HomeMy WebLinkAboutResolutions - 1998.05.21 - 25441MAY 21, 1998
MISCELLANEOUS RESOLUTION # 98131
BY: PUBLIC SERVICES COMMITTEE--DAVID L. MOFFITT, CHAIRMAN
IN RE: BOARD OF COMMISSIONERS/COMMUNITY MENTAL HEALTH - EXTENSION OF FISCAL YEAR
1996/1997 FULL MANAGEMENT CONTRACT EXTENSION #3
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 twice,
first for a 90 day period that commenced on 10/1/97, but expired on 12/31/97 and
again for a period that commenced on 1/1/98, but expired on 3/31/98 under
existing extension provisions of this contract; and
WHEREAS the Michigan Department of Community Health is presently still
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 has agreed following
negotiations with Oakland County Corporation Counsel and CMH Administration to
extend the Full management Contract for a third time for a three month period
commencing 4/1/98 through 6/30/98 as described in the attached document entitled
FY '98 FULL MANAGEMENT CONTRACT RENEWAL/EXTENSION 43; and
WHEREAS the Michigan Department of Community Health has provided the
appropriate funding authorization for the extension period that also includes
new funding to pass through an increase to the staff of the CMH contracted
residential providers that is desperately needed to stabilize the workforce.
NOW THEREFORE BE it resolved that the Oakland County Board of
Commissioners, subject to the subsequent approval of the Oakland County Community
Mental Health Services Board, hereby approves entering into the attached FY '98
FULL MANAGEMENT CONTRACT RENEWAL/EXTENSION 43
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/or 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, : move the
adoption of the foregoing resolution.
PUBLIC SERVICES COMMITTEE
Public Services Committee Vote:
Carried on unanimous roll call vote
DCH/OAKLAND COUNTY CONTRACT FOR
COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '97 FULL MANAGEMENT CONTRACT RENEWAL/EXTENSION #3
The Michigan Department of Community Health ("Department") and the County of Oakland ("County") as
represented by its Board of Commissioners, together with its statutory agent, the Oakland County Community
Mental Health Services Board ("OCCMHSB"), hereby agree to the provisions of this fY '97 FULL
MANAGEMENT CONTRACT RENEWAUEXTENSION #3 (hereafter, this "FY '98 Renewal Contract"). In this
FY '98 Renewal Contract, whenever the County and the OCCMHSB are intended to be referred to
collectively, they shall be referred to as "Oakland". In this FY '98 Renewal Contract the Department and the
County may also each be referred to individually as a "Party" or together as the "Parties". The Parties hereby
agree as follows:
§1 1NTRODUCTION AND AGREEMENT TO CONTINUE THE DEPARTMENT'S AND OAKLAND'S
PRIOR CONTRACTUAL RELATIONSHIP
Except as otherwise expressly provided for herein, the intended purpose of this FY '98 Renewal
Contract is to formally continue as if there had been no interruption or lapse a contractual relationship
between the Department and Oakland contained in a prior written agreement entitled, Micarzat
DEPARTMENT OF COMMUNITY HEALTH / OAKLAND COUNTY COMMUNITY MENTAL HEALTH
SERVICE BOARD FULL MANAGEMENT CONTRACT - FY '96-97 (hereafter, the "FY '97 Full
Management Contract"), effective October 1, 1996, and, as originally executed by the Department and
Oakland, scheduled to expire on September 30, 1997.
1.1 The Department and Oakland acknowledge that the FY '97 Full Management Contract was
extended twice previously by written agreements. The first such contract extension agreement
continued the FY '97 Full Management Contract to December 31, 1997. The second extension
continued this agreement until March 31, 1998.
1.2 The Parties agree that all of the terms and conditions contained in the FY '97 Full Management
Contract, except as otherwise expressly amended or changed in this Contract, shall be fully
incorporated into and made a part of this FY '98 Renewal Contract just as if all such terms and
conditions were otherwise reprinted in their entirety herein.
1.3 The Parties agree and acknowledge that despite the expiration of the prior FY '97 Full
Management Contract on March 31, 1998, the Parties have agreed and continued to perform their
prior contractual obligations without interruption and continue to do so based upon the same
considerations which originally gave rise to the Parties' agreement to enter the FY '97 Full
Management Contract.
1.4 The Parties intend and agree by this FY '98 Renewal Contract to again formally bind themselves,
except as otherwise expressly provided herein, to those same terms and conditions set forth in the
FY '97 Full Management Contract, retroactively, for the period beginning October 1, 1997, through
June 30, 1998, unless otherwise extended as provided in this FY '98 Renewal Contract. The
Parties further intend and agree that this FY '98 Contract shall, for the period covered by the two
prior extensions of the FY '97 Full Management Contract, supersede those two prior extensions.
1.5 The Parties also agree that FY '97 (i.e., October 1, 1996, through September 30, 1997) is
complete and will be cost settled as of September 30, 1997, as specified in the original FY '97 Full
Management Contract The Parties further agree that this FY '98 Renewal Contract is intended to
DCH/OAKLAND COUNTY CONTRACT FOR COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '98 FULL MANAGEMENT CONTRACT
Page - 1
cover October 1, 1997, through June 30, 1998 operations and financing as noted herein, unless
otherwise extended as provided in this FY '98 Renewal Contract.
§2 OTHER AMENDMENTS TO EXISTING TERMS IN THE FY 497 FULL MANAGEMENT CONTRACT
The Department and Oakland agree that the following changes or amendments to contractual
provisions of the FY '97 Full Management Contract shall specifically apply to this FY '98 Renewal
Contract and for October 1, 1997, through June 30, 1998) period only, unless otherwise extended as
provided in this FY '98 Renewal Contract. The "PART," "Paragraph" and "Subparagraph" references in
this Section §2 of this FY '98 Renewal Contract all refer to the correspondingly identified "PART,"
"Paragraph" and "Subparagraph" in the FY '97 Full Management Contract.
PA1311
A. General Provisions
5. This Section, as it appeared in the original FY '97 Full Management Contract, shall be deleted
in its entirety and in its place for all purposes in this FY '98 Renewal Contract shall be the
following:
"This Contract shall be in effect from October 1, 1997, through June 30, 1998.
However if this FY '98 Renewal Contract is not extended/amended or a new
agreement is not entered into between the Parties by June 30, 1998, this FY '98
Renewal Contract shall be deemed to continue, unless terminated by the Parties.
The Parties agree that if this FY '98 Renewal Contract is continued after June 30,
1998 without further amendment, that the amounts shown in Part V. IV, 2 of this FY
98 Renewal Contract shall be paid to the Oakland on a prorated basis of 1/9th of the
funding amounts shown on Part V for each month that this FY '98 Renewal Contract
is extended.
7. This Section, as it appeared in the original FY '97 Full Management Contract, shall be deleted
in its entirety and in its place for all purposes in this FY '98 Renewal Contract shall be the
following: The OCCMHSB must submit a financial report reflective of expenditures and
revenues through April 1, 1998 by June 15, 1998. The OCCMHSB can achieve this by either
(1) submitting an amended Part V Funding, or 2) submitting a copy of the
expenditure/revenue report as developed for the OCCMHSB.
16. This Section, as it appeared in the original FY '97 Full Management Contract, shall be
deleted in its entirety and in its place for all purposes in this FY '98 Renewal Contract
shall be the following:
Inquiries and requests concerning the terms and conditions of this Contract,
including requests for amendment, should be directed by the Program to the
Department's Contract Management Section. The final performance and
expenditure report should be submitted to the Department's Finance Division,
with a copy to the Contract Management Section (Community Services Division,
Bureau of Community and Hospital Services, Mental Health and Substance
Abuse Services)."
B. Program Assurances
6. The Parties agree that the Document referred to as "Attachment 13" in the FY '97 Full
Management Contract is hereby replaced in its entirety for FY '98 by the document attached
DCH/OAKLAND COUNTY CONTRACT FOR COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '98 FULL MANAGEMENT CONTRACT
Page -2
7-8FMICX3,F
to and incorporated herein identified as REPORTING REQUIREMENTS 1996-97
DCH/CMHSP CONTRACT EXTENSION ATTACHMENT B AMENDMENT.
8. The Parties agree that the Document referred to as "Attachment B" in the FY '97 Full
Management Contract is hereby replaced in its entirety for FY '98 by the document attached
to and incorporated herein identified as REPORTING REQUIREMENTS 1996-97
DCH/CMHSP CONTRACT EXTENSION ATTACHMENT B AMENDMENT.
PART III
B. Board Assurances
11. This item shall be deleted from this FY '98 Renewal Contract.
PART IV
B. Cash Advances, Including Medicaid Advances
1. The Parties agree that any reference in this Paragraph of the FY '97 Full Management
Contract to "1/6" shall for this FY '98 Renewal Contract be replaced and read as "1/12".
