Page 1 of 4 Alliance Behavioral Healthcare Area Board Meeting

Page 1 of 4

Alliance Behavioral Healthcare

Area Board Meeting

Thursday, November 7, 2013

4:00pm– 6:00 pm

DRAFT MINUTES

PLACE: Alliance Behavioral Healthcare, 4600 Emperor Blvd. Room 105,

Durham, NC 27703.

MEMBERS PRESENT: Dr. George Corvin, Ellen Holliman, Phillip Golden, Dr. Nancy

Henley, George Quick, William Stanford, John Griffin, Vicki

Shore, Cynthia Binanay, and Lascel Webley, Jr., Chairman, Scott

Taylor, Kenneth Edge, Lodies Gloston, Christopher Bostock, Ann

Akland, Adele Foschia, Amelia Thorpe, and Michael Page.

MEMBERS ABSENT: Jim Edgerton

GUESTS PRESENT: Mike Woodard from the North Carolina Senate, Yvonne French

from DMH/DD/SAS, Diane Wydo of Fellowship Health

Resources, Denise Foreman from Wake County, Dan Shaw-

Durham CFAC, Michael Woodard from Carolina Outreach, and

Frederick Aikers from Heartfelt Alternatives.

STAFF PRESENT: Rob Robinson, Doug Fuller, Doug Wright, Monica Portugal,

James Osborn, Veronica Ingram, Sara Pacholke, Hank Debnam,

Suzanne Goerger, Andrea Kinnaugh, Sean Schreiber, Tracy Hayes,

Tammy Ramirez, Sara Wilson, Janis Nutt, Beth Melcher, Tina

Howard, Ann Oshel, Susan Knox, and Carlyle Johnson.

1. CALL TO ORDER:

Chairman Lascel Webley, Jr. called the meeting to order at 4:03 pm.

2. ANNOUNCEMENTS A. Ellen Holliman, Chief Financial Officer, introduced Veronica Ingram, a new Alliance

staff member.

B. Chairmen Webley joined Ellen Holliman offering a fond farewell to Tracy Hayes upon

her resignation as General Counsel.

C. Ellen Holliman invited the Board to meet with Senior Management Staff on Thursday, November 21, 2013. Interested Board Members should RSVP to Veronica Ingram.

D. Chairman Webley reminded the Board that the NC Council Pinehurst Conference will be held on December 11, 12, & 13, 2013. Interested Board Members should pass their information to Veronica Ingram.

3. OATH OF OFFICE FOR NEW BOARD MEMBERS

Senator Mike Woodard administered the Oath of Office to the new Wake and Cumberland

Page 2 of 4

County members of the Board including Kenneth Edge, Chris Bostock, Adele Foschia, and Lodies Gloston.

4. AGENDA ADJUSTMENTS

None 5. PUBLIC COMMENT

Mary Short, representing herself, voiced her concerns regarding the Relative as a Provider policy posted on the Alliance Website. She implored the Board to pay careful attention to this policy and consumer rights to file for administrative hearings. Joe Dziobek, Chief Executive Officer for Fellowship Health Resources, along with Diane Wydo, Regional Director for NC, and Pam Daisy gave a brief overview of their agency. They provide mental health and substance use services; although the agency is in a transitional state, they wanted to assure everyone continues expecting consistent great care. Overall, they expressed gratitude for the relationships forged with Alliance and look forward to a bright future. Mildred Miller, representing herself, stated she was one of those affected by the Relative as a Provider policy; she has gone to an OAH hearing. She expressed detailed concerns for her daughter who is a consumer in the Alliance catchment area. Ms. Miller asked the Board to post the best practices model on the Alliance website.

6. FINANCE COMMITTEE REPORT

The Finance Committee’s function is to review financial statements and recommend policies/practices on fiscal matters to the Board. The Finance Committee meets monthly at 3:00pm prior to the regular Board meeting. Draft minutes and financial information from the October 3, 2013 meeting are attached.

BOARD ACTION

The Board accepts the Finance Committee Minutes as presented. 7. COMMITTEE REPORTS

A. Consumer and Family Advisory Committee Report B. Executive Committee Report

BOARD ACTION

The Consumer and Family Advisory Committee Report & Executive Committee Report were accepted as presented.

8. CONSENT AGENDA

A. Draft Board minutes from the October 3, 2013 Board meeting

BOARD ACTION

The Board approved the Consent Agenda as presented.

Page 3 of 4

9. UPDATE ON THE SECRETARY’S MEDICAID REFORM PLAN

Ellen Holliman, CEO, presented an update on the DHHS Secretary’s Medicaid reform

plan.

BOARD ACTION

The Board accepted the report as presented.

10. RFP UPDATE

Beth Melcher, Chief of Network Development and Evaluation, presented an update on

the RFPs for Intensive In-Home, Community Support Team, SAIOP and MH/SA

Supported Employment.

BOARD ACTION


11. URAC UPDATE

Beth Melcher, Chief of Network Development and Evaluation presented an update on

Alliance preparation for the URAC on-site accreditation visit scheduled for December

10 & 11.

BOARD ACTION

Accept the report as presented.

12. YOUTH OPPORTUNITY INITIATIVE REPORT

Ann Oshel, Director of Community Relations, gave a report on the progress of the Youth

Opportunity Initiative.

