FINANCE COMMITTEE December 19, a.m. Mental Health Center Board Room AGENDA

Transcription

1 FINANCE COMMITTEE December 19, a.m. Mental Health Center Board Room Committee Chair: John Snider Committee Vice-Chair: Janet Thomas AGENDA 1) Call to Order 2) Approval of Minutes of November 16, 2018 (Previously Forwarded) Action 3) Items for Consideration A) Approval of Expenditures for November 2018 (Attachment #1) B) Interim Analysis of Expenditures (Attachment #2) Action Information C) D) E) F) G) H) I) J) Interim Analysis of Revenues (Attachment #3) Interim Balance Sheets of November 2018 (Attachment #4) HealthWest Expenditures Financial Statement (Attachment #5) HealthWest Finance Update Fees and Inpatient Summary (Attachment #6) HealthWest Budget Variance Analysis Report (Attachment #7) Year End Projection Trends (Attachment #8) Medicaid Eligibles Report (Attachment #9) Authorization to Sign Amendment #1 for the Contract between the LRE and HealthWest (Attachment #10) Main Office Information Information Information Information Information Information Information Action 376 E. Apple Ave. Muskegon, MI P (231) F (231) HealthWest.net

2 December 19, 2018 Page 2 of 2 K) Authorization to Sign Contract with Rehmann Robson for Consultation Services (Attachment #11) Action 4. Old Business 5. New Business 6. Communications 7. Director's Comments 8. Audience Participation 9. Adjournment /ab The County of Muskegon will provide necessary reasonable auxiliary aids and services, such as signers for the hearing impaired and audio tapes of printed materials being considered at the meeting, to individuals with disabilities who want to attend the meeting upon twenty-four hours notice to the County of Muskegon. Individuals with disabilities requiring auxiliary aids or services should contact the County of Muskegon by writing or calling the following: Administration, Hall of Justice, Fourth Floor, 990 Terrace Street, Muskegon, Michigan 49442, (231) TDD - (231)

3 HEALTHWEST FINANCE COMMITTEE MEETING MINUTES Friday, December 19, :00 a.m. Mental Health Center Board Room CALL TO ORDER The regular meeting of the Finance Committee was called to order by Chair Snider at 8:01 a.m. ROLL CALL Committee Members Present: Committee Members Excused: Add l Board Members Present: Marvin Engle, Charles Nash, John Snider, Janet Thomas, Dr. Remington Sprague, Jeff Fortenbacher None None Also Present: Brandy Carlson, Amber Berndt, Sam Wolff, Judy Cohen, Marcia Vandenberg, Julia Rupp Guests: None MINUTES It was moved by Commissioner Engle, seconded by Dr. Sprague, to approve the minutes of the November 16, 2018, meeting as written. MOTION CARRIED. ITEMS FOR CONSIDERATION A. Approval of Expenditures for November 2018 It was moved by Commissioner Engle, seconded by Mr. Fortenbacher, to approve the expenditures for the month ending November 30, 2018 in the total amount of $5,726, MOTION CARRIED. B. Interim Analysis of Expenditures Ms. Carlson presented the draft expenditures for the month of November 2018 noting that HealthWest is 5.5% under budget. C. Interim Analysis of Revenues Ms. Carlson presented the Interim Analysis of Revenues through November 30, Juvenile Justice Team funding is now billing for services provided and are we no longer being paid a flat rate. We will continue to monitor the effects of the billing change as time progresses. D. Interim Balance Sheets of November 2018 Ms. Carlson presented the Interim Balance Sheets of November 2018, noting that there was a negative cash balance of ($4,053,178.64) for Fund Fund 7930 has a positive cash balance of $507,

4 December 19, 2018 Page 2 of 3 E. HealthWest Expenditures Financial Statement Ms. Carlson presented the HealthWest Expenditure report for November 2018 which shows the estimated true variance to date of ($168,934). Expenditures are over budget to date. F. Finance Update Fees and Inpatient Summary The Substance Abuse Fee Report has negative variance of $23,190 through the month of November It should be noted that this variance report is based on the budget approved by the HealthWest Board during the month of May The Other Fees Report has a negative total variance of $646,208 through the month of November The variance report is based on the budget approved by the HealthWest Board during the month of May The Inpatient Summary Report indicates a positive variance to date of $31,310 for Community Inpatient, which is based on the budget approved by the HealthWest Board during the month of May G. Budget Variance Analysis Report Our projected budget variance, based on the budget approved by the HealthWest Board during the month of May 2018 is ($168,934). There are no contingencies at this time. That would leave us with a net variance of approximately ($168,934) after the first two months of the fiscal year. Due to the different periods of the budget year that these variances are calculated over, this would prorate out to a negative variance of approximately ($1,018,057) for the whole fiscal year. However, this figure does not really give us a true picture of where we stand as we are not able to use the different funding sources (i.e., State GF and Medicaid, etc.) to offset each other s shortfalls. Therefore, a truer picture would be as follows: Medicaid (Traditional) $49,817 Medicaid (Healthy Michigan) $(495,604) Medicaid (Autism) $9,293 State General Fund $(581,563) H. Month End Projection Trends Ms. Carlson presented the month-end projection trends for board member review. I. Medicaid Eligibles by Program Ms. Carlson presented the Medicaid Eligibles trends for HM, DAB, and TANF for board member review. J. Authorization to Sign Amendment #1 for the Contract between the LRE and HealthWest It was moved by Commissioner Engle, seconded by Ms. Thomas, to sign Amendment No.1 to the FY18 contract between the Lakeshore Regional Entity (PIHP) and HealthWest for the Medicaid Managed Specialty Supports and Services Concurrent 1915(b)/(c) Programs, the Healthy Michigan Program, and Substance Use Disorder Community Grant Programs, beginning October 1, 2017 through September 30, MOTION CARRIED.

