned Revenue Contract; and
WHEREAS it is the intent of the Oakland County Community Mental Health
Services Board to formally renew and otherwise again formally continue their
prior Medicaid Earned Revenue Contract with the Michigan Department of
Community Health under the same terms and conditions contained in the initial
Contract, except as noted in the attached agreement; and
WHEREAS the terms of the proposed renewal of the Medicaid Managed Care
Earned Revenue Contract have been reviewed by Oakland County Corporation
Counsel and are acceptable to the Administration.
WHEREAS on 7/21/98, the Oakland County Community Mental Health
Services Board approved resolution 1319807f regarding the Renewal of Earned
Revenue Contract with the Michigan Department of Community Health.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners approves the attached Renewal of the Medicaid Managed Care
Earned Revenue Contract with the Michigan Department of Community Health, for
a period beginning retroactively to January 1, 1998 and ending September 30,
1998.
Chairperson, on behalf of the Public Servicesrojimittee,A rrv
adoption of the foregoing resolution.
Public Serifices Committee
Public Services Committee Vote:
Motion carried on unanimous roll call vote with Moffitt absent.
MO!. ON Y3,..111 SC-CC 46'CO'
Amendment DCH -2
DCHICNSP Medicaid Managed Care Earned Contract Amendment 1997-98
The Medicaid Managed Care contract for the administrative review activities needs to be
extended_ Due to delayed implementation of the capitated Carve-ME of mental health services,
this contract, which provides for reimbursement to CMHSPs for conducting reviews and related
activities, will be extended through September 30, 1993 as noted below. Therefore, the
following changes are made in the Medicaid Managed Mental Health Care Earned Contract
between DCH and -
Community Mental Health Services Proam; •
The term of the contract is extended through September 30, 1998, or implementation of
the Managed Care Specialty Services contract, whichever comes first.
2. Attachment A - Medicaid Administrative Activities Earned Contract Maximum Billable
Amount: The contract cap amount in Attachment A for the three months 10/97-12197 is
annualized to reflect the period October 1, 1997 through September 30, 1998.
William J. Allen, Deputy Director,
Mental Health and Substance Abuse
Department of Community Health
CMHSP Director Date
John P. McCulloch, Chairperson Date
Oakland County Board of Commissioners
Date
AGREEMENT
between
THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
AND
THE Oakland County COMMUNITY MENTAL HEALTH SERVICES
PROGRAM agent of Oakland County Board of Commissioners
This AGREEMENT is made by and between the MICHIGAN DEPARTMENT OF COMMUNITY
HEALTH, hereafter referred to as the "DEPARTMENT" and the
Oakland County (agent of 0 .0 B 0 C ) COMMUNITY MENTAL HEALTH BOARD, hereafter
referred to as the "CMHSP", to be effective from October 1, 1997, through December 31, 1997.
I. PURPOSE
This agreement is intended to specify the requirements for Medicaid reimbursement for
the completion of PRE-ADM1SSION SCREENINGS, CONTINUING STAY REVIEWS,
AND RETROSPECTIVE REVIEWS FOR NON-STATE HOSPITAL PSYCHIATRIC
INPATIENT SERVICES, and PRE-ADMISSION SCREENINGS, CONTINUING STAY
AND RETROSPECTIVE REVIEWS FOR HOSPITAL-BASED PARTIAL
HOSPITALIZATION PROGRAMS, AND RELATED MEDICAID MANAGED CARE
ACTIVITIES, including the method of costing, billing and payment for these services.
H. REQUIREMENTS
A. Screenings and reviews as described herein shall be conducted and reported in
accordance with the following documents;
1. Medicaid Services Administration (MSA) Bulletin 95-02 for Mental Health
Clinics, issued July 1, 1995 and Bulletin 95-06 for Mental Health Clinics,
issued December 1, 1995.