BOARD ACTION


13. CRISIS SERVICES PRESENTATION

James Osborn, Crisis and Incarcerations Manager, gave a presentation on the

continuum of crisis services available in the Alliance region.

BOARD ACTION


14. CHAIRMAN'S REPORT

Chairman Webley asked the Board if Monica Portugal could finish her Policy Training

presentation. Chairman Webley encouraged all Board members to attend the Executive

Page 4 of 4

Committee Meeting on Tuesday, November 12, 2013 at 8:15am.

15. ADJOURNMENT

With all business being completed the meeting adjourned at 5:43 pm.

Next Board Meeting

Thursday, December 5, 2013

3:00 – 6:00

Respectfully submitted:

Ellen S. Holliman, Chief Executive Officer Date Approved

ITEM: Finance Committee Report from October 3, 2013 Meeting

DATE OF BOARD MEETING: November 7, 2013

BACKGROUND:

The Finance Committee’s function is to review financial statements and recommend policies/practices on

fiscal matters to the Area Board. The Finance Committee meets monthly at 3:00pm prior to the regular

Area Board Meeting. The budget to actual report and ratios for the period ending August 31, 2013 and the

draft minutes of the October Finance Committee meeting are attached.

REQUEST FOR AREA BOARD ACTION:

Accept the report.

CEO RECOMMENDATION:

Accept the report.

RESOURCE PERSON(S):

Ellen Holliman, Kelly Goodfellow, Sara Pacholke


BOARD OF DIRECTORS Agenda Action Form

6

1


Finance Committee Minutes

October 3, 2013

Members Present: Phillip Golden, BS, Lascel Webley, Jr, MBA, MHA, George Quick,

MBA, Jim Edgerton, BS, Vicki Shore

Members Absent: Ann Akland

Staff Present: Kelly Goodfellow, MBA, Sara Pacholke, BS, CPA, Rob Robinson,

LCAS

Staff Absent: Ellen Holliman, BS,

Opening: Meeting opened by George Quick at 2:05 at Alliance Behavioral

Healthcare’s corporate office

Approval of Minutes: Phillip Golden made a motion to approve the minutes from the

September 5, 2013 meeting with a second from Lascel Webley.

Agenda Items

Budget to Actual and Ratios

Sara Pacholke presented the August 2013 budget to actual statement and ratios. Revenues and expenses

were in line with expectations for the second month of the year. Alliance currently meets the financial

ratios required by Senate Bill 208 and the ratios monitored by DMA.

Net Assets as of 6/30/13

The net assets as of 6/30/13 were presented to the Finance Committee for discussion and approval.

Alliance is showing overall net assets of $10,607,283.31 with restrictions for Medicaid services, Medicaid

Risk Reserve, State services and Local services. There is a negative unrestricted balance due to the

merger, implementation of the Medicaid waiver and due to an overage in Durham County service

spending.

The internal Budget and Finance committee is working on a plan to reduce spending in Durham County.

Phillip Golden requested the plan be brought back to the Finance Committee for discussion at the next

meeting.

George Quick suggested asking Durham County to allow the prior year’s spending overage to come out

of the current year Durham County revenue.

Before approval of the restricted net assets there was discussion over how the restricted funds can be used

in the future. All restricted funds have to be approved by the board in order to be used.

2

Jim Edgerton made a motion to recommend the presented restricted net assets as of 6/30/13 to the Board

for approval. Lascel Webley seconded the motion.

Budget Update

Kelly Goodfellow provided the committee with a budget update. We received an increase in September’s

Medicaid PMPM revenue payment, however we still don’t have a file from the State showing how many

lives it represents. We were verbally told by the State that it represents payment for 207,000 lives which

is an increase from prior months.

Senior Management met with the State to discuss our proposed rate for the next Medicaid contract period.

The proposal includes a lower monthly PMPM rate, but an increase in lives so it should balance out.

We received an allocation from the State for FY14 which includes a reduction for SA prevention, Work

First, Detention and Majors.

Non-Agenda Item

There was discussion over the government shutdown and how it would affect Alliance. Currently the

only anticipation is a possible issue with the HUD grant.

Meeting adjourned at 3:03 pm.

Respectfully submitted,

Sara Pacholke

Finance Director

Budget Current Period Year to Date Balance% Receive…Expended

ServiceCounty $35,860,112.00 $642,453.75 $8,943,030.50 $26,917,081.50 24.94%State 37,673,396.00 2,808,651.08 5,790,382.00 31,883,014.00 15.37%Federal 7,640,334.00 169,457.25 (50,411.77) 7,690,745.77 (0.66%)Medicaid and CAP Pass Through 500,000.00 500,000.00 0.00%Medicaid Waiver 307,626,720.00 32,143,469.99 57,051,455.82 250,575,264.18 18.55%Miscellanous Revenue 89.50 (89.50) 0.00%

Total Service Revenue 389,300,562.00 35,764,032.07 71,734,546.05 317,566,015.95 18.43%

AdministrativeCounty 1,017,828.00 207,546.25 254,457.00 763,371.00 25.00%State 4,538,540.00 443,454.33 809,166.00 3,729,374.00 17.83%Medicaid and CAP UR (54,294.34) 54,294.34 0.00%Medicaid Waiver 31,356,480.00 2,466,415.06 5,005,245.57 26,351,234.43 15.96%In Kind Revenue 1,130,287.00 1,130,287.00 0.00%Miscellanous Revenue 25,000.00 613.67 718.67 24,281.33 2.87%