2. The Parties agree that any reference in this Paragraph of the FY '97 Full Management
Contract to '1/6" shall for this FY '98 Renewal Contract be replaced and read as "1/12", and
the first day of November date shall be changed to September 28, 1998, and the reference to
September 30, shall be deleted.
3. The Parties agree that this paragraph shall be deleted in this FY '98 Renewal Contract.
PART V
The Parties intend and agree that all of the prior PART V financial pages and detail sheets (i.e.,
pages 24, 25, 26, and 27) in the original FY '97 Full Management Contract were intended by the
Parties to cover FY '97 (i.e., October 1, 1996, through September 30, 1997). The Parties further
intend and agree, however, that for any and all purposes in interpreting the funding or financial
obligations or responsibilities of the Parties during the term of this FY '98 Renewal Contract (i.e.,
October 1, 1997, through June 30, 1998, unless this FY '98 Renewal Contract is otherwise
extended as provided herein) any and all references in the FY '97 Full Management Contract to
any dollar amount or funding obligations of either Party in PART V (i.e., pages 24, 25, 26, and 27
in the original FY '97 Full Management Contract) during FY '98 shall be deemed to refer to the
correspondingly entitled and identified four (4) pages in "FY '98 - Attachment D" to this FY '98
Renewal Contract hereby incorporated into and made part of this Contract
§3 NEW TERMS AND CONDITIONS TO THE CONTRACTUAL RELATIONSHIP BE'RNEEN THE
PARTIES
In addition to the changes to the FY '97 Full Management Contract shown in Section §2 above and
notwithstanding any other terms or conditions in either the FY '97 Full Management Contract, the
Parties agree that the following additional terms and conditions shall be incorporated into and
considered a part of the terms and conditions in this FY '98 Renewal Contract between the Parties for
the period covered by this FY '98 Renewal Contract.
3.1 State Agrees to Continue to Hold All State-Leased Group Homes in Oakland County
DCH/OAKIAND COUNTY CONTRACT FOR COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '98 FULL MANAGEMENT CONTRACT
Page - 3
74FTAXX3.F
3.1.1 As used in this section of this FY '98 Renewal Contract, the following words and
expressions, when printed with the first letter capitalized as shown herein, whether used
in the singular or plural, possessive or nonpossessive, and/or either within or without
quotation marks, shall be defined and interpreted as follows:
3.1.1.1 "Department" shall also refer to and include, without limitation, the Michigan
Department of Community Health, the State of Michigan, and/or any other
departments and/or agencies of the State of Michigan that either hold or have any
responsibility for managing, preserving, caring for or financial control or responsibility
for any "State Group Home" as defined below.
3.1.1.2 "Landlord* shall refer to and be defined as any person (including any partnership or
corporation) who is either the owner or other person who has the right, on behalf of
the owner, to lease or license to or for the use of the Department any "State Group
Home" as defined below.
3.1.1.3 "State Group Home" or "State Group Homes" shall refer to and be defined as any and
all Department-utilized residential facilities and/or real property, located within
Oakland County, that as of March 31, 1998 was either owned, leased, licensed, held,
or otherwise used in any way by the Department to provide for and/or meet any of the
housing or residential placement needs of any Oakland County consumer(s). The
Parties recognize that one or more of the approximately 200 current State Group
Homes may, for one or more reasons, have to be replaced between March 31, 1998,
and December 31, 1998. As provided below, the Department shall be obligated to
provide such a replacement State Group Home. Any such replacement for any State
Group Home shall in turn then also be considered a "State Group Home" as defined
herein.
3.1.2 Except as otherwise provided for in this Contract, the Department shall continue to hold
and maintain any and all State Group Home leases or licenses for the availability and use
by Oakland and/or Oakland consumers until December 31, 1998. Until such time, the
Department grants to Oakland permission to use any State Group Home.
3.1.3 The Department acknowledges and agrees that it shall be solely responsible for the
necessary financial support and funding to cover, meet, or support any State Group
Home costs and expenses, including, but not limited to, rent payments, supplemental rent
supports, utility costs, rental property insurance costs, repair and/or replacement costs
for rental property damages or wear and tear, or any other financial obligation or for any
State Group Home. The Parties agree that the Department, not Oakland, shall be fully
and solely responsible in all such regards.
3.1.4 If the Department fails to continue to hold and/or make available to Oakland any State
Group Home at anytime before December 31, 1998, the Department shall be obligated to
find and provide for the Oakland's availability and use a suitable and similar replacement
residential home or facility to replace any State Group Home.
3.1.5 The Department shall remain solely responsible, financially and/or otherwise, for ensuring
that any and all State Group Homes are maintained, repaired, or remodeled, as
necessary, and to be at all times:
3.1.5.1 Licensed as residential facilities for mentally ill and/or developmentally disabled
adults or children as required under applicable laws and regulations and in full
compliance with any state, county, or local governmental rule or ordinance regarding
DCH/OAKLAND COUNTY CONTRACT FOR COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '98 FULL MANAGEMENT CONTRACT
Page - 4
, 74F140(3.F
any continued or future use of any State Group Home;
3.1.5.2 Maintained so as to ensure the health, safety, or welfare of any consumer; and
3.1.5.3 Qualified and eligible to receive any state or federal reimbursements of funding such
as AIS funds.
3.2 Residential Facility - Direct Care Worker Wage increase "Pass -Through"
3.2.1 Pursuant to 1997 P.A. 97, § 409, and the subsequent Department guidelines and
requests to Oakland to "pass-through" additional Department funds to 'provide for
increasing the wages of direct care staff by $0,75 per hour per employee in local
residential service settings", Oakland has prepared and herein submits to the Department
its "pass-through fund" application attached to and incorporated herein as "Attachment B1
- Expenditure Plan Summary" (hereafter "Attachment 81").
3.2.2 In addition to any other amounts to be paid to Oakland pursuant to this Contract, the
Department agrees that it shall provide Oakland with additional funds in the amount of
$2,156,469.06 (as shown in Column entitled "Total to be Paid to Direct Care Worker" on
Attachment B1) to fund this pass-through wage increase for the entire 9-month period
beginning January 1, 1998, and ending September 30, 1998.
3.2.3 With the Department's concurrence and approval, Oakland agrees that it shall:
3.2.3.1 Recalculate the federal share of increased reimbursements to be received by
Oakland as a result of this increased cost of Oakland Provider wages and add any
such amounts actually received to any "pass-through" amounts otherwise distributed
to Oakland Providers; and
3.2.3.2 Subject to the provisions in this Section, not use any of the above Department-
provided funds to offset any administrative expenses Oakland incurs as a result of
this "pass-through" effort.
3.2.4 The Department and Oakland agree that the Department-allocated or provided funds, as
shown on "Attachment 81," shall be distributed in such amounts by Oakland to the
Oakland Providers identified in "Attachment Bl," subject to the following conditions:
3.2.4.1 Should any Oakland Provider subsequently choose, for any reason, not to accept a
contract amendment for this purpose and/or accept this additional "pass-through"
wage increase for selected employees, then Oakland shall retain any such unspent
Department-provided funds subject to the provision in 1997 P.A. 97, § 409(3) that
any such amount not distributed to Oakland Providers as detailed in "pass-through
application ['Attachment Br] shall be deducted from the base allocation to the
CMHSP . . in the subsequent fiscal year."
3.2.4.2 Prior to the receipt of any such additional funds, Oakland Providers shall obligate and
otherwise commit to fully complying with all Department administrative requirements
related to distribution of any and all direct care wage pass-through funds as required
by the Department.
3.2.5 Subject to the provisions in this Section, the Department agrees that Oakland's efforts to
expend the Department-provided funds as shown in "Attachment Bl" and its certification
and report of Oakland's actual expenditures to its Providers in a format similar to
DCH/OAKLAND COUNTY CONTRACT FOR COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '98 FULL MANAGEMENT CONTRACT
Page -5
••n••nn••••
"Attachment B1" shall constitute an acceptable and final report on the actual expenditure
to the Department as provided for 1997 P.A. 97, § 409(3).
3.2.6 The Department agrees that Oakland's compliance with the above terms and conditions
in this Section shall satisfy all Department requirements with regard to this direct care
wage pass-though effort.
3.3 No Verbal Modifications or Amendments
Except as otherwise expressly provided for in this Section or the following subsections, there shall
be no modification, rescission, waiver, release or amendment of any provision of this Contract,
except by an express written amendment to this Contract, approved and ratified by a resolution of
the Oakland County Board of Commissioners, and signed by the duly authorized representatives
of the Parties.
3.3.1 With regard to "307 Transfers" (i.e., transfers of financial and/or program responsibility for
consumers of mental health between CMH programs as authorized by MCL 330.1307)
and "Child Model Waiver" consumer enrollment changes which effect the Department's
reimbursements based upon the addition or removal of individual consumers from the
program, the Parties agree that provided the adequate additional and necessary funding
is received and otherwise approved by the OCCMHSB, this FY '98 Renewal Contract
need not be amended, immediately, solely to reflect any such "307 Transfer" or "Child
Model Waiver' for individual consumers changes to or from the OCCMHSB program.