2. Federal OMB Circular A-87, "Cost Principles for State, Local and Indian
Tribal Governments,' dated Wednesday May, 17, 1995 and OASC-10
"Cost Principles and Procedures for Establishing Cost Allocation Plans and
Indirect Cost Rates for Grants and Contracts with the Federal
Government".
3.
Medicaid Managed Mental Health Care
Reimbursement Agreement for Review Activities
3. Requirements for the Medicaid Managed Mental Health Care Program,
Psychiatric Inpatient Pre-Admission and Episode Management Review
Procedures, Partial Hospitalization Review Procedures, and Utilization
Management Criteria - Level of Care Determination, distributed by the
DEPARTMENT.
4. Reimbursement Instructions for the Medicaid Managed Mental Health Care
Program dated October 1, 1996 distributed by the DEPARTMENT.
Quality Improvement and Performance Monitoring Plan for Managed
Mental Health Services Program, distributed by the DEPARTMENT.
The DEPARTMENT will notify the BOARD of any changes in these documents
due to federal or state requirements. Such changes will be incorporated into this
Agreement within sixty (60) days of the DEPARTMENTs notification to the
CMHSP, unless otherwise provided by federal regulations.
INPATIENT PRE-ADMISSION SCREENING, CONTINUED STAY REVIEWS AND
AUTHORIZATION
B. The CMHSP will provide pre-admission screening, episode management, and
retrospective reviews for all Medicaid recipients requesting or presented for
admission to a psychiatric hospital or psychiatric unit.
Pre-admission screening activities for persons who are diverted from psychiatric
inpatient into an alternative service are defined as
Staff activities to conduct a brief assessment of Medicaid recipients who
are referred by a source external to CMH for admission to private
psychiatric inpatient services to determine whether or not psychiatric
inpatient is the appropriate level of care. The disposition of this assessment
is to divert the recipient to an alternative service. The CMHSP is required
to notify the Health Plan during the screening activity and to involve the
Health Plan, as necessary, with the disposition.
2
Medicaid Managed Mental Health Care
Reimbursement Agreement for Review Activities
Activities may include staff travel time for face-to-face screenings. Activities
do not include: comprehensive assessments or evaluations; referral
activities; involuntary petitions/applications; court work; or certifications.
Pre-admission screening activities for persons from another CMHSP service area
who are assessed_as needing psychiatric inpatient services are defined as;
Staff activities to conduct a brief assessment of a Medicaid recipient who
is from another CMHSP service area. The scope of such activities is
defined above.
The local CMHSP is required to contact the home CMHSP during the pre-
admission screening regarding the disposition of the crisis and regarding
which CMHSP will assume responsibility for managing the inpatient
episode.
Pre-admission screening by the local CMHSP is to be billed only when the
home CMHSP has indicated that they will manage the inpatient episode.
If the local CMHSP conducts the pre-admission and manages the episode,
that activity is to be billed as Inpatient Total Episode Management.
i*- • - •1 es - f. •• w • . - ..rn't-• • -
psychiatric inpatient services includes the pre-admission screening, continuing
stay reviews and payment authorization activities associated with an episode of
service in a psychiatric inpatient program. These are defined as:
Pre-admission screening: Staff activities to conduct a brief assessment to
determine whether or not psychiatric inpatient is the appropriate level of
care. Notification of the Health Plan is required at the time of the
screening and disposition.
Continuing stay reviews: Staff activities conducted at intervals following
admission, to determine whether further inpatient service is needed.
Payment authorization: Staff activities to provide the admission
authorization number and the payment authorization number to the hospital
and/or treating psychiatrist.
inpatient Total Episode Management cannot be billed until after discharge.
3
Medicaid Managed Mental Health Care
Reimbursement Agreement for Review Activities
inpatient Continued Stay Care Management is defined as:
Continuing stay reviews and payment authorization for a Medicaid recipient
from the CMHSP service area who was assessed as needing admission
through a pre-admission screening conducted by another CMHSP. The
other CMHSP will have billed for the pre-admission screening review.
Inpatient Continued Stay Care Management cannot be billed until after discharge.
