Mental Health Board

708 GENEVA COMMUNITY MENTAL HEALTH BOARD October 7, 2014 The Geneva Community Mental Health Board met at 7:00 p.m. on Tuesday, October 7, 2014, in the Geneva City Council Chambers, 109 James Street, Geneva, Illinois 60134. Present: Chairman Ford, Members Goc, Goldstein, Hamilton, Shogren, Johnson Wagner. Also Present: Phyllis Russell, Exec. Dir. of ACMHAI; and Recording Secretary Celeste Weilandt. 1. CALL TO ORDER/ROLL CALL Chairman Ford called the meeting of the Mental Health Board to order at 7:00 p.m. A quorum was present with seven (7) voting members. 2. AMENDMENTS TO THE AGENDA – None. 3. OMNIBUS AGENDA ( OMNIBUS VOTE ) All items listed with an asterisk ( * ) are considered to be routine by the Mental Health Board and will be enacted by one motion. There will be no separate discussion on these items unless a board member or citizen so requests, in which event the item will be removed from the Omnibus (Consent) Agenda and considered in its normal sequence on the Regular Agenda. Motion by Johnson, seconded by Goc to approve the omnibus agenda. Motion carried unanimously by voice vote of 7-0. 4. APPROVAL OF MINUTES/PAYMENTS *A. Regular Meeting Minutes of September 9, 2014 - Passed by Omnibus Agenda. *B. Approve Payment to Recording Secretary for Services - Passed by Omnibus Agenda. 5. GUEST SPEAKER A. Phyllis Russell, Exec. Director, ACMHAI – Ms. Russell discussed the roll-out changes coming from the Affordable Care Act, resulting in changes in Medicaid and its managed care, as well as affecting mental health boards across the state. She explained how Medicaid managed care providers will provide their services with those services being determined by managed care providers and the networks they create. She did not see this as an issue for the City of Geneva because the board was small. However, for the county it would be an issue. Russell explained that the DD population was not yet moving to managed care that covered all of their needs. She further explained that there will be movement toward “capitated rates,” where the managed care provider receives set amounts for the person they are covering while it will be the managed care provider’s responsibility to pay for the services that the person needs within the capitated rate. She explained that five different models of managed care entities exist in Kane County, which she listed off. Ms. Russell pointed out that the model changes will affect all of the insurance sectors. Additionally, she reported how Medicaid and the Affordable Care Act will be measuring the performance of the outcomes that the contracted providers provide. She summarized the challenges that the smaller agencies and the larger agencies will be facing, how they will be addressing them, and how they will be sustaining themselves through creative initiatives. Asked what direction Geneva should consider for future funding, Russell discussed “supplementation,” wherein this Board is prohibited by federal law from supplementing any Medicaid-rated service, the board will have to ask its agencies for their assurance that they will not be using the city’s money to supplement Medicaid rates. Asked what mental health boards could fund, Russell explained that the ACMHAI would be providing a booklet on what items could be funded: housing, prevention/promotion, and early intervention. Ford commented that this board’s notice of grant requests should list in its notice that the board is trying to avoid Medicaid supplementation and recommended placing the topic on the January agenda. Russell offered to have information on supplementation sent to Chairman Ford. She explained the challenges the State faced. Ms. Russell then discussed the shifts that would be occurring in the mental illness services area: 1) employment first; 2) person-centered planning; and 3) conflict-free case management (DD services). She emphasized that the federal government was telling the state that it must build out its home and community- based service systems. Asked if the state could push those services to the county level, Russell indicated it could but at the same time the State of Illinois had no money to do so and currently the state was trying to get Medicaid to pay for as much of it as it could. Further information followed regarding waivers, the waiver process, and the working groups involved in the process. It was brought up by Wagner and Russell that this entire process in the Medicaid area could change after the upcoming November election but Russell stated the Affordable Care Act and the push for healthcare and behavioral healthcare into alignment would not go away. Asked how this board should go forward with this 708 Geneva Community Mental Health Board - 2- October 7, 2014 information, Chairman Ford suggested that this board continue to move forward but make a verbal statement to each agency presenting and explain to them that this board understands that the justifications for financial support are in limbo and that next year’s grant request will be changed and this board may be asking different questions. However, Russell suggested asking the agencies who is their non-Medicaid population, how much of your services is provided to those who are not receiving any, and how many of