3.3.2 The Parties agree, however, that any and all such "307 Transfer or 'Child Model Waiver"
changes to OCCMHSB consumer enrollment bases and/or funding levels that have taken
place between any otherwise required FY '98 Renewal Contract amendments or
revisions requiring the written approval of the Parties shall be fully incorporated and
reflected in the next subsequent amendment or change to this Contract.
3.4 Complete Agreement
This Contract, which hereby incorporates by reference the entire FY '97 Full Management
Contract, as amended herein, sets forth the entire Full Management contractual relationship
between the Department and the County for FY '98 concerning the subject matter hereof. In
entering into this Contract, the Parties acknowledge that neither has relied upon any prior or
contemporaneous agreement, representation, warranty, or other statement by the other that is not
expressly set forth or otherwise incorporated into this Contract, and that any and all such possible,
perceived or prior agreements, representations, understandings, statements, negotiations,
understandings and undertakings, whether written or oral, in any way concerning or related to the
subject matter hereof, are fully and completely superseded by this Contract. It is further agreed
that the terms and conditions herein are contractual and binding and are not mere recitals, and
that there are no other agreements, understandings, contracts, or representations between the
Parties, in any way related to the subject matter hereof, which effect any contractual relationship
between the Parties except as expressly stated herein.
For and in consideration of the mutual assurances, promises, acknowledgments, warrants, representations,
and agreements set forth in this Contract, and for other good and valuable consideration, the receipt and
adequacy of which is hereby acknowledged, the undersigned hereby execute this FY '98 Renewal Contract
on behalf of the Department and the County and by doing so legally obligate and bind the Department and
the County to the terms and conditions of this Contract.
IN WITNESS THEREOF, the Michigan Department of Community Health and the County of Oakland in
OCH/OAKLAND COUNTY CONTRACT FOR COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '98 FULL MANAGEMENT CONTRACT
Page - 6
Date
Date
conjunction with its statutory agent the Oakland County Community Mental Health Services Board have
caused this FY '98 Renewal Contract to be executed by their respective officers duly authorized to do so.
John P. McCulloch, Chairperson, Date
Oakland County Board of Commissioners
Fran Amos, Chairperson,
Oakland County Community Mental Health
Services Board
Sandra M. Lindsey, Executive Director
Oakland County Community Mental Health
Services Board
James K. Haveman, Jr., Director Date
Michigan Department of Community Health
DCH/OAKLAND COUNTY CONTRACT FOR COMMUNITY MENTAL HEALTH SERVICES PROGRAMS
FY '98 FULL MANAGEMENT CONTRACT
Page - 7
'FY '97 FULL MANAGEMENT CONTRACT RENEWAL EXTENSION 93
Page 24
PART V SUMMARY OF PROJECTED FUNDING
CMH BOARD: OAKLAND COUNTY
PLAN SUBMISSION: 31241911
October 1, 1997 to Jun. 30, 1998
(Ai DM IC) ID] IEi 19 Programs for Programs for Persons with
Adult with Children with Developmental Other Board Total
Mental Illness Mental Minus Disabilities Programs Administration Expanditures
I. SERVICE SUMMARY
Estimated Client* Served this Year 7,100 1,300 2,400 10,800
U. PROJECTED FUNDING SUMMARY
A. PROJECTED GROSS FUNDS $41,115,175 $7,457,184 $56,821,541 $4,285,010 $5,462,115 $115,141,024
B. NON-DCH FUNDS $0 $0 $0 30 $38,181 $38,161
C. LOCAL NON-MATCH TOTALS $240,100 $31,538 $93,623 $0 $0 $365,260
D. CM/1 EARNED CONTRACT FUNDS TOTAL $0 $0 $0 $0 $0 $0
E. OCH GRANTS AND EARNED CONTRACTS TOTAL $231,908 30 $0 $863,427 $0 $1.096,335
F. SAMHSA (FEDERAL) BLOCK GRANT $33,750 $43,184 $0 $0 $0 - $78.934
F.1. State/local operating margin C/F So so $0 $4,742,205 • $0 $4,742,205
G. MATCHED SERVICES- TOTAL 340,609,417 37.382,463 $56,727,919 $3,421,583 $5,423,954 $113,565,335
I. Stale Provided Services Purchase $1,923,242 $263,654 $935,130 $O $0 $3,122,028
2. Services Requiring No Local Match (100% State)
a. 1stt3rd/SSI 0 0 30,378 0 0 30,378
b. Federal Medicaid 408,155 2.642 16,934,490 3,936 0 17,349,223
c. State Medicaid 353,612 2.289 14,671,501 3,410 0 15,030,012
d. Other State 6.752,781 1,271,375 461,051 375,869 0 8,881,075
e. Total $7,514,548 $1.278,306 $32,097,420 $383,215 $0 $41,271,489
' 3. State and Local Match Total (90(10 programs)
a. 1s1/3rd/SSI 182,870 41,816 332,398 6,399 0 563,483
b. Federal Medicaid 4,047,766 309,345 7,833,449 18,715 0 12,209,274
c. Local Funding 2,694,099 549,134 1,552,952 301,325 542,395 5,639,905
d. State Medicaid 3,506,855 268,007 6.786,649 16,214 0 10,577,725
e. Other State funding 20,740,037 4.674,202 7,188.468 2,695,715 4,881,559 40,179,980
(community based funding)
1. Total $31,171,627 $5,842,504 $23,695,369 $3,038,368 $5,423,954 089,171,821
III. TOTAL DCH FUNDING
(MATCHED SERVICES)
(G.1. + G.2.c. + G2.d. + G.3.d, + G.3.e.) $33,276,527 $6,479,526 $30,042,799 $3,091,208 $4,881,559 $77,771,818
IV. TOTAL MAXIMUM COUNTY OBLIGATION
(C9 + 0.3.c.) $2,934,199 $580,672 $1,646,575 $301,325 $542,395 $6,005,165
IV. 2 DCH MAXIMUM FUNDING OBUGATION-Matched Services 077,771,818
05/06/98 ATH03248.VVIC4 FY '98 - ATTACHMENT D
38,161
$38,161
FY '97 FULL MANAGEMENT CONTRACT RENEWAL EXTENSI
Page 25
DETAIL SHEET 1 FOR PART V - SUMMARY OF PROJECTED FUNDING
SOURCE OF REVENUE DETAIL
CMH BOARD: OAKLAND COUNTY
Plan Submission: 3124198
October 1, 1997 to June 30, 1998
LINE B NON-DCH FUNDING DETAIL
1. Substance Abuse
2. DD Council Project Grant
3. Sheltered Workshop Income
4. Other. IGT Transfer
5. Total
LINE C - LOCAL NON-MATCH
1. Non-match expenditures
2. Local share - DCH grants/earned contracts
3. Local share - Non-DCH Grants/earned contracts
4. Non-approved programs
5. Excess local - P.A. 423 related
6. Excess local - other
7. Local share - SAMHSA federal grant
8. Other: 100% County Funding for Children's Wraparound 0
9. Local share - state provided services 365,260
10. Total $365,260
LINE E - DCH EARNED CONTRACT DETAIL
1. AGENCY: OBRA PASSAR AGREEMENT
a. Federal Medicaid
b. 1st/3rd/SSI
c. Other
2. AGENCY: MEDICAID MANAGED CARE EARNED CONTRACT
a. Federal Medicaid
b. 1st/3rd/SSI
c. Other
863,427
231,908
LINE E - DCH PROJECT GRANT DETAIL
3. Project Grant Funding: PATH Homeless Assistance Grant
a. Federal Medicaid 0
b. 1st/3rd/SSI 0
c. Other
4. Total $1,095,335
LINE G. 3.C. SERVICES REQUIRING 10% MATCH - LOCAL FUNDING
1. Tittle XX Replacement 56,557
2. Other Local 5,583,348
3. Total (corresponds to G.3.c) $5,639,905
MATCHED SERVICES TOTAL MEDICAID (FEDERAL AND STATE SHARE)
1. ICF - MR (ais)
2. Personal Care 4,380,505
3. H.C.B. Waiver 13,484,932
4, Clinic Serv. (Inc CSM) 15,458,238
5. Other - AIS 20.357,672
6. Other - Child Model Waivers 1,485,690
7. Total $55,167,037
05/06/98 ATH0324B.VVK4 FY '98 - ATTACHMENT D
111
FY 97 P.ULLMANAGEMENT CONTRACT RENEWAL EXTENSION,*
Page 26
DETAIL SHEET 2 FOR PART V - SUMMARY OF PROJECTED FUNDING
CATEGORICAL PROGRAMS
CMH BOARD: OAKLAND COUNTY
Plan Submission: 3/24198
October 1, 1997 to June 30, 1998
(A) PROGRAM TITLE OBRA* OBRA 95/96 CARRY 96/97 RES DIR CARE
TREATMENT PLACEMENT** FORWARD ETHNIC WORKER EGON
(B) DCH AUTHORIZATION LETTER DATED 12/10197 12/10/97 12110/97 1/1198-6/30198