Retrospective reviews for persons admitted to psychiatric inpatient are defined as:
Staff activities to review the entire inpatient medical record to determine
whether or not the admission was appropriate, whether some or all of the
days of care were appropriate for Medicaid payment, and to authorize
Medicaid payment through the issuance of authorization numbers.
Retrospective reviews are conducted for a person who was either
retroactively enrolled in Medicaid after the end of the episode of inpatient
care, or for whom Medicaid payment for inpatient days of care is being
sought because the recipient's other "primary" insurance failed to cover the
entire episode of care.
Inpatient Retrospective Reviews cannot be billed until after discharge.
PARTIAL HOSPITALIZATION SCREENING AND AUTHORIZATION
C. The CMHSP will provide pre-admission screening, episode management, and
retrospective reviews for all Medicaid recipients who request or are referred for
Partial Hospitalization Programs (PHP).
Pre-admission screening activities for persons who are diverted from PHP into an
alternative service are defined as:
Staff activities to conduct a brief assessment to determine whether or not
a PHP is the appropriate level of care. This does not include:
comprehensive assessments or evaluations; or referral activities.
U.
4
Medicaid Managed Mental Health Care
Reimbursement Agreement for Review Activities
Episode Jvlanagement for persons who are admitted_to PHP includes the pre-
admission screening, continuing stay reviews and payment authorization activities
associated with an episode of service in a PHP. These are defined as:
Pre-admission screening: Staff activities to conduct a brief assessment to
determine whether or not a PHP is the appropriate level of care.
Continuing stay reviews: Staff activities conducted at intervals following
admission, to determine whether further PHP service is needed.
Payment authorization: Staff activities to notify the PHP and/or the Medical
Services Administration regarding the number of days of PHP service which
are approved for Medicaid payment.
PHP Episode Management cannot be billed until after discharge.
Retrospective Reviews for persons admitted to PHP are defined as:
Staff activities to review the entire PHP medical record to determine
whether or not the admission was appropriate, whether some or all of the
days of care were appropriate for Medicaid payment, and to authorize
Medicaid payment through the issuance of authorization numbers.
Partial Hospitalization Retrospective Reviews cannot be billed until after
discharge.
RECONSIDERATIONS AND APPEALS
The CMHSP will provide for a reconsideration of a decision which it renders
regarding (1) request for psychiatric inpatient admission or inpatient payment
authorization, (2) request for admission to, or payment authorization for, a PHP.
Reconsideration activities are defined as:
Time spent by the clinical supervisor or CMH psychiatrist in reviewing the
documentation of the CMH clinician's decision; time spent in obtaining
additional information from the person requesting reconsideration; time
spent rendering and documenting the reconsideration decision.
5
Medicaid Managed Mental Health Care
Reimbursement Agreement for Review Activities
E. The CMHSP will participate in Department of Community Health - Medical
Services Administration (DCH-MSA) hearings for appeals of decisions which it
renders regarding (1) request for psychiatric inpatient admission or inpatient
payment authorization, (2) request for admission to, or payment authorization for,
a PHP. Appeal activities are defined as:
Time spent by clinical staff/supervisor or CMH psychiatrist in a DCH-MSA
hearing.
OUT OF STATE
F. The CMHSP will provide pre-admission screening and prior admission
authorization for children referred for out-of-state psychiatric inpatient placements.
Pre-admission reviews are conducted in accordance with Under 21 Elective
Admission Certificate of Need requirements:
Time spent by CMH clinicaVmedical staff in conducting pre-admission
review and in submitting Medicaid payment authorization documentation
to DCH/MSA and the treating facility.
G. The CMHSP will provide continued stay reviews and Medicaid payment
authorization for children's out of state psychiatric inpatient placements.
Continued stay review activities are defined as:
Time spent by CMH clinical staff in conducting continued stay reviews and
in submitting Medicaid payment authorization documentation to DCH/MSA
and the treating facility.