Total Administrative Revenue 38,068,135.00 3,118,029.31 6,015,292.90 32,052,842.10 15.80%

Total Revenues 427,368,697.00 38,882,061.38 77,749,838.95 349,618,858.05 18.19%

ServiceCounty 36,047,755.00 (1,108,829.70) 5,037,394.46 31,010,360.54 13.97%State 37,673,396.00 3,493,941.60 6,715,898.46 30,957,497.54 17.83%Federal 6,519,906.00 235,618.95 540,890.33 5,979,015.67 8.30%Medicaid and CAP Pass Through 500,000.00 500,000.00 0.00%Medicaid Waiver 307,626,720.00 29,915,353.87 57,448,583.38 250,178,136.62 18.67%

Total Service Expenditures 388,367,777.00 32,536,084.72 69,742,766.63 318,625,010.37 17.96%

AdministrativeOperational 5,909,076.05 306,538.65 601,146.65 5,307,929.40 10.17%Salaries, Benefits, and Fringe 26,565,186.87 2,030,908.51 3,853,968.78 22,711,218.09 14.51%Professional Services 5,396,370.08 88,486.73 161,877.37 5,234,492.71 3.00%In Kind Expenses 1,130,287.00 1,130,287.00 0.00%

Total Administrative Expenditures 39,000,920.00 2,425,933.89 4,616,992.80 34,383,927.20 11.84%

Total Expenditures 427,368,697.00 34,962,018.61 74,359,759.43 353,008,937.57 17.40%

Alliance Behavioral HealthcareBudget to Actual Comparison - Revenue & Expenditures

For the Two Months Ending August 31, 2013

Alliance Behavioral HealthcareBenchmark Ratios ‐ August 31, 2013

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

F EBRUARY MARCH APR I L MAY JUNE JU L Y AUGUST

CURRENT RATIOBench Mark ‐ 1.0 Alliance

84%86%88%90%92%94%96%98%100%102%

FEBRUARY MARCH APR I L MAY JUNE J U L Y AUGUST

PERCENT PAIDBench Mark ‐ 90% Alliance

0

10

20

30

40

50

60

70

F EBRUARY MARCH APR I L MAY JUNE JU L Y AUGUST

DEFENSIVE INTERVALBench Mark ‐ 30 Days Alliance

74%76%78%80%82%84%86%88%90%92%

FEBRUARY MARCH APR I L MAY JUNE JU L Y AUGUST

MEDICAL LOSSBench Mark ‐ > 80% Alliance

ITEM: Consumer and Family Advisory Committee (CFAC) Report


BACKGROUND:

The Alliance Consumer and Family Advisory Committee, or CFAC, is made up of consumers and/or family

members that live in Durham, Wake, or Cumberland Counties who receive mental health,

intellectual/developmental disabilities and substance use/addiction services. CFAC is a self-governing

committee that serves as an advisor to Alliance administration and Board of Directors.

State statutes charge CFAC with the following responsibilities:

Review, comment on and monitor the implementation of the local business plan

Identify service gaps and underserved populations

Make recommendations regarding the service array and monitor the development of additional

services

Review and comment on the Alliance budget

Participate in all quality improvement measures and performance indicators

Submit findings and recommendations to the State Consumer and Family Advisory Committee

regarding ways to improve the delivery of mental health, intellectual/other developmental

disabilities and substance use/addiction services.

The Alliance CFAC meets at 5:30pm on the first Monday in the months of February, April, June, August,

October and December at the Alliance Corporate Office, 4600 Emperor Boulevard, Durham. Sub-

committee meetings are held in individual counties, the schedules for those meetings are available on our

website.

The Alliance CFAC tries to meet its statutory requirements by providing you with the minutes to our

meetings, letters to the board, participation on committees, outreach to our communities, providing input

to policies effecting consumers, and by providing the Board of Directors and the State CFAC with an

Annual Report as agreed upon in our Relational Agreement describing our activities, concerns, and

accomplishments.

The Alliance CFAC is currently chaired by Dan Shaw while Maribel Rivera-Elias serves as vice-chair.



7A


Receive the minutes from the Durham Sub-Committee dated 9-16-2013 (draft), the Wake Sub-Committee

dated 9-10-2013 (draft), and the Cumberland Sub-Committee from 8-22-13.

AREA DIRECTOR RECOMMENDATION:

Receive the minutes.

RESOURCE PERSON(S):

Doug Wright, Dan Shaw, Maribel Rivera-Elias

Page 1 of 3

Durham CFAC Sub-Committee

Minutes – 9/16/2013

Date/time of meeting: 9/16/2013 5:30pm – 7:00pm

Location: TROSA

Members: Vivian Harris, Sharon O’Brian, Felisha McPherson, David Smith, Joe Kilsheimer, Colleen Kilsheimer, Tammy Harrington,

Amelia Thorpe, Dan Shaw

Staff Present: Doug Wright

Staff Absent:

Guest(s) Roanna Newton, Consumer Empowerment Team

Approve Minutes from

(Date) Postponed, no copies available for review.

