AGENDA TOPIC / DISCUSSIONS
CONCLUSIONS
GEORGIA ASSOCIATION OF COMMUNITY SERVICE BOARDS, INC. (GACSB)
Board Meeting MINUTES
ThursDAY, April 13th, 2017 – 10:00 AM
River Edge BHC Assembly Room – Macon, Georgia
VOTING MEMBERSHIP ATTENDANCEX - Denotes Attendance
X / Chair – Gail Macrenaris, View Point Health / Middle GA – Judi Davis
X / Vice Chair – Lowell Williamson, Unison BH / X / New Horizons – Andrea Winston
X / Advantage - Oliver J. Booker / New Horizons – Walter Rosso
Advantage - Frusanna Hayes / X / Oconee – Tyrone Evans
X / Aspire - Kay Brooks (Dr) / Oconee – Emily Davis
Aspire – Evera Moye / Ogeechee - Amy Tribble
X / Avita – Cindy Levi / Ogeechee – Deborah Martin
X / Avita - Joe Hirsch / Pathways - Jade Benefield
Clayton - Aundria Cheever (Dr) / Pathways - TBD
Clayton – Najeebah Butler / X / Phoenix Center – Deborah Kinlaw
X / Cobb/Douglas – Bryan Stephens / Phoenix Center – Ken Pritchard
Cobb/Douglas – W. Wyman Pilcher III / Pineland - June DiPolito
X / DeKalb – Dr. Joseph Bona / Pineland – Armenda Barnes
X / DeKalb – Alecea Quintyne / X / River Edge - Shannon Gordon
Fulton – Charles Releford (Delegate) / River Edge – Ray Bennett
X / GA Pines – Heather Hatchett / X / Unison BH – Dr. Glyn Thomas
GA Pines – Donnie Baggett / X / Serenity - Charles Williamson
X / Gateway – Mark Johnson (Dr) / X / Serenity – Lonnie “Jim” Showman
Haralson – Melody Harpe / South GA – Dr. Jaymal Patel
Highland Rivers - Melanie Dallas / X / South GA – Connie Graham
Highland Rivers- Judge Allen Wigington / View Point Health – Jennifer Hibbard
X / Lookout Mountain - Tom Ford (Dr) / X / Nelson Mullins- Helen Sloat, Consultant
Lookout Mountain - Dwaine Lovingood / X / Nelson Mullins – Logan Fletcher, Consultant
X / McIntosh Trail – Mike Hubbard / X / GACSB - Mike Scribner, Consultant
McIntosh Trail – Susan Craig / X / GACSB - Robyn Garrett, Consultant
Middle Flint – Beth Regan / X / GACSB - Josiah Conrad, Consultant
Middle Flint - Susanne Roquemore / X / GACSB - Lyly Trinh, Consultant
Middle GA - Denise Forbes
GUEST: John Bushfield, DeKalb; Judge Joe Bishop, Aspire; Rosalind Culverson, GA Pines
DISTRIBUTION: Agenda, 03/09/17 Minutes, 03/17 Financials, CY17 & 18 Schedule, ASIST Guidelines & Information Sheet, Data Analytics Committee Report, and Final Legislative Update
I. Call to Order / Gail Macrenaris called the meeting to order at 10:03am; welcomed members/guests and read the Preamble.II. Agenda Approval / Dr. Joe Bona moved to approve the agenda. Motion seconded by Alecea Quintyne, carrying without dissent.
III. Minutes Approval / Dr. Glyn Thomas moved to approve the minutes. Motion seconded by Cindy Levi, carrying without dissent.