III. RECORDS, BILLINGS AND REIMBURSEMENTS
A. The CMHSP will maintain all documentation and records concerning activities
performed, 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 CMHSP will submit monthly billings to the DEPARTMENT for activities
performed in accordance with the terms of this Agreement. Billings will be on an
actual cost basis, as defined in the DCH billing procedures for Medicaid Managed
Mental Health Care. Only one (1) bill for all the various activities performed under
this contract will be considered for payment per month, and should be submitted
6
Medicaid Managed Mental Health Care
Reimbursement Agreement for Review Activities
to the DEPARTMENT within forty-five (45) days after the end of the month in
which the activities were performed. In the event that the CMHSP realizes costs
incurred after the billing has been submitted for a month or corrections need to be
made to a submitted billing, the CMHSP may submit a revised billing that replaces
the billing previously submitted. The monthly average maximum will then apply
to the revised billing.
In any event, all bills for services provided under this Agreement must be
received by the DEPARTMENT no later than February 15, 1998. Submitted
bills will include separate statements for each of the types of activities performed,
as well as a total bill for the month. The form attached to this contract is to be
used for billings submitted under this contract.
C. Payments made to the CMHSP for these activities will be included as earned
revenue from the DEPARTMENT on the bi-monthly and final expenditure reports
of the CMHSP. Projected revenues will be identified as 'Other Earned Revenue"
on the Summary of Projected Funding, Line 11(E), CMH/DCH Grants and Earned
Contract Totals. No local funds will be required for the state share of these
payments. Payments made under this Agreement are subject to the requirements
under the Single Audit Act or 1984. The CFDA number for federally funded
portion will be required for the state share of payments made to the CMHSP under
the Agreement is 93.778.
IV. DEPARTMENT RESPONSIBILITIES
A. The DEPARTMENT agrees that for bills received 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 billing by the
CMHSP. •
B. The DEPARTMENT will reimburse the CMHSP for its actual direct and indirect
costs for the activities associated with this agreement, up to an average monthly
maximum of:
Activities within the CMHSP's Expenditure Cap
Inpatient pre-admission screening where admission is diverted, or a pre-
admission screening for a recipient from another CMH service area:
-face-to-face: $125 per screening
telephone: $30 per screening
Inpatient Total Episode Management:
$220 per episode
7
Medicaid Managed Mental Health Care
Reimbursement Agreement for Review Activities
Inpatient Continued Stay Care Management Only:
$100 per episode
Inpatient Retrospective Review:
$95 per review
Partial hospital pre-admission screening where admission is diverted:
face-to-face: $95 per screening
telephone: $30 per screening
Management of Partial Hospitalization episode where person is admitted:
$220 per episode
Partial Hospitalization
Retrospective review: $95 per episode
Actiyillguagirksilhin Expen.clitwaLap
Reconsiderations: $95 per reconsideration
Appeals: actual cost per appeal
Out-of-state placement: actual cost per review
C. The DEPARTMENT will reimburse the CMHSP up to a 3-month expenditure
CAP for the key review activities covered by this Agreement. The key review
activities included in the expenditure CAP are the inpatient reviews and the
partial hospitalization reviews. The activities excluded from the CAP include
the reconsiderations, appeals, and out-of-state placements.
D. The DEPARTMENT will prepare claims for federal financial participation and
submit these claims to the Medical Services Administration. The CMHSP will
provide the DEPARTMENT with such documentation as may be required to
support claims for federal financial participation.
E. The DEPARTMENT will hold the CMHSP financially harmless where the CMHSP
has followed procedures as outlined in Federal Office of Management and Budget
Circular A-87 and OASC-10, and has documentation as to the activities performed
and the costs associated with those activities. The CMHSP will be held
responsible for lack of documentation or failure to follow A-87 and OASC-10.