Follow up Items

Documents Provided None

Topic: MCO Update

Discussion:

Doug Wright reported that the clear expectation of the state was to get down to four LME-MCOs, and that they are

contiguous. The CEOs met with Dave Richard and will present to him and the department a map that would meet that goal

by the end of this month.

Alliance has posted two Peer Support jobs in relation to the Transitions to Community Living (DOJ Settlement).

John Sullivan will present on Project Lazarus at the next Alliance CFAC meeting in October.

Page 2 of 3

The Alliance and Cardinal CFACs are working together to put on a statewide event to follow up to the May event in

Winston-Salem. The first planning meeting is on the 17th, tomorrow. December 4th is the date.

Celebrate Recovery is happening in Durham at the Criminal Justice Resource Center from 12-7pm on the 19th.

Capital Recovery Celebration is on the 21st from 9:00am until 1:00pm at the Halifax Mall in downtown Raleigh.

There was a lot of discussion around the future of Behavioral Health in North Carolina, many concerns about how our

system will end up delivering quality services. The constant change is wearing on the consumers and families. Overall the

group was encouraged by the news of recognition of behavioral services as specialty services and the need for LME-MCOs

in some fashion.

Suggestions/Comments:

Next steps: Keep informed

Person Responsible: Doug Wright

Topic: Local Business Plan

Discussion:

Doug Wright presented the Local Business plan to the sub-committee. He reviewed each of the 5 state initiatives

and the 3 local initiatives. It was noted that some of the goals were certainly going to be challenging but

absolutely worthwhile. The presentation is attached.


Next steps: Continued input to the LME-MCO.

Person Responsible: CFAC Membership, Doug Wright

Topic: State Update

Discussion: Roanna Newton reviewed the Consumer Empowerment Team Update for September.

Suggestions/Comments: Roanna noted that they are changing their format and ask for feedback concerning their efforts.

Next steps: None

Person Responsible:

Topic: Sub-Committee Chair

Page 3 of 3

Next meeting: November 4th, 5:30pm – 7:00pm

Meeting room: TROSA

Discussion:

Dan ask the sub-committee what they would like to do about a chairperson for the sub-committee, that he was willing but

wanted to give others an opportunity to step up. There was consensus that Dan should be the chair and that we could

consider others down the road in order to help build leadership along the way.


Next steps: Move forward

Person Responsible: All

Topic: Meeting Template

Discussion:

The group discussed the new meeting template, the addition of public comment as well as the addition of Public Outreach.

It was noted that the public outreach section was to set time aside so members could discuss, bring forward concerns or

ideas from the community, thus helping to fulfill their obligations under state statute 122c.


Next steps: Utilize the template, changing if needed.

Person Responsible: CFAC

Topic: Meeting Adjourned at 7:10pm.

Discussion:


Next steps:

Person Responsible:

1

September 10, 2013 Minutes

Wake Alliance Site Meeting 5000 Falls of Neuse Road, Raleigh, 27609

Member Attendees: Caroline Ambrose, Anna Cunningham, Dave Curro, Maribel Rivera-Elias, Faye

Griffin, Marc Jacques, and Denise Wood

Guests: Sarah Jane Fitch and Israel Pattison

Alliance Staff: Roosevelt Richards and Doug Wright

State Staff: Nicole Cole and Roanna Newton

Welcome

Minutes

July 9, 2013 minutes were approved

Public Comment

HANDmeUPs thrift shop is now open. Location: 8320 Litchford Road, Raleigh, NC 27615. Employs and

trains individuals with autism and other developmental disabilities.

Jacques was recently hired with NC Mental Consumers Association

Wood was recently appointment to NC Mental Consumers Association board as parliamentarian

Beardsley retired and Richards is taking her role as Wake Site Subcommittee support staff

Training and Education

Distributed in meeting packet and discussion of the FY2013 Provider Network Profile

Distributed in meeting packet and discussion of the Local Business Plan Overview PowerPoint

Abbreviation defined PRTF- Psychiatric Residential Therapy Facilities

Anna Cunningham questioned Doug Wright - What is the QI feedback- Doug Wright will look into the

answer to this question

Monarch has same day access

High number for no-show appointments, many factors are a result of current no-show appointments.

2

Roosevelt Richards will give the statistics on CIT program

Starting to do refresher courses with CIT officers

Specialized training/understanding for I/DD regarding the CIT training program

More outcome based results for individual with I/DD in terms of crisis.

Marc Jacques motioned to accept local business plan in trust in Doug Wright to present our

concerns. Anna Cunningham seconded. Motion carried.

The local business plan is a living document

Leadership

Maribel Rivera-Elias is in training for being chair of the Wake Site Subcommittee

Public Outreach

Report each time or quarterly on data

Hot Topics conversation is essential

Anna Cunningham commented we should have continue support in the role of communicating (DataCom)

State Update

Distributed and discussed CET Update for September 2013

MCO Update

Patti Beardsley retired

Merger rumors with Charlotte

Three options for Charlotte: 1) own 2) Merge with Cardinal 3) Merge with Alliance

Decision made by CEO this Friday, 13th

Peer Support position available

Board seats available

October meeting – John Southerland will be the speaker on Project Lazarus

Statewide CFAC planning meeting on the 17th

September is recover month and DSP recognition week (Sept 9-15) Adjourned at 7:12pm

1

CFAC Minutes – 08/22/13 Cumberland Subcommittee of Alliance Consumer and Family Advisory

(CFAC)

Present Members: LaVern O. –CFAC Chair; Lotta F. – CFAC Co-chair; Dr. Michael M., Rebecca P., Dorothy J., Dr. Mike M., Casey B.

and Marcia H.