(C) DCH FUNDING AUTHORIZATION $387,620 $475,807 $0 $75,000 $2,156,469
(D)ESTIMATED CLIENTS SERVED THIS YEAR 450 20 0 ao 1,435
(E) PROJECTED GROSS EXPENDITURES 430,689 498,854 0 88,278 3,074,922
(F) PROJECTED STATE EXPENDITURES 387,620 475,807 0 • 75,000 2,156,469
(A) PROGRAM TITLE
97-98 95/96 96-97 93/94
MODEL II TOBACCO TAX 5% IN-HOME PERMANENCY RECIPIENT
WAIVERS RESPITE RES. ECON. PLANNING RIGHTS
(B) DCH AUTHORIZATION LETTER DATED 12110/97 . 12/10/97 2/26197
(C) DCH FUNDING AUTHORIZATION $796,033 $150,000 $0 $28,872 $0
(D) ESTIMATED CLIENTS SERVED THIS YEAR 60 200 0 6 0
(E) PROJECTED GROSS EXPENDITURES 1,714,849 288,750 0 32,080 0
(F) PROJECTED STATE EXPENDITURES 796,033 259,875 0 28,872 0
05/06/98 ATH03248.WK4 FY '98 - ATTACHMENT I)
Pi? '97 FULL MANAGEMENT CONTFLACT RENEWAL EXTENSION #
Page 27
DETAIL SHEET 3 FOR PART V - SUMMARY OF PROJECTED FUNDING
PLANNED STATE SERVICES UTILIZATION
CMH BOARD: OAKLAND COUNTY
Plan Submission: 3/24198
October 1, 1997 to June 30, 1998
AGENCY
Planned Contract Contract
Days State Amount
Rate
A. Caro Regional Center (MI)
1. MI Adult Inpatient 2,738 $262.00 $717,225
B. Clinton Valley Center
1. MI Adult Inpatient 0 0.00
C. Detroit Psychiatric Institute
1. MI Adult Inpatient 0 0.00 0
D. Kalamazoo Psychiatric Hospital
1. MI Adult Inpatient 274 240.00 65,700
E. Northville Psychiatric Hospital
1. MI Adult Inpatient 1,369 239.00 327,131
F. Walter Reuther Psychiatric Hospital
1. MI Adult Inpatient 4,107 198.00 813,186
G. TOTAL MI ADULT
TOTAL MI ADULT INPATIENT 8,487 1,923,242
H. Detroit Psychiatric Institute
1. MI Children Inpatient 0 0.00 0
I. Hawthorn Center
1. MI Children Inpatient 1,262 209.00 263,654
J. KRPH-PRC
1. MI Children Inpatient 0 0.00
K. TOTAL MI CHILDREN
TOTAL MI CHILDREN INPATIENT 1,262 263,654
L. Caro Regional Center (DO)
1. DD Inpatient 0 0.00 0
2. DD AIS 0 0.00 0
3. DD Other Comm. Residential 0 0.00 0
M. Mt Pleasant Center
1. DD Inpatient 5,201 169.00 879,011
2. DD NS 0 0.00 0
3. DO Other Comm. Residential 0 0.00 0
N. Southgate Center
1. DD Inpatient 274 $205.00 56,119
0. TOTAL DD
1. TOTAL DD INPATIENT 5,475 935,130
2. TOTAL DD AIS 0 0
3. TOTAL DD OTHER COMM. RES. 0 0
GRAND TOTAL 15,224 $3,122,026
05/06/98 ATH0324B.VVK4 FY '98 - ATTACHMENT D
REPORTING REQUIREMENTS
1996-97 DCH/CMHSP CONTRACT EXTENSION
ATTACHMENT B AMENDMENT
I. DEMOGRAPHIC DATA and SERVICE UTILIZATION DATA PER CONSUMER
Reporting period: October 1, 1997 until extension expires or September 30, 1998
whichever comes first
Due date: On the last day of the third month following the reporting period.
Specifications: Attached (Same specifications used for the December 31, 1997 report)
EL SUB-ELEMENT COST REPORT
Reporting period for Cases and Units: October 1, 1997 until March 30, 1998
Due date: April 30, 1998
Reporting period for Costs: October 1, 1997 until extension expires or September 30,
1998, whichever comes first
Due date: On the last day of the third month following the reporting period
Specifications: Attached (Same specifications used for the December 31, 1997 report)
M. MISSION-BASED PERFORMANCE NDICATOR SYSTEM
[Note: Includes death report]
Reporting Periods: 1)October 1, 1997 until March -30, 1998
2)April 1, 1998 until extension expires or June 30, 1998
3)July 1, 1998 until extension expires or September 30, 1998
Due dates: 1)April 30, 1998
2) Last day of the first month following expiration of extension or
July 30, 1998
3)Last day of the first month following expiration of extension or
October 30, 1998 •
Specifications:
Attached (Same specifications used for the 1996-97 Contract
Extension
Michigan Department of Community Health
FY 1996 CMEf Detailed Reporting Specifications
irriG'//4a7 - B Z
1996 CNII-f Detailed Data Specifications
Service Units - Activity per Consumer
Activity data is collected per consumer. There must be at least one activity reported for
every consumer included in a Board's demographic data file. Every consumer included
in the activity data file must have a corresponding record in the demographic data file.
All items must be completed for every consumer, blanks, or values outside the specified
range will not be accepted.
1. Board
An integer assigned by the Department.
2. Consumer Unique ID
A unique identifier assigned by each board, up to ii characters, alpha-
numeric.
3. Board Managed Local Inpatient
1. Admissions (must be between 0 and 366)
1 Days (must be between 0 and 366)
4. Board Managed State Inpatient
Days (must be between 0 and 366)
Board Managed Local Residential
Days (must be between 0 and 346)
. State or Other Board Managed Residential
Days (must be between 0 and 366)
7. Board Managed Crisis Residential
1 Admissions (must be between 0 and 366)
2. Days (must be between 0 and 366)
8. Supported Independence
Days (must be between 0 and 366)
9. Partial Hospitalization
1. Admissions (must be between 0 and 366)
2. Days (must be between 0 and 366)
Birth Year
Use four digits (e.g., 1966), must be at least 1880 and may not be
greater than 1996 unless age is unknown. Unknown ages should
be reported as Birth Year = 9999
4,2 Birth Month
An integer 1 through 12, unless unknown, then 99
4.3 Birth Day
An integer 1 through the highest dare allowed for the month, unless
unknown, then 99.
4. Age
4.1
1996 CMH Detailed Dap Specifications
Demographic Information Per Consumer
All elements must be completed. Values outside of the range specified•will not be
accepted.
1. Board •
An integer assigned by the Department.
2. Consumer Unique ID
A unique identifier assigned by each board, up to 11 characters, alpha-
numeric.
Gender
I. Male
2. Female
3. Unreported
5. Race/Ethnic Origin
1. Native American
2. Asian or Pacific Islander
3. African American/Black
4. White/Caucasian
S. Hispanic
6. Multiracial
7. Unreported
6. Legal Status
1. Voluntary
2. Involuntary
1996 CNIII Detailed Data Specifications
12. Disability Program
12.1 SDA
1. Yes
"7 . No
3. Unreported
12.2 SSI
1. Yes
2. No
3. Unreported
123 SSDI
1. Yes
2. No
3. Unreported
13. Total Annual Household Income
1. Below $10,000 • 2. 510,000 to $20,000
3. 520,001 to S30,000
4. 530,001 to $40,000
S. $40,001 to $60,000
6. Over $60,000
7. Unreported
14. Principal Source of Household Income
I. Employment Wages
2. Retirement Income
3. Alimony, Child Support
4. SDA, SSI, SSDI
5. Other Public Assistance
6. No Income Source
7. Unreported
15, Payment Sources
15.1 Assessed as saving Ability to Pay
1. Yes
/. No
3. Unreported
15.2 Commercial Health Insurance
1. Yes
2. No
3. Unreported
1996 CMH Detailed Data Specifications
17. Employment Status
1. Employed Part Time (less than 30 hours/week)
2. Employed Full Time
3. Unemployed - Looking for Work
4. Not in the Labor Force
S. Unreported
18. Education
1. Completed less than High School
2. Completed High School or More
3. In School - I( to 12 or Special Education
4. In Training Program
S. Unreported
19. Wraparound
1. Enrolled in Wraparound
2. Not Enrolled in Wraparound -
3. Unreported
Addendum to 1996 Demographic Information per Consumer
20. Social Security Number
9-digit integer
Unknown = leave a blank space
21. Medicaid ID Number
8-digit integer
Unknown, or not on Medicaid = leave a blank space
22. Functioning Tool
Enter number of tool used during the period (10/1/96-9/30/97). Leave a blank space for
persons with developmental disabilities or individuals in nursing homes.