8
Medicaid Managed Mental Health Care —
Reimbursement Agreement f9r Review Activities
V. TERMINATION
The Agreement may be terminated by either party with sixty (60) days notice. Such
notice shall be made in writing, and sent by certified mail. Termination will take effect
sixty (60) daysom receipt 0 / said notice. - , \ ifr
Oakland County iqa dVII/okeegin'ir'ssioners Chairperson \•.,_ Date /...........„....)
e- C---:-/*2-vn-
ity Mental He015,Setvice Program Date
I
James K. Havernan, 44Dirfl6tor
Michigan Departmerlyif Community He
Date
• Attachments:
A. Medicaid Administrative Activities Earned Contract Maximum Billable Amount.
B. Medicaid Managed Mental Health Care Activity Billing Form
9
REVISED FOR USE WITH CONTRACT BEGINNING 104-97 MONTHLY BILLING FOR MANAGED CARE CONTRACT
I
M , I. A 'ST -s E FOO OT 1 MONTHLY MAXIMUM 1 • , ,
,c. ...:;e 1-ri• :4' ,.'.'' t.'•''10. , n .", ' . • • '' %.1"; ' .r.? , .*ii"4 ' ;'
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i) INPAPENT PRE-ADMISSION / FACE-TO-FACE
2) INPATIENT PRE-ADMISSION / PHONE
3) INPA PENT CONTINUED STAY CARE MGMT
4) INPATTENT TOTAL EPISODE MGMT(PAS a CS)
5) INPATIENT RETROSPECTIVE REVIEW
6) PI-IP PRE-ADMISSION / FACE-TO-FACE
7) PHP PRE-ADMISSION / PHONE
AI PHI' EPISODE MANAGEMENT 1
9) PHI' RETROSPECTIVE
10) TOTAL BILLABLE COSTS-SECTION 1(4013 LINES 1 THROUGH 9, COLUMN 9) —
11) ACCUMULATED TOTAL REIMBURSED COSTS $ AND TOTAL UNREIMBURSEWBILLED)COSTS $ ,FOR MONTHS, THROUGH
. .
12) TOTAL COSTS BILLED TO DATE(ADD LINES 10 AND 11, COLUMN 8))
13Y CONTRACT CAP
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15) RECONSIDERATIONS 1
16) APPEALS
17) OUT OF STATE PLACEMENTADMIN
18) OUT OF STATE PL4CEMENT-CONT 0 STAY
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DATE
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DATE
DEPNATMIENT OP COMINAMITY WAIN AUTHORIZED STAFF
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DEPARTMENT OF COMMUNITY HEALTH
LANSING, MICHIGAN 48913
MEDICAID MANAGED MENTAL HEALTH SERVICES
Medicaid Administrative Actvities
Earned Contract
Maximum Billable Amount
Board: Oakland Community Mental Health Services Program Total
Administrative Maximum Billable Cap 10/97-12197 $54,341
1Ik1O gi
MISCELLANEOUS RESOLUTION #98016
BY: Public Services Committee, David Moffitt, Chairperson
IN RE: COMMUNITY MENTAL HEALTH - EARNED REVENUE CONTRACT WITH MICHIGAN
DEPARTMENT OF COMMUNITY HEALTH
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of Community Health has requested approval
of Earned Revenue contracts with the Board for the first quarter of 1997/1998
fiscal year; and
WHEREAS the Earned Revenue contracts provide for reimbursement of Community
Mental Health costs for pre-admissions and continued stay reviews of inpatient
and day hospital services under the State's Medicaid Managed Care program; and
WHEREAS the maximum billable cap amounts have been adjusted based upon the
7/97 expansion; and
WHEREAS the terms of the proposed Earned Revenue contracts have been
reviewed by the Oakland County Corporation Counsel and are acceptable to the
Administration; and
WHEREAS on December 16, 1997, the Oakland County Community Mental Health
Services Board approved a resolution regarding Earned Revenue Contract.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
approves the attached agreement with the Michigan Department of Community Health
to be effective from October 1, 1997 through December 31, 1997.
Chairperson, on behalf of the Public Services Committee, I move the
adoption of the foregoing resolution.