Absent Members: Regina G..

Staff Representation: Nathania H., Susan B., Wes R., and Doug W.

CC LME Area Board Member: None

Guest: Lisa Lofton-Berry, Arthur Berry. And Delvin McAllister

TOPIC DISCUSSION ACTION

Welcome and Introductions The meeting was called to order at 5:42 by Subcommittee Co- Chair, LaVern O. The

following individuals were in attendance: 8 subcommittee, 4 staff representation and 3

guests.

Review and Approval of Minutes The quorum reviewed the July 25, 2013 Subcommittee minutes and a motion was

made by Dr. Michael M. to accept the minutes. The motion was seconded by Casey B.

The motion passed and the minutes were accepted.

The July 25, 2013 minutes

were approved.

Recruitment/Outreach/Publicity Recruitment: The subcommittee discussed whether to continue recruitment efforts

since they are at current capacity for voting members. Doug. W. revealed Alliance

is considering allowing 10 voting members from each site at the Alliance CFAC

meetings. Wes urged the subcommittee to continue to seek individuals who may

eventually be interested in serving on the subcommittee. He indicated that many

volunteer organizations find that they have difficulty maintaining enough members

over time.

Public Outreach: Susan B. reported on the outreach event at the Fayetteville

Police Department’s Community Awareness Day August 16, 2013 in Sherwood

Park. She revealed that while the event was well-attended, outreach efforts by the

subcommittee were hampered by constant rain, the lack of visibility of any

identifying banner and the unavailability of CFAC brochures. Doug W. reported

brochures are being printed and an Alliance Behavioral Healthcare tabletop display

has been ordered. Susan also mentioned that it may be helpful for subcommittee to

clarify the role and duties of any subcommittee member participating in an

outreach event.

The subcommittee will

continue to encourage guests

to attend meetings build

contact within the

community.

The subcommittee will review

CFAC brochures and outreach

display materials once they are

available.

2

Doug W. reported Alliance Behavioral Healthcare is continuing to seek new ways

to outreach to the community and is opening a Facebook and Google Plus account

for this purpose.

Subcommittees:

Services/Quality

Management

Communications with

SCFAC

Budget Committee

.

Wes R. reported the State CFAC to Local CFAC conference call was held 8/21/13

from 7-8 p.m. The next call will be 10/16/13 from 7-8 p.m. Wes R. reminded

Subcommittee members to listen-in on the calls as they are always informative.

Wes R. encouraged subcommittee members to consider services on the State CFAC

and reported they continue to recruit members.

.

Updates, Announcements,

Information Sharing

Wes. R. reviewed the information on the Consumer Empowerment Team (CET)

Update- August 2013. (Handouts). Wes reported that Dave Richard, Director of Mental

Health/Developmental Disabilities/Substance Abuse Services has scheduled to meet

with every CFAC within the next few months He met with Alliance CFAC July 9,

2013.

Lotta F. updated the subcommittee on the 8/5/13 Alliance CFAC meeting. Lotta F.,

Marcia H., and Dr. Michael M. attended the meeting. Election of officers for the

Alliance CFAC was held. Dan Shaw was elected chair of the Alliance CFAC and

Maribel Rivera-Elias was elected vice chair. Per Lotta, Dave Richard, Director of

MH/DD/SA spoke at the meeting. Information on Mental Health First Aid was

discussed at the meeting. Lotta F. encouraged subcommittee members to attend future

Alliance CFAC meetings and indicated her plan to attend the next Alliance CFAC

meeting 10/7/13 in Durham, NC.

Doug W. reported that the Alliance CFAC By-Laws Subcommittee passed the By-

Laws. He indicated that subcommittee will continue to meet as the evolution of

Alliance’s role changes.

Lotta F. and Dr. Michael M. updated the subcommittee on the August 14, 2013

Alliance Behavioral Healthcare-Cumberland Site Public Forum. Lotta F. revealed the

forum was attended by over 100 people including providers, community members, and

local government. Dr. Michael M. indicated the forum went well and that Alliance

Behavioral Healthcare staff were both informative and receptive of concerns.

.

3

Doug W. provided information about the process to appoint individuals to the Alliance

Behavioral Healthcare Board. Currently, 1 seat representing Cumberland County has

been filled. 3 other board seats remain to be filled. The process relies on the

Cumberland County Board of Commissioners to suggest potential appointees to

Alliance Behavioral Healthcare. Alliance will evaluate the entries and then return the

suggestions to the Cumberland County Board of Commissioners for a final

recommendation. Currently, potential appointees are scheduled to attend the next

Alliance Behavioral Healthcare Board meeting 9/5/13 at 4:00 p.m.

Doug w. announced that Alliance Behavioral Healthcare has appointed Hank Debnam,

Cumberland Site Director for Alliance Behavioral Healthcare to be the new

Military/Veteran Liaison for the entire Alliance Behavioral Healthcare MCO.

