MEETING MINUTES

MEETING:  WCC Steering Subcommittee

PURPOSE:  Planning

Meeting   Date

Location

Start Time

End Time

Call-In #

9/10/08

La Crosse County Care Management Organization (Vernon Room)  –

1407 Saint Andrew St.,

La Crosse

9 AM

12 N

Facilitator/Lead

Materials/Preparation Required

Gene Phillips

Members/Attendance (x = present; italics = alternate)

Todd Bowen X

Carroll Carlson X

Pamela Eitland X

Kathy Gauger X

Melissa Gilbert X

Jerry Huber

Liz Janke X

Jeff McIntyre X

Gene Phillips X

Dean Ruppert X

Ron Schmidt X

Jane Schmitz X

Brent Shoup

Paula Stansbury

Phil Wicktor X

Others Present

Items/Actions to Be Discussed

Time Line

Outcome/Notes

Welcome

-          Review minutes

-          Trempealeau taking notes

9 – 9:05 AM

 At 9:06 AM, Gene Phillips called the meeting to order. Minutes from the prior meeting were approved.

Public Comment Period

9:05 – 9:15 AM

 No public comment was provided.

MCO/County MOUs

-          Main Text (Follow-up)

-          Addendums

o        APS/Guardianships

o        MH/SA

o        Crisis Services

o        Case Record

o        Transitional Services

o        Nursing Home Relocations

o        Case Record Transfers

o        HIPAA Business Agreement

o        AFH Certification

9:15 – 10 AM

Discussion began with the MOU between the counties and WWC.

A reference to nursing home admissions was added to Addendum E.  There also was a clarification on page 5 of the MOU that no person may serve on the governing board of both the Managed Care Organization and an Aging and Disability Resource Center.    The State has to approve the MOU and addenda for certification purposes.  We will need to have copies of the signed documents from every county.  There was some discussion on who would be signing the documents.  This meeting will be the last meeting to review before October 1, so it was mentioned that we need to be sure to have it correct.  It was suggested that the signed MOU and addenda be returned by mid-October.  There were no further questions on the main text of the MOU.

Addendum A, regarding Adult Protective Services and Guardianships, provided some lengthy discussion.  There was a change to II. C. to clarify that APS intervention must be provided  in accordance with state law.  Discussion ensued on who will do WATTS reviews going forward.  The MCO views this as county responsibility. The question raised is the need for sound collaboration between the county and the MCO. It was determined that it requires 2-5 hours to perform a WATTS review. To avoid this being an issue between the county and the MCO, a long-term approach is suggested. If the county is doing WATTS, additional funding from the State would be helpful and needed. It was determined that the current language can be submitted to the State but a policy on county-WWC collaboration will be written.

Addendum B, relating to Mental Health and Substance Abuse Services, required two minor changes.  This addendum will apply to individuals who are enrolled or eligible and requesting enrollment (not just eligible to enroll).  Language also will be added to reinforce the requirement that MCOs to notify ADRCs of disenrollments.

Addendum C, relating to Crisis Services, was eliminated,  and generic county responsibilities will be added to Addendum B.

Addendum D, relating to Transitional Services for Children Turning 18, was determined to be too prescriptive and procedural. Timelines will be removed except where necessary.

As many of these responsibilities belong to the ADRC and not the county per se, it was determined that ADRC responsibilities will be listed separately from other county obligations.

Addendum E, relating to Nursing home and ICF-R Admissions and Relocations, was seen as similar to Addendum D as to who has certain responsibilities between the ADRC, county and MCO. WWC will make the necessary changes discussed.

Addendum G, relating to Case Record Transfers, was revised to reflect the state’s recommendation that the MCO receive ISPs for waiver clients 45 days prior to enrollment.  This will help the MCO ensure all necessary providers are under contract and facilitate continuity of care for clients.  WWC can receive documentation only on those individuals who have enrolled in the MCO.

Addendum H, the HIPPA Business Associate Agreement, had no changes.

Under Addendum I, relating to Adult Family Home certification, WWC will perform certification of one- and two-bed AFHs for MCO members.  It is not clear who will certify homes for consumers who choose the IRIS (self-directed supports) option.

Follow-up on County/MCO Transition Process and Timelines

10 – 10:45 AM

A handout was distributed identifying the actions each county needs to take each month to facilitate the transition to Family Care.  Options counseling is currently being performed in many counties.  In addition, there was some discussion on what can be done with COP risk reserves.  This money remains with the county but use is subject to state approval.

Residency Protocols

10:45 – 11:15 AM

Jerry and Gene will work on draft protocols to bring to the next meeting.

Employee Transition Update

11:15 – 11:45 AM

Transition hiring for La Crosse County is done, with 130 of 132 employees accepting job offers.  Two of three Vernon County social workers also accepted jobs with the MCO.  Jackson County is next.  MCO representatives will visit counties 2-3 months prior to the transition to present job offers.  Some discussion followed on the resolution prepared by Pepin County with regard to vacation and sick balance payouts.  This language will be shared.

Wrap-Up

-          State Family Care Transition Committee Update

11:45 AM – 12 N

Some discussion occurred on the current status of the Lakeview and Clearview consortia.  There is a meeting Thursday of this week in Madison to discuss this type of collaboration.  WCA and WCHSA both support this model.

Action Items

Resource

Action

Due Date

Melissa

Send electronic copies of all changes of MOU and addendum documents to Steering Committee members

ASAP

Melissa

Make necessary changes or additions to Addendum D and E

ASAP

Counties

Provide requested employees information to MCO

ASAP

Liz/Pam

Look at time analysis for WATTS Review completion

Next Meeting

La Crosse County

Coordinate WATTS Review workgroup.

Next Meeting?