PUBLIC SERVICES COMMITTEE
Copy of Agreement between The Michigan Department of Community Health and
The Oakland County Community Mental Health Services Program on file in the County
Clerk's office.
FISCAL NOTE (Misc. #98016)
BY: Finance Committee, Sue Ann Douglas, Chairperson
IN RE: COMMUNITY MENTAL HEALTH BOARD EARNED REVENUE 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 Committee has reviewed
the above-referenced resolution and finds:
1) The resolution approves an agreement that allows for reimbursement
of Community Mental Health costs for pre-admissions and continued
stay reviews of inpatient and day hospital services under the
State's Medicaid Managed Care program.
2) The Fiscal Year 1998 and Fiscal Year 1999 Budgets contemplated
approval of the subject agreement, therefore budget amendments are
not required.
FINANCE COMMITTEE
cl,A.11•CL AIW Q1J1TW
• I,
GC:a nil IVI U P4 111"e IIVI E PIThL H
CMH RESOLUTION: # 0369712b.res
BY: Fran Amos, Oakland County Community Mental Health Services Board
IN RE: Earned Revenue Contract with the Michigan Department of Community
Health
TO THE OAKLAND COUNTY COMMUNITY MENTAL HEALTH BOARD
Chairperson, Ladies and Gentlemen:
WHEREAS the Michigan Department of Community Health has requested
approval of Earned Revenue contracts with the Board for the first quarter of
1997/98 fiscal year; and
WHEREAS the Earned Revenue contracts provide for reimbursement of CMH
costs for pre-admissions and continued stay reviews of inpatient and day
hospital services under the State's Medicaid Managed Care program; and
WHEREAS the maximum billable cap amounts have been adjusted based upon
the 7/97 expansion; and
WHEREAS the terms of the proposed Earned Revenue contracts have been
reviewed by the Oakland County Corporation Counsel and are acceptable to the
Administration.
NOW THEREFORE BE IT RESOLVED that the Oakland County Community Mental
Health Services Board approves the attached agreement with the Michigan
Department of Community Health to be effective from October 01, 1997 through
December 31, 1997.
On behalf of the Oakland County Community Mental Health Services Board,
I move the adoption of the foregoing resolution.
Board Meeting: 12/16/97
0369712b.res
• IP.
FISCAL NOTE (Misc. #98189) August 20, 1998
BY: FINANCE COMMITTEE - SUE ANN DOUGLAS, CHAIRPERSON
IN RE: COMMUNITY MENTAL HEALTH - RENEWAL OF EARNED REVENUE 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 Committee has reviewed the
above referenced resolution and finds:
1. The resolution approves a renewal of the Earned Revenue Contract
with the Michigan Department of Community Health that allows for
reimbursement of Community Mental Health costs for pre-admissions
and continued stay reviews of inpatient and day hospital services
under the State's Medicaid Managed Care program.
2. The renewal agreement begins January 1, 1998, and ends September 30,
1998.
3. The FY 1996 and FY 1999 Budget contemplated approval of the subject
agreement, therefore budget amendments are not required.
FINANCE COMMITTEE
FINANCE COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
•
Resolution #98189 August 20, 1998
Moved by Moffitt supported by Holbert the Finance Committee Report be
accepted.
A sufficient majority having voted therefor, the report was accepted.
Moved by Moffitt supported by Holbert the resolution be adopted.
Moved by Moffitt supported by Holbert the resolution be amended to coincide
with the recommendation in the Finance Committee Report.
A sufficient majority having voted therefor, the amendment carried.
Vote on resolution, as amended:
AYES: Garfield, Gregory, Hoffman, Holbert, Huntoon, Jacobs, Jensen,
Johnson, Kaczmar, Kingzett, Law, McCulloch, McPherson, Moffitt, Obrecht, Palmer,
Schmid, Taub, Wolf, Amos, Coleman, Devine, Dingeldey, Douglas. (24)
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, 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 August 6, 1998 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
dfe
County of Oakland at Pontiac, Michigan this 6th day f ugus 80
D. Allen, County Clerk