Lisa. L-B reported the phone number to contact Cape Fear Community Mental Health

Center is incorrect. When dialed, the message directs to call wrong number.

Doug. W. announced that Alliance Behavioral Healthcare is in conversation with

Mecklinburg LME about a possible merger. Further word is expected in September

2013.

Doug W. reported discussions in progress about a possible jointly –sponsord Regional

CFAC meeting with Cardinal in November 2013.

Dorothy J. reminded members that the NAMI walk is in October 2013 at Cross Creek

Park.

Nay H. to contact Joe Deaton

with Cumberland County to

assist with correction.

Guest Speakers/Training Dr. Mike requested Doug W. coordinate a Navigator to speak to the Subcommittee

about the new federal initiative involving educating people about the Affordable

Care Act.

Gaps and Needs

Doug W. provided a list of identified needs and gaps and reviewed those with the

Subcommittee. Doug stated the list will be used to further develop Alliance

Behavioral Healthcare’s business plan.

The Subcommittee will

continue to seek community

feedback on gaps and needs

and report back to the Alliance

CFAC.

Handouts Consumer Empowerment Team (CET) Update August 2013.

Cumberland Subcommittee for Alliance CFAC minutes (July 25, 2013)

Alliance Behavioral Healthcare Fact Sheet

Mental Health First Aid Announcement

4

Local Business Plan, Needs and Gaps Feedback from CFAC (August 21, 2013)

Alliance Behavioral Healthcare Community Relations Contact Information

Closing, Additions to Agenda,

Next Meeting

LaVern O., Co-Chair adjourned the meeting at 7:24 p.m. The next Cumberland

Subcommittee of Alliance CFAC meeting is Sept. 26, 2013 at 5:30 p.m.at 711

Executive Place Fayetteville, NC 28305 John Bain, Jail Liaison for Alliance

Behavioral Healthcare- Cumberland Site, will provide training on Substance Abuse.

ITEM: Executive Committee Report

7B





The Executive Committee sets the agenda for Area Board meetings and acts in lieu of the Area

Board between meetings. Actions by the Executive Committee are reported to the full Area Board

at the next scheduled meeting. Attached are the minutes from the September 10, 2013 meeting.

CEO RECOMMENDATION:

Accept this report.

RESOURCE PERSON(S):

Ellen Holliman

Page 41 of 187

Page 1

Executive Committee Minutes

Date: September 10, 2013

Present: Lascel Webley, George Quick, Bill Stanford, Nancy Henley, Phil Golden, Amelia Thorpe, Scott Taylor

Staff: Ellen Holliman

Topic: Data: Action Required:

Agenda Items: Meeting was called to order by Lascel Webley.

Approve Minutes: George Quick made the motion to approve the August 13, 2013 minutes. Bill Stanford

seconded. Motion passed.

Wake County vacant

board seats

Ms. Holliman reported that Alliance is currently advertising for two board seats from

Wake County. One seat is to complete the term for Barbara Gardner. The second seat is

a new seat as a result of the Cumberland merger. The seats were reallocated based on

county contributions.

Update on MCO

consolidation activities

As reported at the August Executive Committee, the meeting scheduled on September

4th with Alliance, Cardinal, Sandhills, Eastpointe and MeckLink did not take place as

planned .Ms. Holliman shared that Mecklenburg will release an RFI to make a

recommendation to the Board of County Commissioners as to which MCO they should

merge. The Executive Committee supported that any consolidation plan be in the best

interest of the citizens of our current four counties and maintaining the strength of the

MCOs in delivering services to people with MI, IDD and SA issues.

August 1, 2013 Board

agenda

The Executive Committee approved the September 10, 2013 agenda to include

Nominations of the Cumberland County board members; introductions of the applicants

for the Wake County Board seats; committee reports; Update on the Secretary’s

Medicaid reform Plan, Wake Divestitures, HR report and Grievance and Incident Report.

Page 2

Interview of

Cumberland County

applicants

The board members of the expanded Executive Committee interviewed the following

people who applied for the three vacant Cumberland County Board seats: Rev. Floyd

Johnson, Evelyn Shaw, Angie Voholt, Dr. Martin Chipman, Lodis Gloston, Nickki

McIntyre, Kaye Lewis, Robin Burg, Sonja Council, Stanley Dodson, Pamela Suggs

Story, Beth Hogan, Commissioner Kenneth Edge and Chris Bostic

The members present

recommended the following

people in priority order::

Commissioner Kenneth

Edger, Pamela Suggs Story,

Beth Hogen, Chris Bostic

and Lodis Gloston.

Page 1

Executive Committee Minutes

Date: September 10, 2013

Present: Lascel Webley, George Quick, Bill Stanford, Nancy Henley, Phil Golden, Amelia Thorpe, Scott Taylor

Staff: Ellen Holliman

Topic: Data: Action Required:

Agenda Items: Meeting was called to order by Lascel Webley.

Approve Minutes: George Quick made the motion to approve the August 13, 2013 minutes. Bill Stanford

seconded. Motion passed.

Wake County vacant

board seats

Ms. Holliman reported that Alliance is currently advertising for two board seats from

Wake County. One seat is to complete the term for Barbara Gardner. The second seat is

a new seat as a result of the Cumberland merger. The seats were reallocated based on

county contributions.