1= BASIS 32 • -
2= CAFAS
3 = Folstein
23. Scale Score #1
Enter the 4-digit score to 2 decimal places of the most recent administration of the
functioning tool. Functioning tools should be used for new consumers who will be
receiving non-emergent, ongoing services and annually thereafter. Functioning tools
should be used with continuing consumers at the time of annual planning. Functioning
tools are not used with a)persons with developmental disabilities, b)persons in nursing
homes, and c)children under 7.
BASIS 32
CAFAS
Folstein
Relation to self/others (items 7,8,10,12,14 & 15) Value = 00.00 - 04.00
Role Performance; School Value = 00.00 - 30.00
Total Score, Value = 00.00 - 30.00 (maximum).
24. Scale Score #2
BASIS 32 Depression/anxiety (items 6,9,17,18, 19 8c 20)" Value = 00.00 - 04.00
CAFAS Role Performance: Home: Value = 00.00 - 30.00
25. Scale Score
BASIS 32
CAFAS
#3
Daily living/role functioning (items 1, (2,3,4*], 5, 13, 16, 21 & 32):
Value = 00.00 - 04.00
*These three items are used to create one "role functioning" rating by
taking the highest of the three ratings (most difficulty).
Role Performance: Community: Value = 00.00 - 30.00
26. Scale Score
BASIS 32
CAFAS
#4
Impulsive/addictive behavior (items 25,26,28,29,30 & 31):
Value = 00.00 -04.00
Behavior Toward Others: Value = 00.00 - 30.00
17-7.?fermek7
Scale Score #5
BASIS 32 Psychosis (items 22. 23, 24 & 25): Value = 00.00 - 04.00
CAFAS Moods/Emotions: Value = 00.00 - 30.00
23. Scale Score #6
CAFAS Self-Harmful Behavior: Value = 00.00 - 30.00
29. Scale Score #7
CAFAS Substance Abuse: Value = 00.00 - 30.00
30. Scale Score #8
CAFAS Thinking: Value = 00.00 - 30.00
31. Scale Score #9
CAFAS Primary Care Giver: Material Needs: Value = 00.00 - 30.00
32. Scale Score #10
CAFAS Primary Care Giver: Family/Social Support: Value = 00.00 - 30.00
1•A 1-4 1-, 1-,
•J
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▪ 0 • 0 aa• 0 0 0 CO • 0 Bt. 0 0 0 0 a jai a a
• 01+.100A.000oSul40t../ 000
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0 FA sts 0 0 0 •14 (J10 • 0 0 0
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• 0 CD 0 s 0 0 0 • • 0 s 0 0 0 0 . . 0 0 .. co
• OCINO• 000'. 1%300000
0 • CA • 0 - - 0 •
• 0 • 0 • 0 0 0 • 0101-'000 0 • . 0 „ts.
• 0 000 • -40000 0 0
• OHO • 0 0 0 • 0 0 0 0 0 0 0 0 0
• 0 P40 • 0 0 0 • 0 0 0 0 0 0 0 .• . 0 . 0
• 0 1.4 0 ". 0 0 0 • 0 0 0 0 0 0
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1:)notple 15 Record Delimited File for 1996 CM11 Demographic Data
17,"1230596 ",1 ,1920,10,9 ,1 ,2 ,1 „"49913 ","43113 9"4"54347","43869",5,2,1,1,3,2,4,2,3,3,3,2,1,1,1,2,1,3,4,3,3
17 ,"12310431 ,1974 ,2 ,4 ,1 ,2 ,7 „"3 75 26 ","4 1 936","50286","51228",5,1,2,2,3,5,5,2,1,2,2,3,2,2,3,1,22,52 ,
17,"1231591 ",1,1937,1,3,2,2 ,1 „"52768 ","412993 ","475 31 4 °,"56104",5,6,2 4 1.1,1,5,3,2,2,1,3,2,3,3,1,3,3,1,3,1
17, "1231856",201970,8,13,4,1,6„"54778","50372"9"44662","55052",5,6,3,1,3,4,1,3,3,3.1,3,2,3,2.3,1,5,3,2,3
17,"1232667 ",2,1972,1,23 ,2,2,5 „"47594 ","44102 ","384 5 1 ","40270",5,6,1,2,1,5,3,2,1,3,3,1,1,1,1,2,3,4,4,5,2
17,"1233644 ",3,1932,4,9,7,1 ,7 „"36045 ","42902 ","43455 ","36373",5,12,2,1,1,2,3,2.1,3,2,2 4 3,1,2,31,1,2,5,3,1
17,"1239145 ",2,1922,2,10,3,1,2 „"92386 ","413293 ","47827","42526",5,8,1,2,1,5,4,1,3,2,3,3,3,3,2,3,3,1,3,3,1
17,"1235237 ",1,1894,1,21,1,2 ,1 „"51918 ","53257 ","4 1 195","40957",5,8,1,3,1,3,1,1,3,2,3,1,2,1,3,2,3,5,4,3,3
17,"1236829 ",1 ,1966,9,11,5 ,2 ,4 „"43488 ","5147 7","53664","52215 ,1 ,5,6,2,1,2,6,5,1,2,2,3,3,2,2,3,2,1,3,3,2,3
17 ,"123 T 2770,1,1943 ,12,14 ,4 ,2 ,3 „"39420 ","50 981","53901","40861",5,12,2,2,3,6,3,1,1,2,1,2,2,3,2,2,3,1.2,5,1
17 ,"1237328 ",3 ,1947,4 .18 ,7 ,2 ,6 „"44395 ","5468 3","48675","38710",5,6,3,2,2,7,5,2,3,2,1,1,3,2,2,2,2,5,4,3,1
17, "1238133",3,1947,11,9,3,2,2""56058","46720","52358","43928",5,2,2,3,3,1,1,2,1,3,1,2,3,3,1,1,2,5,5,2,2
17,"1238135 ",3,1937,5,5 ,2 #1 ,1 „"41310 ","45644 ","5 1 6 52","30063"45,4,3,2,1,4,4,2,3,1,1,1,1,3,3,1,3,2,4,4,1
17,"1239015 ",1,1915,4,213,3,2,2 „"96531 "1"46530 ","5 0733","48102",5,13,1,3,2,1,2,1,3,3,2,1,1,2,3,1,3,5,5,4,3
17,"1239069",2,1917,6,2,5,2,7„"56345","47009","50626","52257",5,4,3,3,2,5,4,2,3,2,2,2,3,3,342,3,4,3,4,3
Board Managed Local Inpatient Services
by Medicaid Status
Admissions Days Ave LOS
17: Eastern U.P. CMH
1 Medicaid - not HMO, Physician Sponsor or Clinic Plan 413 3,446 8.3
2 Medicaid - HMO 423 3,236 7.7
. 3 Medicaid -.Physician Sponsor Program 433 3,354 7.7
4 Medicaid - Clinic Plan 491 4,017 8.2
5 Unspecified Medicaid 566 4,462 7.9
6 Not Medicaid 4,590 37,036 8.1
6,916
25: Genesee County CMH
55,551 8.0
1 Medicaid - not HMO, Physician Sponsor or Clinic Plan 202 1,795 8.9
2 Medicaid - HMO . 243 2,081 8.6
3 Medicaid - Physician Sponsor Program 187 1,699 9.1
4 Medicaid - Clinic Plan 204 1,704 8.4
5 Unspecified Medicaid 185 1,493 8.1
6 Not Medicaid 2,234 17,778 8.0
3,255 26,550 8.2
39: Kalamazoo County CMH
1 Medicaid - not HMO, Physician Sponsor or Clinic Plan . 184 1,471 8.0
2 Medicaid - HMO 228 1,924 8.4
'3 Medicaid - Physician Sponsor Program 260 2,122 8.2 .,
4 Medicaid -Clinic Plan 212 1,710 8.1
5 Unspecified Medicaid 233 • 1,888 8.1
6 Not Medicaid 2,175 17,732 82
3,292 26,847 82
I. CMH Sub-Element/Cost Report FY 1996-97
MI-A Population
CMHSP: Oct.-Mar.
Completed By: Oct.-Sept.
otti-c Population MI-A Po;
Due April 30
Due December 31
DD Population ...
Program Element/ Cases Units Total Costs Cases Units Total Costs Cases WT Total Costs Total
Sub-Elements
Inpatient
Bri Managed Local !not
Bd Managed State !not
- Residential
f3d Managed Residential . ,..., .
St or Other -ad Mg Res
• ..
f3d Managed -Crisis Res.
Supported Independence
Day Program
Partial Hosp .. ,
*
Psychosocial Rehab Ctr
-,..
Other Day Programs: .