IV. Legislative Update / Gail Macrenaris introduced Helen Sloat and Logan Fletcher to provide the Legislative Update. Helen Sloat referenced the report that was distributed to the group. It was noted that this session was the first of the biennial; Bills that were not passed during this session could resurface during next year’s session. Bills were highlighted that could potentially impact CSBs. HB 206 was passed, and it was noted that a provision was added to allow for nursing home patients under Medicaid to receive an increase in personal needs allowance; Dr. Bona noted that most errors are likely to result in improper payment, and subsequently requiring repayment; Robyn will discuss this with DCH Leadership. HB 231 passed; this Bill updates the annual dangerous drug list. The inception of HB 249, which includes a multitude of provisions to address the opioid epidemic, was highlighted; this Bill codifies the standing order on Naloxone, provides significant regulations on the PDMP, and creates a name—Corey Joseph Wilson Act—for the portion of the O.C.G.A addressing cardiopulmonary resuscitation and use of automated external defibrillators; Items in the Bill addressing the PDMP were outlined. Other provisions set forth by the Bill were also highlighted. HB 276, passed, which eliminates pharmacy benefits managers from restricting the use of mail-order pharmacies. HB 427, which allows additional health practitioners to qualify for loan cancellation. HB 343 passed; this Bill includes a code revision to update outdated terms such as mental retardation, and replaces these words with intellectual/developmental disabilities (IDD); this item also includes a provision to prevent individuals with IDD from receiving the death penalty. HB 486 was passed; this item refers to proxy caregivers; Andrew Johnson from DCH will be leading this effort, and Robyn indicated that DCH has indicated that CSBs and/or the Association will be at the table to address changes. SB 52 was passed; it was noted that this removes the 1013 sunset for LPCs. SB 88 addressing narcotic treatment facilities was passed. Dr. Glyn Thomas posed an inquiry to determine the direct impact of this Bill on CSBs; Robyn will discuss the implications of this Bill with DCH. SB 121 was passed; this item includes similar language to HB 249; it was noted that this Bill is not as extensive as HB 249. Helen provided a brief overview of significant Bills, which failed; these were: SB 4 (the failure of this item was likely due to the fact that one provision charged the group with composing the 1115 waiver for Medicaid), SB 40 (it was noted that this Bill remains viable for next session; moving forward, it was suggested that CSB Leadership meet with local Legislators to discuss the concerns with this Bill; Shannon Gordon highlighted the Baker Bill in Florida, and the group should highlight the costs associated with the implementation of this to Legislators; Robyn noted that the group will discuss this certain Legislative strategies in more depth at the May meeting, including improving relationships with GHA; Nelson Mullins will help assist with improving relations with some other groups as well). Relevant study committees were briefly discussed. The FY18 budget was discussed; budgets for DBHDD and DCH were emphasized, and changes were highlighted; it was noted that no changes were made appropriations for Child & Adolescent behavioral health services. Dr. Kay Brooks introduced Judge Joe Bishop as Aspire’s new Board Representative.
V. DBHDD Update / Robyn Garrett noted that DBHDD approached GACSB to partner on a National Strategy Grant for suicide prevention; Sally van der Straeten from DBHDD had mentioned that the state of Georgia is further along than other states, so this grant would not be as applicable. Robyn continues to plan Regional Leadership meetings with DBHDD with David Sofferin; they hope to have more information during the May meeting. Robyn read an e-mail from David Sofferin pertaining to supplemental support funding; there were $18.3 million in requests; $5.5 million has been identified to fund the requests; evaluation should be completed within 30 days.
VI. DCH update / Robyn indicated that DCH is trying to find funding to support scholarships for Spring Fling. It was noted that the mass adjustment timely filing is currently being evaluated by DCH; this has been approved by DBHDD/ASO. DCH has delayed implementation of the Health Homes with the CMOs. No new go-live date has been set for the centralized web portal yet; issues were identified on the CMO side during testing phase; Dr. Bona indicated that he had heard of a May 1st start date; Robyn has had ongoing communication with DCH and is unaware of a May 1st Go-Live date. She will contact DCH for clarification. Care Source readiness webinars will proceed; claims testing will open soon after the next webinar; group was reminded of the effective date of July 1. Mike Scribner noted that 1/3 of individuals selected CMOs during open enrollment; Allotment of membership will be distributed when information is provided from DCH. Dr. Tom Ford requested an update on contract negotiations with CMOs; Robyn indicated that PeachState/Cenpatico has approached the GACSB, and Robyn is working to coordinate negotiation discussions. The CMOs have been approached and Robyn will be in contact related to any movement regarding negotiations with WellCare and Amerigroup; CareSource contracting is complete.