Update on MCO

consolidation activities

As reported at the August Executive Committee, the meeting scheduled on September

4th with Alliance, Cardinal, Sandhills, Eastpointe and MeckLink did not take place as

planned .Ms. Holliman shared that Mecklenburg will release an RFI to make a

recommendation to the Board of County Commissioners as to which MCO they should

merge. The Executive Committee supported that any consolidation plan be in the best

interest of the citizens of our current four counties and maintaining the strength of the

MCOs in delivering services to people with MI, IDD and SA issues.

August 1, 2013 Board

agenda

The Executive Committee approved the September 10, 2013 agenda to include

Nominations of the Cumberland County board members; introductions of the applicants

for the Wake County Board seats; committee reports; Update on the Secretary’s

Medicaid reform Plan, Wake Divestitures, HR report and Grievance and Incident Report.

Page 2

Interview of

Cumberland County

applicants

The board members of the expanded Executive Committee interviewed the following

people who applied for the three vacant Cumberland County Board seats: Rev. Floyd

Johnson, Evelyn Shaw, Angie Voholt, Dr. Martin Chipman, Lodis Gloston, Nickki

McIntyre, Kaye Lewis, Robin Burg, Sonja Council, Stanley Dodson, Pamela Suggs

Story, Beth Hogan, Commissioner Kenneth Edge and Chris Bostic

The members present

recommended the following

people in priority order::

Commissioner Kenneth

Edger, Pamela Suggs Story,

Beth Hogen, Chris Bostic

and Lodis Gloston.

ITEM: Consent Agenda

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A. Approve the draft minutes from the October 3, 2013 Board meeting.

CEO RECOMMENDATION:

Approve the Consent Agenda as presented.

RESOURCE PERSON(S):

Ellen Holliman

Page 1 of 4


Area Board Meeting

Thursday, October 3, 2013

4:00pm– 6:00 pm

DRAFT MINUTES

PLACE: Alliance Behavioral Healthcare, 4600 Emperor Blvd. Room 208,

Durham, NC 27703.

MEMBERS PRESENT: Dr. George Corvin, Jim Edgerton, Phillip Golden, Dr. Nancy

Henley, George Quick, William Stanford, John Griffin, Vicki Shore,

Cynthia Binaynay, and Lascel Webley, Jr., Chairman, Scott Taylor,

Kenneth Edge, Lodies Gloston, Christopher Bostock

MEMBERS ABSENT: Ellen Holliman, Ann Akland, Amelia Thorpe, Michael Page

GUESTS PRESENT: Yvonne French from DMH/DD/SAS, Denise Foreman from Wake

County, Dan Shaw-Durham CFAC, Michael Woolard from

Carolina Outreach, and Frederick Aikers from Heartfelt

Alternatives.

STAFF PRESENT: Sara Pacholke, Amanda Graham, Rob Robinson, Kelly Goodfellow,

Monica Portugal, Sean Schreiber, Doug Fuller, Tracy Hayes, Doug

Wright, Al Ragland, Ann Oshel, Beth Melcher, Susan Knox, Carlyle

Johnson, Hank Debnam, Dr. Janis Nutt

1. CALL TO ORDER:

Chairman Lascel Webley, Jr. called the meeting to order at 4:04 pm.

2. ANNOUNCEMENTS

A. Introductions of applicants for Wake Board seats

Chairman Webley and the Board welcomed the any applicants for the Wake Board seats in

attendance.

B. Request for 2012-13 audit presentation to be made at the December 10, 2013 Executive

Committee Meeting.

3. OATH OF OFFICE FOR NEW BOARD MEMBERS

Oath of Office for new Board members was deferred until the next Board meeting on Thursday, November 7, 2013.

8A

Page 2 of 4

4. AGENDA ADJUSTMENTS

Chairman Webley made one addition to the agenda. Rob Robinson and Kelly Goodfellow

presented the Board with information regarding the government shutdown.

5. PUBLIC COMMENT

There was no public comment.

6. FINANCE COMMITTEE REPORT

The Finance Committee’s function is to review financial statements and recommend policies/practices on fiscal matters to the Board. The Finance Committee met at 3:00 pm

prior to the regular Board meeting. Draft minutes and financial information from the September 5, 2013 meeting were attached.

Reviewed financial statements and ratios meeting the minimum requirements

numbers in line for July. George Quick presents the Board with the total amount of net

restricted assets and asks that the Board restrict these funds and they will be reflected in the June 30 audit.

BOARD ACTION

A Motion was made by George Quick to approve the restriction of the net restricted assets, a total of $10,607,283.31; seconded by James Edgerton. Motion passed.

7. COMMITTEE REPORTS

A. Quality Management Report

B. Human Rights Committee Report

C. Executive Committee Report

D. Policy Committee

BOARD ACTION

Chairman Webley stated that the Board received a number of Committee Reports in the

Board Packets. There were no questions and the Board accepted as presented.

8. CONSENT AGENDA A. Draft Board minutes from the September 5, 2013 Board Meeting

BOARD ACTION

The Draft Board minutes from the September 5, 2013 Board Meeting were accepted as presented.

