Tribal Centric Mental Health Workgroup
Meeting Notes–September 18, 2012
Attendees:
Ann Dahl, Cindy Robison, Vargas Thomas, Helen Fenrich, Marilyn Scott, Phyllis Erickson, Garnet Charles, Sharon Grier, Adele “Topsy” Kinley, Roger Gantz, Jane Beyer, Chris Imhoff, Deb Sosa, Dorothy Flagherty, Steve Kutz, Gwen Gua, Colleen Cawston
Welcome provided by ______.
Invocation provided by ______.
Jane Beyer, ADSA Assistant Secretary, was introduced to the Tribal Centric Mental Health Workgroup.
Near-Term Task (Handout 1)
Roger and Marilyn discussed the Near-Term Tasks. They will seek committee and delegates approval from the tribes.
David Reed – Department lead, Tribal lead
Dorothy Flaherty committed to work with Shoalwater Bay and Quileute tribes, outside of these meetings.
Both IPAC and AIHC to identify the tribal reps for each of the tasks.
Agreed as our template.
To check with Jane on her three areas.
AI/AN Tribal Centric:
Roger and David to develop a 4 page briefing for the tribes.
The briefing is to be sent in advance of October meetings.
Cindy suggested adding the Urban IHS to bullet.
Delete Consultation – 10/02/12 impact Liz and Muckleshoot
NPAIHB – 10/16/12 use Samish
Timeline -
Roger and David to provide 4 page briefing to workgroup by October 2.
IPAC and AIHC on October 11 – 12. Comments to Colleen and Sheryl by October 31.
Back at Tribal Centric Mental Health November 6.
Children’s Mental Health:
Comment period open until the end of October
The Urban Indian Health has to comply with the access to standards.
Teleconference being held for psychologist, psychiatrist,
Cindy noted needs for TBI; PTSD and depression.
Adult Behavioral Health Redesign:
Jane Beyer highlight the redesign plan.
HB 1008 (2007) CMH redesign. Comparable legislation for adult behavioral health redesign. Jane was charged with developing an behavioral health redesign that in a few areas parallel CMH
- stability, housing, employment
- accessing/entering the criminal justice system
Focus on culturally based, EBP or promising practices. Remain sensitive to cultural practices.
HB 2536 – EBP’s across child serving areas. WHIPP has to assemble an inventory of services. Need to have been used on hetero genius population (not all white).
Hard part – to get from current services to not starting with do we need RSN’s or not.
Working internally to bring a doc that flushes this out more (10/05)
The document will call out and integrate the Tribal Centric Mental Health work. So it will be up and center for next administration.
Most likely result with tribal dialogue: AIHC, IPAC, and Consultation
Will not be 200 pg document, but a succinct document with end points to get from here to there.
Assemble data on a matrix MH, BH, TANF/WorkFirst, juvenile justice, adult justice
Roger: Show stopper for the moment (RSN’s in/out) included in transition document that exempts AI/AN from a mental health managed care service.
Steve: Has the federal government lined up to their obligation to pay for the services they should be?
Example: There should be a way for a tribal subcontractor to be billed to Feds @ 100% FMAP.
How do we bill for patients mental health services?
Gwen: Remember how RSN’s were designed when it was meant to & DSHS (state) bureaucracy and moved to the local decision making?
Steve: Tribes have opportunities but struggle with how to include urban.
Deb: Tribes were given the ability to bill mental health but without services to bill. Conceptualize what tribes need and develop from that.
Cindy: Healing lodge provides for NA/AN youth to go to a tribal facility and receive culturally competent services. Goal is to develop something similar for this population.
Steve: Current services constrain the above goal.
Example: A client has insurance with Medicare cannot bill and be paid if insurance does not pay first payor of last resort.
RSN - Contact David Reed for any access issues (360) 725-1457
Billing Inquiries- Continue to call 800# or speak with Deb Sosa (360) 725-1649
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