5 December 19, 2018 Page 3 of 3 K. Authorization to Sign Contract with Rehmann Robson for Consultation Services It was moved by Dr. Sprague, seconded by Commissioner Engle, to authorize the HealthWest Director to sign a contract with Rehmann Robson for professional consultation services, effective December 1, 2018 through September 30, 2019, renewable annually, with an expected cost of $19, per year plus agreed upon out of pocket expenses. MOTION CARRIED. OLD BUSINESS Julia discussed Mr. Snider s participation at a past LRE meeting and how thankful she was for him speaking up despite his suggestions not being incorporated into the language of the letter that Mr. Stek sent out. NEW BUSINESS There was no new business. COMMUNICATIONS There was no communication. DIRECTOR S COMMENTS Julia informed the Board that she will not be present at Friday s meeting and also let the Board know that we have two new Board members who should be joining us Friday. Julia updated the Board on the rate setting done by the State, as well as the potential changes that may occur in February based on the actuary s suggestions. Last week Milliman gave the 298 Director s mock rates of what the 298 numbers might look like. They ve been asked to work with the CFOs to figure out if those rates will work. AUDIENCE PARTICIPATION There was no audience participation. ADJOURNMENT There being no further business to come before the committee, the meeting adjourned at 8:32 a.m. Respectfully, John Snider Committee Vice-Chair JS/ab PRELIMINARY MINUTES To be approved at the Finance Meeting of January 18, 2019

6 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION COMMITTEE Finance Committee REQUESTING DIVISION Administration BUDGETED NON BUDGETED PARTIALLY BUDGETED X REQUEST DATE December 19, 2018 REQUESTOR SIGNATURE Brandy Carlson, Chief Financial Officer SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES) Expenditures for the month of November totaled $5,726, Some unusual expenditures for the month include amounts of $8, to AJ Vallier for JTC painting, $3, to American Youth Foundation for parent leadership camps, $4, to BDO Seidman for audit services, $ to Brian Mendler for disruptive students seminar, $2, to CALL-211 for 2019 annual membership, $3, to Innovative Concepts for adaptive equipment, $17,293 to MACMHB for annual CMH dues, and $9, to Southern Computer Warehouse for laptop computers. SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to approve expenditures for the month ending November 30, 2018, in the total amount of $5,726, COMMITTEE DATE BOARD DATE COMMITTEE APPROVAL Yes No Other BOARD APPROVAL Yes No Other HWB 038-F