Outpatient .„,
Clinic Services •';;•'.
Emergency Services
% ,
Supportive Service
Assertive Comm Trtmt ..
•
Crisis Stabilization Team
,
Comm Treatment Team
Client Services Mgmt
Family Supp/Hrn Based
Integrated Emp Serv
Comm Integration Serv
Respite Res Services
r•-• --:, --!. "7". 4.472":77.%77.1 7 - --- 7 .r" 7.1r,:.:77 '''' -"....-'.-:' 177: ^.°"-rr- "P:-74',.,^77
Prevention
Owed Service Models , ,
,...r.-- ,„..y...%.•
— 2 -.7-Y--7;••-• -4-•-,... .'„?-7', ,,,,,r--,,,,y;---
...uj Other Servtc.e Models , , ",,,:•-•, <-'1A'4,1' „
:',„:.2......•../.iii.../..alatiLyalbei '.C....Z . - ...-4...“.41 '...4........n.L.)..14..i.......-c,,, 4 '
Board Administration . ,,,, Z-A...• .--.% ''' i''''''''' " '..- '''''., ., ; :i ,,‘ — .• „
,.-e. /..,5 , .p...„,.4 --%iiir '.';.-‘ r-, 'i-c`4.t.Liiie;faill,-413 2
7.--,
Population Total - - :,;;I,„ s - • ,/,:;;;;.
-,./...;.,'...,,`..'ia .•&....L:—,.4 Li...toor.64.w...
MICHIGAN MISSION BASED PERFORMANCE INDICATORS, 1.0
1996-97 CMHSP CONTRACT EXTENSION
Note: the following performance indicators are numbered as they appeared in the 1996-97 CMHSP
contract Attachment B. Indicators which will not be continued for the 1998 contract have been
deleted for this contract extension amendment to Attachment B.
ACCESS
Penetration Rates
1. Ratio of persons served under 18 per area census.
2. Ratio of persons served over 65 per area census.
3. Ratio of persons served of ethnic minorities per area census.
4. Ratio of persons served 18 and over meeting definition of serious mental illness per projected
SMI need.
• Timelines
6. The percentage of persons receiving a pre-admission screening for psychiatric inpatient care
for whom the disposition was completed within three hours.
7. Average days between first request for non-emergent service to first non-emergent assessment
by a professional for three sub-populations.
8. Average days between first non-emergent assessment with a professional to the start of a
needed on-going service for three sub-populations.
9. Average days between first request for non-emergent service to the start of a needed ongoing
service for three sub-populations.
Denial/Appeal
10. Percentage of second opinions requested under Section 705 of the Michigan Mental Health
Code resulting in the delivery of service.
OUTCOME
Quality of Life - Employment
24. The percentage of persons with developmental disabilities employed in integrated work
settings (as defined by the federal Rehabilitation Act)
25. The percentage of persons in supported employment who are employed 10 or more hours per
week.
26. The percentage of persons in supported employment earning minimum wage or greater.
27. The percentage of persons in supported employment continuously employed for the previous
six months.
• Satisfaction - Complaint/Dispute Resolution
22. The number of substantiated recipient rights complaints per thousand persons served in the
category of treatment suited to condition.
23. The number of substantiated recipient rights complaints per thousand persons served int he
category of dignity and respect.
Adverse Consumer Outcomes
28. Rates of suicides per thousand persons served.
97piext 3111195
Time Period: 1/1/98 - 3/31/98 Due Date: April 30, 1998
1997 Contract Ertension CMHSP Reporting Specifications
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0
DATA REPORT
TABLE 1: UNDUPLICATED COUNT
-. .."... --4$ , -..;,:*. 0 .,--', ....x, •1/4.., :11'.'S's 4'..f.,#4,,
11'. ',....
. ..",. .s .. ..pc . I1. ,1,1 ?4 , - \ `:, &,.'1,,:$ - •:Q-
r , '-
rp, w n::Ij r.11 ri.""'-
.......,... , ,,
.44'1 ' :V2'. ' ---s , ,.. ••• Ixt rs: A+1,' , ..4 , '",,W',..,,' , ).".> .5. z.- 1,
1. MI - Children
.• 2. MI - Adults .
3. Persons with developmental disabilities
4. TOTAL UNDUPLICATED COUNT:
Definitions:
"Served" means received a face-to-face service from the CMHSP. Exclude information and
referral services and community education and consultation provided as part of Prevention
services.
"Children" means individuals aged less than 18 years.
97pidex 12/08/97
lza,7
1. Persons Aged <18
/4 PROJECTED
NEED
% SERVED •
.ors
199 7 Contract Extension CAINSP Reporting Specifications
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0 :gm DATA REPORT
TABLE 2: ACCESS: PENETRATION RATES
Time Period: 1/1/98 - 3/31/98 Due Date: April 30, 1998
1996-97 Performance Indicators:
1. Ratio of persons served under 18 per area census
7. Ratio ofpersons served over 63 per area census
3. Ratio of persons served of ethnic minorities per area census
4. Ratio ofpersons served 18 and over meeting definition of serious mental illness per projected SMI need
2.Persons Aged 65+
3. Persons of Ethnic Minorities
H PERSONS
SERVED
4. Persons Aged 18+ with WI
Instructions:
Column 2: Enter the # of people served by the CMHSP during the time period
Column 3: Enter the # of people in the catchment area by categories in Column 1
Rows 4, Column 2: Enter # of people served
Rows 4, Column 3: Enter projected number of people in need from attached CMHSP list
Column 4: Program will calculate
Definitions (See next page)
97pidcx 1108;97
1997 Contract Extension CMHSP Reporting Specifications
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM,
DATA REPORT
Definitions:
A. Ethnic Minority means one of the following:
• Native American
• Asian or Pacific Islander
• African American/Black
• Hispanic
• Multi-racial
B. Persons aged 18+ with a serious mental illness are those persons with the following
diagnostic categories:
• Schizophrenia and other Psychotic Disorders (295.xx; 297.1; 297.3; 298.8; 298.9)
• Mood Disorders or Major Depressions and Bipolar Disorders (296.xx)
• Dementia (290.xx)
• Panic Disorder, Phobias and Obsessive Compulsive Disorder (300.xx)
• Sornatization Disorder (300.81)
• Antisocial Personality Disorder (301.7) -
97pidex 12108/97
Board Name
t. r-
CRC/SAID
Penetration Rates
'1995 CAC Report Ay
1.51141 , SMI SMI
\Mita Older Ad Total
SMI as %
SMO
Alger-Marquette CMH 1,016 1614 372 1.986 1959iw
Ailegan County CNCH 1.288 104 38 142 11%
Astrnm-Kalinslot CMH 481 74 31 105 23%
Au SAble Valley CMH 713 128 15 ' 143 20%
Barry County CMH 630 305 74 379 60%
Bav-Artnae CMH 1,340 622 140 762 41%
Berrien County CMH 2.487 876 293 1,169 47%
Brursch County CMH 539 458 197 655 122%
Cabe:tut County CMH 2,069 182 66 248 12%
Cenral Michigan CMH 1,907 1048 287 1,335 70%
C lincon-Eauxt-Ingham CI 5,635 1840 543 2,383 42%
Cooper Countrv CMH 787 779 186 965 123%
Nita County CMH 51$ 127 26 153 30%
Detroic-Wavoe County C 39,472 18952 4076 23,028 58%
Eastern U.?. CMH 704 260 53 313 44%
Genesee County CMH . 6,725 1471 . 418 1,889 28%
amebic Comm/ CMH 5 204 94 94 188 92%
Grand Traverse/Leelanan 1,037 542 295 837 81%
Cot County CMH 493 249 50 299 61%
Huron Behavioral Health 494 142 SO 192 39%
Lorna County CNCH 810 as 3 91 11%
lacicson-Haluialp ow
2.760 1671 346 2,017 73%
KaLustazeo County CMH 3,072 953 430 1,383 45%
K.= County CMH 6,339 4618 806 5,424 79%
Lapeer County CMH 1,018 248 77 323 32%
Lenawee County CMH 1,231 55 33 as 7%
Livusgstort County CMH 1,434 612 45 657 46%
Macocrib County Ch411 9,874 2484 466 2.950 3011C
Manistee-Benzie CMH 482 102 36 138 29%
Masoo-Lake-Ocanma Con 812 194 54 248 31%
Midland-Getty/in CMH 1,257 377 55 432 34%
MOW= County CMH 1,901 300 42 342 18%
Maskegcrn County CMH 2,383 757 138 895 38%
cyan() County CME 535 170 53 223 42%
North Central CMH 1,036 905 276 1,181 114%
896 1109 268 1,397 156%
. ortbern SUchigan CM} 1,200 295 80 375 31%
Northpointe Beharvicra114 758 453 135 588 78%
• - • Calor! ChM 14,780 2387 739 3,126 21%
• •• • County CMH 2.275 ma 225 925 41%
Saginaw County CMH 3,170 563 177 740 23%
Sactilac County CMH 555 79 10 89 16%
Schookzatt County CMI1 121 192 60 252 208%
StisuotiSCO Councy CMY 909 180 45 225 25%
St Clair CouarY CMH 2,161 384 149 543 25%
Si. Joseph County CMH 753 150 43 193 25%
Suocior Bcha-vioral Heal 79 38 50 38 111%
• Morucaltn Center fix 791 160 44 204 26%
=cola COUMY Chet 751 235 36 271 36%
Van Buren County CM1H 1,063 1400 400 1,800 169%
Weasel:rum County ME 3,759' 1664 289 1.953 52% Woodard Behavioral H 716 200 SO 250 35%
•
-
'139.200 53.598 12984 66,532 .