your population is insured. Member Hamilton suggested giving the agencies a list of the areas that this board believes it will be able to fund in the future. Ms. Russell then discussed the recently completed screening assessment/early identification for children’s behavioral health needs, its importance, and getting the word out to the providers. Chairman Ford suggested bringing this topic to the attention of the entire school district versus just the high school. As to what this board could do (in a non-monetary way) and from the above discussion, both Ford and Russell agreed this board could continue to collaborate, coordinate and join the agencies together. Russell elaborated on what some of the other communities were doing to address various topics. Asked if Russell had seen any municipalities or townships “squeezing their budgeting process” to increase the amounts they were receiving, Russell indicated there was and that this board could lobby to increase its levy. The chairman then proceeded to explain the process and levy rate used by Geneva, wherein Ms. Russell offered to research the levy matter for him. (Johnson leaves @ 8:21 pm) Regarding the board’s one-page Mission, Goals and Objective statements, Ms. Russell liked it and said the board needed to provide a community assessment to support the three statements. However, she stated that the amount of money the board distributes to the larger sized agencies, makes no difference in the well-being of the agencies. It was not well targeted and the board could not tell what impact it made. As for the types of assessments that could be done, she described a model she used to fill gaps in services and suggested this board invite Geneva families to their meetings. Ask them what they see, what are their challenges, are they getting the services they need, and what is working/not working? Ford explained the prior assessment this board did some years ago and what the police department was saying. Hamilton suggested putting the two above pieces together; Ford concurred, noting that the groundwork could be laid for the next funding cycle. 6. OLD BUSINESS A. Review Wording for Mission, Goals, and Objectives – Ford asked the board keep in mind that behind these three statements the board has to understand what the community needs and it is never ending. Wagner moved to adopt the board’s Mission, Goals and Objectives statement, seconded by Goldstein. Motion carried unanimously by voice vote of 6-0. B. Review DD Housing; re: Geneva Task Force and AID’s Efforts – Chairman Ford stated he attended the September 22, 2014 housing task force meeting which included representatives from AID and Brinshore Development, a redeveloper of affordable housing in the area. Ford reported the affordable housing effort appears to have been successful in Aurora and Elgin but not in the Tri-Cities. He feels AID is looking to learn ways to address its service area and pursue such housing in the Tri-Cities; however, he stated that Brinshore will not consider such housing developments in a community unless the city’s leaders support the development and will advocate for it. On that note, Ford reported that a year-long housing study was recently completed and Geneva’s portion was presented at a city council meeting. The study reflected that there was a lack of affordable housing in the area and the State was requiring something to be done. Ford commented that it may be an area that could be funded. More details followed. C. Select Topic for December Council Report – Chairman Ford shared his sample of an opening statement for the December meeting, discussing what he envisioned for that meeting. Hamilton suggested that the board discuss some of the changes discussed tonight and extract what the city council needs to hear. After discussing the topic, member consensus was that the board have three members speak (Hamilton, Goc and Shogren) on the board’s three goal areas and incorporate into the presentation some of the changes (the changing path of money) that were discussed tonight. Chairman Ford suggested that members work on their part, email their draft to him for comments and then email the drafts to the recording secretary, who would distribute them to the full board for discussion at the November meeting. D. Review November Funding Meeting Arrangements – Chairman Ford reviewed the plan for the evening and asked for volunteers to help collate the funding packets on October 31, 2014 at the City Hall offices. 7. OTHER BUSINESS A. Words of Hope Update - Shogren shared what she heard at this high school event -- A Cutter’s Guardian Angel. The event was similar to a support group but with an educational piece. Shogren believed the teen would accept an invite from this board and probably speak. 708 Geneva Community Mental Health Board - 3- October 7, 2014 B. Fox River Consortium – Hamilton invited members to attend the Fox River Consortium scheduled for Sunday, October 12, 2014, 5:00 p.m. - 6:30 p.m. at Bethlehem Lutheran Church in St. Charles. 8. PUBLIC COMMENTS/MAIL A. Correspondence – None. 9. ADJOURNMENT The Geneva Mental Health Board was adjourned at_9:20 p.m. on motion by Goc, seconded by Goldstein. Motion carried unanimously. Recording Secretary, Celeste K. Weilandt