7 COMMUNITY MENTAL HEALTH INTERIM ANALYSIS OF EXPENDITURES November 30, 2018 APPROVED Y - T - D Y - T - D % OF BUDGET BUDGET EXPENDITURES UNEXPENDED UNDER (OVER) 1 DD Clinic - 56,693 (56,693) NA 2 Vocational Services 474,589 44, , Club Interactions 601,272 87, , Subtotal Skill Building 1,075, , ,576 (0.9) 4 DD Supports Coordination 5,695, ,475 5,027, High Intensity Supports Coordination 772, , , MI Adult Supports Coordination 4,591, ,666 4,186, Subtotal Supports Coord. 11,059,537 1,176,935 9,882, SUD Internal Services 850,783 96, , Juvenile Justice 253,755 82, ,527 (15.7) 9 Youth Community Based Services 2,082, ,009 1,820, Autism Program 3,831, ,172 3,433, MI Outpatient 625,828 40, , Transition Age Team 1,054, , , Nursing - 203,367 (203,367) NA 14 Psychiatry - 236,085 (236,085) NA 15 ACT 927, , , Home Based 1,092, , , Infant Mental Health HomeBased Team 689, , , DD Outpatient 1,151, ,531 1,008, Intake/Crisis Intervention 1,195, ,846 1,003, Assessment Intake 672, , ,396 (0.7) 21 Youth Outpatient 95,754 4,689 91, Subtotal Clinic Services 14,524,447 2,251,533 12,272, Kenneth L. Brinks Facility 2,019, ,045 1,753, Children's Waiver 210,000 16, , Subtotal Residential 2,229, ,629 1,946, CCBHC Grant - 2,118 (2,118) #N/A 25 Community Health Innovation - 25,096 (25,096) #N/A 26 Connecting Veterans-Musk Co Project 150,000 12, , Wraparound Services 445,606 54, , Court Collaboration 581,392 47, , HUD Supportive Housing Grant 119,403 25,744 93,659 (4.9) 30 HUD Supportive Housing Grant #2 17,283 4,688 12,595 (10.5) 31 HUD Supportive Housing Grant #3 20,500 6,348 14,152 (14.3) 32 HUD Supportive Housing Grant #4 23,688 4,798 18,890 (3.6) 33 Community Benefit/Prevention 342,851 53, , SAMHSA Ingtegrated Health Care 519,419 71, , Pre-lapse Study - 50 (50) NA 36 Systems of Care 1,327, ,931 1,075,036 (2.4) 37 Peer Support Services 233,198 19, , Integrated Health #3 150,622 58,357 92,266 (22.1) 39 Homeless Project 106,302 19,633 86,669 (1.8) Subtotal Other 4,038, ,844 3,379, Clerical Services - 87,048 (87,048) NA

8 ATTACHMENT #2 COMMUNITY MENTAL HEALTH INTERIM ANALYSIS OF EXPENDITURES November 30, 2018 APPROVED Y - T - D Y - T - D % OF BUDGET BUDGET EXPENDITURES UNEXPENDED UNDER (OVER) 41 SUD Services 4,011, ,074 3,571, Inpatient-MI Adult 1,937, ,147 1,790, Inpatient-MI Child 367,550 30, , MI Adult Vocational Services 50,264 2,418 47, DD Vocational Services 1,376, ,503 1,229, DD In Home Support Services 2,531, ,652 2,272, Consumer Run Program 154,900 18, , DD Respite 309,000 40, , Health Services 293,375 3, , MI Child Respite 14, , MI Adult Partial Hospitalization 69,100 4,368 64, MI Child Residential 25,133 20,525 4,608 (65.0) 53 DD Residential 15,838,330 1,028,630 14,809, MI Adult Residential 3,689, ,703 3,551, Utilization Management 321,863 44, , Network Development 52,627 8,055 44, IS Management 202,951 32, , QI & Training 295,873 25, , Managed Care Administration 1,642, ,265 1,326,005 (2.6) 60 Managed Care Finance 689, , , Customer Services 75,002 23,484 51,518 (14.6) 33,948,237 2,833,138 31,115, Grand Total $ 66,875,527 $ 7,479,412 $ 59,396,

9 COMMUNITY MENTAL HEALTH INTERIM ANALYSIS OF REVENUES November 30, 2018 APPROVED Y - T - D Y - T - D ADJUSTMENTS BUDGET AMOUNT EARNED AMOUNT REC'D SHORT (OVER) 1 DD Clinic - 56,693-56,693 2 Vocational Services 474,589 44,940 61,744 (16,804) 3 Club Interactions 601,272 87, ,537 (34,886) Subtotal Skill Building 1,075, , ,282 5,004 4 DD Supports Coordination 5,695, , , ,145 5 High Intensity Supports Coordination 772, ,794 55,958 47,836 6 MI Adult Supports Coordination 4,591, , , ,699 Subtotal Supports Coord. 11,059,537 1,176, , ,680 7 SUD Internal Services 850,783 96,486 27,918 68,568 8 Juvenile Justice 253,755 82,228 11,098 71,131 9 Youth Community Based Services 2,082, , , , Autism Program 3,831, , ,611 75, MI Outpatient 625,828 40,876 21,832 19, Transition Age Team 1,054, ,362 83,411 50, Nursing - 203, , Psychiatry - 236, , ACT 927, ,081 38,406 73, Home Based 1,092, , ,865 (40,656) 17 Infant Mental Health HomeBased Team 689, , ,466 (23,652) 18 DD Outpatient 1,151, ,531 28, , Intake/Crisis Intervention 1,195, ,846 90, , Assessment Intake 672, ,777 39,353 77, Youth Outpatient 95,754 4,689 4, Subtotal Clinic Services 14,524,447 2,251,533 1,066,581 1,184, Kenneth L. Brinks Facility 2,019, , , , Children's Waiver 210,000 16,585 8,999 7,586 Subtotal Residential 2,229, , , , CCBHC Grant 0 2, , Community Health Innovation - 25,096-25, Connecting Veterans-Musk Co Project 150,000 12,135-12, Wraparound Services 445,606 54,204 16,866 37, Court Collaboration 581,392 47,860 47, HUD Supportive Housing Grant 119,403 25, , HUD Supportive Housing Grant #2 17,283 4, , HUD Supportive Housing Grant #3 20,500 6,348-6, HUD Supportive Housing Grant #4 23,688 4, , Community Benefit/Prevention 342,851 53,423 17,822 35, SAMHSA Ingtegrated Health Care 519,419 71,504-71, Pre-lapse Study Systems of Care 1,327, ,931 65, , Peer Support Services 233,198 19, , Integrated Health #3 150,622 58,357 1,146 57, Homeless Project 106,302 19,633 4,790 14,843 Subtotal Other 4,038, , , , Clerical Services - 87,048-87,048