6/1 8114
Exr-tri File CRC
1997 Contract Extension CMHSP Reporting Specifications
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0
DATA REPORT •
TABLE 3: ACCESS -TIMELINESS/INPATIENT SCREENING
Time Period: 111198 - 3/31/98 Due Date: April 30, 1998
1996-97 Performance Indicator:
6. The percentage ofpersons receiving a pre-admission screening for psychiatric inpatient care
for whom the disposition was completed within three hours.
Definitions:
"Disposition" means the decision was made to refer, or not refer, to inpatient psychiatric care
97picicx 12/08/97
2
# Persons Receiving an
Initial Non7Ernergent . .
Professional Assessment
# Persons Beginning a
Non-Emergent Service .
T. MT - C
1997 Contract Extension CMHSP Reporting Specifications
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0,
DATA REPORT
TABLE 4: TIMELINESS
Time Period: 1/1/98- 3/31/98 Due Date: April 30, 1998
1996-97 Performance Indicators:
7. Average days between first request for non-emergent service to first non-emergent assessment by a
professional
8. Average days between first non-emergent assessment with a professional to the start ofa needed on-going
service
9 Average days between first request for non-emergent service to the start of a needed ongoing service
2. MI - A
3. DD ••••
4. TOTAL
Selection methodology:
1. Cases selected for inclusion in Cotumns 3 & 4 are those for which a face-to-face meeting with a
professional resulting in a decision whether to provide on-going CMHSF services took place
duriagthe time period,
2. Cases selected for inclusion in Column 5.1 de 5.2 are those for which a face-to-face assessment
with a professional AND the start of ongoing service rook place during the time period.
Definitions: (Note: these were agreed upon by the Qi Coordinators at their 9/12/97 meeting)
1. "Days" are calendar days.
2. "First request" is a telephone or walk-in request by the individual, family, legal guardian, or
referral source which results in the scheduling of a face-to-face assessment with a professional.
3. A "professional assessment" is that face-to-face meeting with a professional which results in a
decision to whether to provide ongoing CMHSP service.
4. "No-shows"/cancellations:
• No-show - no-return: do not include in this data collection
• No -show, or cancellation but request reschedule: count the date of request for reschedule
as "first request"
5. Non-emergent assessment and services sxcludc pre-admission screening for and receipt of
psychiatric in-patient care.
6. "Ongoing service" includes aily recommended CMHSP service, including case management,
respite care, etc. For purposes of this data collection, the assessment session shall not be
considered the start of ongoing service. However, another service delivered by a different person
(e.g., psychiatric service) on the same day may be considered ongoing service.
NOTE: Row 4, Columns 3,4, and 5 are not sums of rows 1,2, and 3.
pidoct.97 rev 11101(97
Tptil #
eee'ving an Initial
!_Non-Emergent •
elare-tcaFaet • . ....Professional ,
• Assessment .
.1'041 #_reT".44.*
SOO
77/9'ef/M/e-A-7 ZO
1997 Contract Extension 0111SP Reporting Specifications
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM,
DATA REPORT
TABLE 5: ACCESS: DENIAL/APPEAL
Time Period: I/1/98 - 3131/98 Due Date: April 30, 1998
1996-97 Performance Indicator:
10. Percentage of second opinions requested under Section 705 of the Michigan Mental Health Code
resulting in the delivery of service.
Definitions:
1. Section 330.1705 of Public Act 1974 as revised, was intended to capture requests for
initial entry into the CMHSP. Requests for changes in the levels of care received are
governed by other sections of the Code.
2. "Professional Assessment" is that face-to-face meeting with a professional which results
in a referral to ongoing CMHSP service or a denial of CMHSP service.
Methodology:
Column 1: Enter the numbers of those people who received an initial face-to-face professiOnal
assessment during the time period.
Column 2: Enter the numbers of people who were either denied CMHSP services and/or referred
to non-CMHSP services. It excludes those cases in which the individual refized CMHSP
services which were authorized.
97pidex 12108197
97pidcx 12.'08,97
199" Contract Extension CtflISP Reporting' Specifications ,
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0
DATA REPORT
TABLE 6: SUPPORTED EMPLOYMENT - People with DEVELOPMENTAL DISAULITIE5
Participants on: March 31, 1993 Due: April 30, 1998
INDIVIDUAL PLACEMENTS
2CtIIICI
n••
1. 30 or More Hours
2. 20-29 Hours
3. 10-19 Hours
4. Less than 10 Hours
ENCLAVES
. s 'it•i',4,::,1.:: ..*.iPtt: . , 49., '''' • '&4 •%:.t :0.., " • k.. •
' ':,,i4 ?:.? ": • f". .ito S.
! ' • k '•,''' • ::: .,..t' ' 'W. , i; ,..• ,
UM 6 , f4 Ir :* .
a
AO.,.:... ‹e,::::::....,.4 ••••:•:::.k,._,11, ,..,s,, ...
Eac1av k::,...,.. .4.• ''., :,.....,,::::;:...*.i:::;.,::-. ......*,: ,.."..*:a.:,..V2fa , •''' . - . •
5. 30 or More Hours
6. 20-29 Hours
7. 10-19 Hours
8. Less than 10 Hours
MOBILE CREWS
,
4* ' ';::.• • 3' ':?.: .ilik:ig; ' ''''' ...::;Ar. :.,,..;. i.•-? '',.,.. %...1 . , . t. 1. ..k...,. ...,:s . ye•...g, ,,,,,, '"%. 2 ...,
. , „ .
....., S:
".44-..
,, ,..,,,
"
,
-
. 4:
:
-: t r •••• •'• •k
.
9. 30 or More Hours
i 10.20-39 Hours • 1
11-19 Hour
12. Less than 10 Hours
Number of Persons in Day Programs:
Notes:
1) Persons who participated in both supported employment and day program on the date of data collection
should be included in the supported employment category only.
2) Persons who participated in more than one type of day program on the date of the data collection should
be counted only once.
I. 30 or More Hours
CaCOeilt
I 9') Cwrtecc: ErtenstonCtIKSP Repornny•Spectlicaf.ons
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0
DATA REPORT
TABLE 7: SUPPORTED EMPLOYMENT - Persons with INIENTAL ILLNESS
Participants on: March 31,1998 Due: April 30, 1998
INDIVIDUAL PLACEMENTS
2, 20-29 Hours
3.10-19 Hours
4. Less than 10 Hours
ENCLAVES
.„.. . . •.:.x.:**t.' ;:i$*.*??t, ' ' „ , :::tii.4.e.M,' ,,,.. ''' .P.'4WM. ' ,..ei... :.,.. 4. • ' ''',c . .."....x, id...- ., . •:,e,
4.- HoTLacIivcs'_ . . :>: • lariat ithEmp " 4..A ' Pc.4...a-. *
w v.:.01i.:,.. ontb*W •••., " '
5. 30 or More Hours
6. 20-29 Hours
7. 10-19 Hours
T
, 8. Less than 10 Hours
MOBILE CREWS
A
#OfM h r C tS *4
W..1 iii...., .
9. 30 or More Hours
10. 20-39 Hours
11. 10-19 Hours
12. Less than 10 Hours
TRANSITIONAL EMPLOYMENT .........n-...-,
•.0r.,f' e.4":: .
'''
,,..
44#14Q.,.; 1P.Pn Or
toit:.Above,
miii;iiiiiii6‘.W ,...,:, ,; :;i:-..:W:.,:::.:::.:::::::::: .,.,
13. 30 or More Hours
14. 20-29 Hours
15. 10-19 Hours
16. Less than 10 Hours
CONSUMER RUN BUSINESSES'
Number of persons employed in consumer owned and run businesses. including Fairweather Lodge Businesses.
3
97pidex 12/0&'97
199 Contract Ectenvon CNIFISP Reporting Sptcificatiores I.
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0
DATA REPORT
Supported Employment Definitions
Persons receiving supported employment:
Persons who have accessed supported employment services (individual job coach, enclave, mobile crews, a
transitional employment) for whom the CMHSP expects to provide ongoing, long term supports which wot
generally include two contacts per month with mental health staff which assist in an individual maintaining
employment.