VII. ASIST (Applied Suicide Intervention Skills Training) / Dr. Mark Johnson provided an overview of the need for ASIST, and provided information about the implementation and planning for the program in Chatham County. Phases of the program were outlined. Costs were discussed; Community partners have been identified to offset costs. ASIST helps to increase capacity to keep up with other public health programs (Mental Health 1st Aid and QPR), which create demand for services. Dr. Bona noted the potential to utilize GACSB funds to implement this program statewide.
VIII. Financial Report / Chuck Williamson provided the association’s financial update; Robyn highlighted the financial implications of Spring Fling. Dr. Bona proposed a centrally sponsored training for ASIST; the costs will yield approximately $175,000 statewide; Dr. Glyn Thomas noted that these discussions should include DBHDD; it is understood that funding for other trainings from the Dept. are expected to go up to $45/person on 7/1. Dr. Johnson noted that Dr. Bona’s suggestion could be modified to include some community outreach for local funding. Dr. Bona indicated that the Association should have some sort of cost-sharing with the Dept. to fund the training. Dr. Brooks noted that the group should not limit the number of funders for this program. Mike Scribner noted the ability for Missouri’s group to secure funding for educational projects through centralized resources. The group discussed charging the Education and Individual Advocacy Committee. O.J. Booker moved to accept the financials. Motion seconded by Lowell Williamson, carrying without dissent.
IX. FY17 Strategic Plan Update via Committee Reports / Administrative Operations Committee – Robyn discussed Robert Dorr’s presence on the previous call.
Clinical Operations Committee – Dr. Joe Bona noted the reorganization of the Committee; Dr. Johnson will be leading the Medical Director’s group, and other workgroup heads have been identified, but not approached. It was noted that each CSB will have a voting member, and the group will be expected to appoint one person per agency to be a voting member for the committee. Robyn reminded the group of the CSU/BHCC meeting with DBHDD next month. Dr. Thomas noted that during the ASO audit, Unison was being asked to pay-back on 99214 claims due to time constraints. The group suggested to appeal these claims. It was noted that the issues with this code will be taken to DBHDD & DCH Leadership; Dr. Bona will comprise this message.
Data Analytics Committee – Dr. Glyn Thomas referenced the written report, which was distributed to the group. He highlighted the creation of the SPQM user group; it was noted that the group was queried for volunteers to co-present on their data to enhance the action ability of the data.
Education & Individual Advocacy Committee – Dr. Kay Brooks noted that many in the group attended NatCon; planning will begin soon for the Educational Exchange. It was noted that 180 people have registered for Spring Fling, and additional space is being identified to accommodate additional individuals; Robyn noted that the Association is coordinating this with SeaPalms to adjust rates; Robyn will follow up with DBHDD regarding the ability to Bill during the event.
Nominating Committee – Lowell Williamson referenced the Bylaws, and reminded the group that the Elections will occur during the May meeting. It was noted that the group recommended Chuck Williamson for Treasurer, Dr. Tom Ford for Secretary, Judge Joe Bishop for Vice President, and David Kidd for President. The group was reminded of the election processes. Robyn noted that absentee ballots will be distributed, and any Board member who is unable to attend the meeting will be sent an electronic ballot.
Public Image & Policy Committee – O.J. Booker discussed the group’s next tasks to address the public image of the CSBs and the Association. The group opted to cancel the PIP meeting for tomorrow. Dr. Bona suggested that the Committee have an internal wrap-up to discuss the effectiveness of strategies utilized during the legislative session.
X. Executive Director’s Report / Robyn discussed the strategic planning day, and the survey to prioritize topics for the day was distributed; details are still being finalized. The group was reminded of the NAMI Conference; Robyn will be speaking at the event.
XI. Board Comment / Dr. Johnson discussed certain federal policies/regulations that must be addressed. He will share talking points on these items with Robyn for distribution.
XII. ADJOURNMENT / Members were reminded the next meeting will be the Strategic Planning Day held on TUESDAY, May 23th, 2017 in Macon location TBD at 9:00AM. With no Public comments, Gail Macrenaris adjourned the meeting at 1:01PM.
XIII. Chairperson: Gail Macrenaris / Recorder: Josiah Conrad