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MADDSA Minutes February 10, 2005

I.                    DD Coordinator’s Report: Sandra Butts

A.     Hired DD Specialist: Many vacancies filled for staff – coordinator staff and case management staff; anticipating new in B-3 division, quality assurance staff, long term support, DATA area, physical staff (MAPC)

B.     Outstanding payments are in an aggressive mode to get 100s out last week

C.     MADDSA supported a grant for crisis $: Milwaukee County was not awarded such funds.  County has been made aware of $ they are going to get from different areas.  Mental Health is trying to support a psychologist

 

II.                 General Issues:

A.     Old business: letter to WCA requesting; waiting for list litigation

B.     TASH Conference: November came with minutes (9-12th)

C.     Response from Transit Plus: Federal funds withheld: No planned increases and no plan of any changes in 2005; may have to do rebidding for 2006 and find new providers.  They will reallocate funds from federal to other sources.

D.     DHSF forms website: Restraints packet; check link for copies.

 

III.               Treasurer’s Report: Tom Nowak

A.     32 memberships  2005 - $800  ($3397.29) total; verify check and website information – alphabetically and type and email Tom Nowak member list for website

B.     Health and Disparity: Debbie Kagel       (AAMR); $500 DOANTION        1717 Taylor Ave

 

IV.              Committee Reports

A.     MTI: 0

B.     Southeastern WI Regional Training Group: Martha DeGraw

1.      March 31: Dual Diagnosis  MR-MI  $5/Al Augustin/Bob Isongbarg

2.      Health Disparity Conference – Zoofari  March 3 – room for resource tables

C.     Transition Committee: Hope Lloyd – March 8 – switched 1PM vs. 1:30 PM; Timeline for families and students for smooth transition and begin 5th grade

D.     Transit Response: Perry Mueller

E.      Transit Committee: Cheri Bruch – sent cover letter and surveys on Paratransit system February 1, 2005

F.      People Can’t Wait – Governor Budget? May Rally; March 8 1-4 Strategic Planning Committee – location to be announced; SSI managed care letters waived out;

 

Next meeting March 17, 2005

 

 

Special Guest: Contract Administrator Family Care Maggie McCullough: operational consultant/provider contracting

 

I.                    History & Background to Maggie McCullough

A.     Getting new people in DOA – filling long time staff vacancies

B.     Family Care

1.      positive – people off waiting lists AND emphasis on getting resources to people (Entitlement)

2.      Recertifying as a care management service

3.      open to other organizations after 4 years

4.      proposed September 2004

5.      now must get certified in that proposal

6.      Negative – have not extended family care to provider side

7.      many DOA caseworkers retired – RN reassigned (4) to placement (2) teams and residential (2) providers

C.     RN also working on provider quality (score) 4 stars

D.     Working on contracts and non contracts – April 2005 – to have everyone on contract

1.      want to begin with preexisting providers

2.      April meeting for prospective providers; Application and they will be reviewed and determined

3.      service providers for products, OT, PT have been narrowed to 7 providers (preferred provider list)

4.      Residential: meet requirements for care. Quality, etc.; however, not accepted new in past year.

5.      Eliminated nursing homes (10) who will not sign contracts.

E.      Rates: Determined by functional level of member

1.      How it’s funded: per member per month get $

2.      Capitalized and must stay within that

3.      Scored on ADLS, IADLS, medical conditions/services and correlated to const.  $ to each need and diagnosis (i.e., DD) – attached to rate

F.      Setting rate on functional need of person; Piloting with elderly; 4 rate bonds for CBRF (80% provider agrees with DOA on rate bond)

G.     Audit requirement for any provider who received over $25,000.  It can be waived with certain requirements; if DOA sets rates they will ask for waiver

H.     Contract Template: 18 pages approved by state/federal rules.  Exhibit is going to try to be more streamlined

I.        Informational Meetings Schedule handed out today – start on Tuesday – 1st one; 8 sessions based on provider types

J.       If you disagree with level care screen, you can request another screen and if someone changes you can request different screening.  At least 1 time per year they are screened based on requirements

K.    How can providers help with process: Maggie McCullough (W2260 State Road 23, Mt. Calvary, WI  53057)

1.      looking for people to help pilot, especially high end

2.      (920)922-2951

3.      email: maggiemc@execpc.com

L.      Looking for age appropriate Adult Daycares/sick services, activities to keep busy, looking for creative ideas

M.   Consumer Choice: Community Residential Services versus nursing home – providers that are indicated for their level

     
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