Continuous Employment
Continuous employment includes breaks in employment for two weeks or less if the break was due to a plan_
job change with the same or new employer.
Integrated Work Setting
"Integrated work setting means job sites where either- (Dm Most employees are not disabled; and (ii) an
individual with the most severe disabilities interacts on a regular basis, in the performance of job duties with
employees who are not disabled; and (iii) if an individual with the most severe disabilities are part of a distinc
work group of only individuals with disabilities, the work group should consist of no more than 8 individuals;
(2)if there are no other employees or the only other employees are individuals who are part of a work group...
the individual with the most severe disabilities interacts on a regular -basis, in the performance of job duties,
with individuals who are not disabled, including members of the general public." (February 18, 1994 Federal
Register)
Enclave
Consists of a small group (8 or less) of individuals with disabilities working within a business or factory.
Supervision and training may be combined or separate positions. Preferably supervision and training would be
provided by the employer but may be provided by the service provider agency.
Mobile Crew
Consists of a small group (8 or less) of individuals who move from site to site to perform work. The crew has
their own equipment. Job training and supervision are usually the responsibility of the service provider agency.
Transitional Employment
A model of supported employment specific to persons with mental illness. It involves multiple part-time work
placements with community-based employers, paid by the employer. Support services are provided by a
psychosocial club house program prior to and concurrent with the transitional employment experiences. Long
term support would be available through the psychosocial club house for subsequent full-time placements.
r."
97pidex I 2/011/97
1997 Contract Extension CAIHSP Detailed .Repartiv Specifications
MIGHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0
DATA REPORT
ni
TABLE 8: RECIPIENT RIGHTS COMPLAINTS
Time Period: 1/1/98 -3/31/98 Due Date: April 30, 1998
1996-97 Performance Indicators:
22. The number of substantiated recipient rights complaints per thouscrnd persons served in the category of irea
suited to condition.
23. The number of substantiated recipient rights complaints per thousand persons served in the category of digr
and respect.
,•. t. • .. . P 4 Complaint Categoy
' ''''' c:s•,'/ $ 4,4V %
O
.....
M
--
f4 %.
-• . 4 Z•..‘.••. ', . •
cC
'..'..
'.
P Complaints
..... •.•
.Subsiitiaed
,•,- "IX ' .1 C k, ":• •*,.'" •
1. Dignity and Respect
2. Treatment Suited to .
Condition
97pidex 12108197
199 7 Contract Extension GMHSP Detailed Reporting Specifications
MICHIGAN MISSION BASED PERFORMANCE flNINCA,TOR SYSTEM, 1.0
DATA REPORT
Time Period: Period: 1/1/98 3/31/98
TABLE 9A: DEATH REPORT/D.D.
Due Date: April 30, 1998
• 1996-97 Performance Indicator:
28. Rates ofsuicides per thousand persons served
[Note: the additional data requested herein is required by Legislative boilerplate for FY '97
• "t'f,"....1,::..
,, ' \ :ik ' : ' 1 4 1 N.; ... '1,ss4 . 4 4 ,....k ' .. VS9? n ''''' '•:50r..4t e . '''' . • ' . ''''' '''''''ti,)9 • I ''''''..1;6 • Writ. .. ., a 3 ' ur .) ., - 4 s'. N.- „. .. ,
1. 2. 3. 4. 5.
Cause of Death 18 & Under 19-35 36-60 61+
I. Suicide • .
2. Homicide
3. "Natural
Causes"
I
DEATHS BY
ACCIDENT:
, .
3. While Under
Program
Supervision
1
4. Not under
Program
Supervision
, ,
6.TOTAL
DEATHS
7. Pending
Autopsy .
Definitions:
"Natural Causes" means deaths occurring as a result of a disease process in which death is one anticipated outcome.
Instructions:
1. The CMTISP shall report all deaths of consumers who reside in Specialind Residential Settings (per Div1H Administrative Rules,
3/9/96, R330.180I) AND
All Suicides of consumers who were active cases known to the board
2. Enter deaths which occurred during the time period by age for persons with developmental disabilities only.
3. For all deaths occurring in this period for which autopsies are pending, enter the numbers in Row 7. Count the cause of death in the
next period in which the information is available.
1996-97 Performance Indicator:
28. Rates ofsuicides per thousand persons served
ote: the additional data requested herein is req_uired by Legislative boilerplate for FY '971
3. 4. 5.
19-35 I - 36-60 61+
7. Pending
Autopsy
97pidcx 12/08/97
199 7 Contract &evasion CMHSP Detailed Reporting Specification:
MICHIQAN MISSION, BekSEP PERFORMANCE I'M:MCA:TOR SYSTEM, 1.0.
DATA REPORT
VOL
Time Period: 1/1/98 - 3/31/98
TABLE 98: DEATH REPORT/MI
Due Date: April 30, 1998
Definitions:
-Natural Causes" means deaths occurring as a result of a disease process in which death is one anticipated outcome.
Instructions:
1. The CMHSP shall report all deaths of consumers who reside in Specialized Residential Settings (per DMH Administrative Rules,
3/9/96, R330.1801) AND
All Suicides of consumers who were active cases known to the board
2. Enter deaths which occurred during the time period by age for persons with mental illness only.
3. For all deaths occurring in this period for which autopsies are pending, enter the numbers in Row 7. Count the cause of death in the
next period in which the information is available.
97pidex 12/08/97
1997 Contract Extension CMHSP Detailed Reporting Sptcilications
MICHIGAN MISSION BASED PERFORMANCE INDICATOR SYSTEM, 1.0 • •
DATA REPORT
Ms.
TABLE 10: OUTCOME: INPATIENT RECIDIVISM
Time period: 1/1/98 - 3/31/98 Due Date: April 30, 1998
1996-97 Performance Indicator:
30. Readmission rates to inpatient psychiatric units within 15 days of discharge from a psychiatric inpatient
NOTES:
1. The number of persons screened and admitted includes admissions to ALL Psychiatric Hospitals. It is Ii
limited to persons who are Medicaid eligible only.
2. This data is intended to capture Admissions and Readmissions, Not transfers to another psychiatric hospita.
3 2?
t
FISCAL NOTE (MiSC. #98131) May 21, 1998
BY: FINANCE COMMITTEE, SUE ANN DOUGLAS, CHAIRPERSON
IN RE: BOARD OF COMMISSIONERS/COMMUNITY MENTAL HEALTH - EXTENSION OF FISCAL YEAR
1996/1997 FULL MANAGEMENT CONTRACT EXTENSION #3
To the Oakland County Board of Commissioners
Chairperson, Ladies and Gentlemen:
Pursuant to Rule XXII-F of this Board, the Finance Committee has reviewed
the above referenced resolution and finds:
1. The resolution approves a third extension of the
FY 96/97 Full Management contract with the Department of Community
• Health.
2. The extension approves the revised funding authorization that have
occurred since the #2 extension approved 12/11/97.
3. These funding authorizations include those received from the
Department of Community Health dated 12/10/97, 12/19/97 and
3/24/98.
4. The following special revenue budget amendment is recommended:
Community Mental Health
Revenues
1-55-700501-92100-0221
1-55-000101-10120-0227
1-55-000191-10120-0183
1-55-000101-10120-0183
1-55-905791-81040-0225
1-55-708801-42100-0211
1-55-000105-10120-1201
Fund (22297) FY 1997/98 FY1998/99
Federal Share Med. 658,336
Reimb. State Share Med. 1,366,551
State Match Pmt (90 50 988,205
State Match Pmt (100%) 2,267,571
Reimb. Fed. Med. Share 55,120
Reimb. Fed. Med. Share 863,878
County Match 116,852
Subtotal S6,316,513
658,336
1,628,179
(63,461)
2,713,406
73,528
1,147,452
S6,157,440
Expenditures
2-55-700605-52100-2564
2-55-700510-92100-2516
2-55-000505-52100-2564
Contingency-DD
Child Model Waiver
Contingency-Admin
Subtotal
TOTAL
(63,461) (63,461)
1,228,697 1,228,697
5,151,277 4,992,204
f.316,513 6,157.440
$6,316,513 $6,157,440
F . ance Committee
FINANCE COMMITTEE VOTE:
Motion carried unanimously on a roll call vote.
•
Resolution #98131 May 21, 1998
Moved by Moffitt supported by Kingzett the resolution be adopted.
Discussion followed.
Vote on resolution;
AYES: Jacobs, Jensen, Johnson, Kaczmar, Kingzett, McCulloch, McPherson,
Millard, Moffitt, Obrecht, Palmer, Powers, Schmid, Taub, Wolf, Amos, Coleman,
Devine, Dingeldey, Douglas, Garfield, Gregory, Holbert, Huntoon. (24)
NAYS; None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
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 May 21, 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
County of Oakland at Pontiac, Michigan this 21st day of May 1998.
Lynn D. Allen, County Clerk