Page 3 of 4

9. UPDATE ON THE SECRETARY’S MEDICAID REFORM PLAN

Rob Robinson, Chief Operating Officer, presented the Board with an update on Medicaid Reform saying Alliance was one of two MCOs invited to participate in a meeting with members of DHHS. The state expects to have a preliminary plan in place by the end of the month of October.

BOARD ACTION

The Board received the update. No further action was required.

10. WAKE DIVESTITURE UPDATE

Carlyle Johnson presented to the Board an update on the Wake Divestiture. He stated the

Requests for Proposals (RFPs) for Intensive In-Home (IIH), Substance Abuse Intensive

Outpatient (SAIOP), Community Support Team (CST), and Supported Employment for

Individuals with Serious Mental Illness (SEP) have been posted and invites the Board to join

the RFP review panel.

BOARD ACTION


11. HR REPORT

Al Ragland, HR Director, presented to the Board with a staffing update, stating over the last

year Alliance has received 6,000 applications for various positions.

BOARD ACTION


12. GRIEVANCE AND INCIDENT REPORT

Doug Wright, Director of Consumer Affairs, presented to the Board with fourth quarter data FY12-13 stating changes have been made to the way grievances reported and the chief complaint from consumers is quality of services.

BOARD ACTION


13. CHAIRMAN'S REPORT

Chairman Webley reminded the Board to be mindful of email messages sent and received as

they are public record and some discussions can go to a closed session.

Chairman Webley encouraged all Board members to attend the Executive Committee

Meeting on Tuesday, October 8, 2013 at 8:15am.

Page 4 of 4

14. ADJOURNMENT

With all business being completed the meeting adjourned at 5:18 pm.

Next Board Meeting

Thursday, November 7, 2013

3:00-6:00

Respectfully submitted:

Ellen S. Holliman, Chief Executive Officer Date Approved

ITEM: Update on the Secretary’s Medicaid Reform Plan


BACKGROUND:

Since the October Board meeting Alliance Senior Management has met with David Richard, DMH

Director, and other staff from DMH/DMA at Mr. Richard’s request to discuss Alliance operations and the

future role of MCOs in NC Medicaid reform. Additionally, Alliance CEO Ellen Holliman has worked with

the other MCO CEOs, and the NC Council to develop a map detailing the consolidation of the MCOs into

four regions.


The Board is requested to receive an update on the Secretary’s plan.

CEO RECOMMENDATION:

Receive this update.

RESOURCE PERSON(S):

Ellen Holliman



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ITEM: RFP Update


BACKGROUND: On September 30, 2013 Alliance released four RFPs. All current providers of

Community Support Team (CST), Intensive In-Home (IIH), and Substance Abuse Intensive Outpatient

Program (SAIOP) services with a credentialed site within the four counties are required to respond in order

for Alliance to consider Medicaid contract renewal. The RFPs reflect Medicaid service definition and

policy requirements. Supported Employment for MH/SA populations is a new service supported by state

funds. This will restrict the number of applications chosen. Responses to all RFPs are due by November

1. Staff will update the board on the number of applications received and the status and timeline of the

review process.


The Board is requested to receive the report.

CEO RECOMMENDATION:

Receive the report.

RESOURCE PERSON(S):

Beth Melcher, Carlyle Johnson



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ITEM: URAC Update (Alliance Behavioral Healthcare Accreditation)


BACKGROUND:

Per the contract between the North Carolina Department of Health and Human Services and

Alliance Behavioral Healthcare, accreditation by a recognized body (URAC, NCQA) is required

to meet contract specifications and to operate as a managed care organization. Alliance is

accredited by URAC for Health Utilization Management (HUM) and Core Standards.

Alliance’s accreditation for HUM expires January 1, 2014. Therefore, reaccreditation has been

sought for the next 3 year cycle of January 1, 2014 through 2017. In addition, Alliance is

seeking new accreditation for the Call Center and Provider Network modules.

Documentation for all modules has been submitted and accepted by URAC as of October 28,

2013. An on-site visit by the URAC reviewers is scheduled for December 10 and 11, 2013.

This update is to describe to the board the requirements for each module, required staff

involvement, and possible Board of Directors involvement during the on-site review.

AREA DIRECTOR RECOMMENDATIONS:

Accept Update

RESOURCE PERSON(S):

Lena Klumper, Ph.D

Alliance Behavioral Healthcare Agenda Action Form

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ITEM: Crisis Services Presentation


BACKGROUND:

Alliance is required per its contract with North Carolina DHHS to develop a crisis response

system within our catchment area. Being able to offer a comprehensive continuum of crisis

services is critical to our success as a MCO. Within our 4 county region, crisis services are

available however the completeness of the system varies. Several initiatives to expand services

have been recently completed or underway. A crisis plan has been developed for all 4

communities and is routinely reviewed and updated as needed.

James Osborn, Alliance Crisis and Incarcerations Manager, will make a presentation to include:

The crisis continuum across the four county region

Data describing numbers served and effectiveness for hospital admissions, readmissions,

ED admissions, and Crisis and Assessment Centers

Local Crisis Plans overview

Initiatives implemented.

A follow-up presentation will be made in approximately in six months to show decreases, changes

and progress.

CEO RECOMMENDATION:

Accept this presentation.

RESOURCE PERSON:

James Osborn



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