10 COMMUNITY MENTAL HEALTH INTERIM ANALYSIS OF REVENUES November 30, 2018 APPROVED Y - T - D Y - T - D ADJUSTMENTS BUDGET AMOUNT EARNED AMOUNT REC'D SHORT (OVER) 41 SUD Services 4,011, , ,048 (8,973) 42 Inpatient-MI Adult 1,937, , ,550 (126,403) 43 Inpatient-MI Child 367,550 30,673 82,105 (51,432) 44 MI Adult Vocational Services 50,264 2,418 1, DD Vocational Services 1,376, , ,455 (1,952) 46 DD In Home Support Services 2,531, , ,771 (10,119) 47 Consumer Run Program 154,900 18, , DD Respite 309,000 40,303 17,002 23, Health Services 293,375 3,041 4,465 (1,424) 50 MI Child Respite 14, (30) 51 MI Adult Partial Hospitalization 69,100 4,368 5,079 (711) 52 MI Child Residential 25,133 20,525 20, DD Residential 15,838,330 1,028,630 1,054,119 (25,489) 54 MI Adult Residential 3,689, , ,390 (158,687) 55 Utilization Management - 44,277-44, Network Development - 8,055-8, IS Management - 32,462-32, QI & Training - 25,746-25, Managed Care Administration 3,280, , ,071 (221,806) 60 Managed Care Finance - 103, , Customer Services - 23,484-23,484 33,948,237 2,833,138 3,160,099 (326,961) Grand Total $ 66,875,527 $ 7,479,412 $ 5,429,612 $ 2,049,800

11 CASH BALANCES IN THE TWO FUNDS FOR FY 2019 MENTAL HEALTH CMH CLIENT TOTAL ALL NOVEMBER, 2017 $314,829 $374,273 $689,102 DECEMBER, 2017 ($1,331,789) $341,700 ($990,088) JANUARY, 2018 ($1,127,170) $348,202 ($778,969) FEBRUARY, 2018 ($4,048,977) $370,189 ($3,678,788) MARCH, 2018 ($1,872,691) $367,424 ($1,505,267) APRIL, 2018 ($1,734,071) $359,606 ($1,374,465) MAY, 2018 ($2,739,415) $378,388 ($2,361,028) JUNE, 2018 ($3,478,654) $395,942 ($3,082,711) JULY, 2018 ($3,884,725) $361,561 ($3,523,164) AUGUST, 2018 ($2,395,472) $395,158 ($2,000,315) SEPT. PRELIM., 2018 ($4,035,328) $399,176 ($3,636,152) OCTOBER, 2018 ($1,107,022) $414,948 ($692,075) NOVEMBER, 2018 ($4,053,179) $507,033 ($3,546,146) 17-Dec-18 BC (Cash Balances in the Different Funds)

12 COMMUNITY MENTAL HEALTH INTERIM BALANCE SHEET 2220 MENTAL HEALTH November 30, 2018 ASSETS THIS YEAR LAST YEAR Cash $ (4,053,178.64) $ 443, Imprest Cash 2, , Due from Credit Cards (2,639.31) - Accounts Receivable-General Accounts Receivable-Accruals 1,520, ,268, Due From Other Funds 125, , Prepaid Expenses 13, , Due From State 120, Due From State-LRE (2,106,677.12) 760, Due From Other Units of Government 66, , Total Assets $ (4,312,834.87) $ 3,773, LIABILITIES AND EQUITY Accounts Payable $ 412, $ 1,055, Deferred Revenue (2,042,805.27) (1,928,722.82) Undistributed Receipts 33, , HAB Supports Waiver 645, , State Advance (135,087.93) 168, Capitation Medicaid (4,317,774.33) 971, Medicaid - B3 Services 4,574, ,310, Accrued Wages and Fringes 87, , Medicaid - Healthy Michigan (1,988,557.12) 98, Medicaid - Autism (165,904.26) (10,390.67) SA Federal Pass Thru (219,990.88) 107, SA State Plan Medicaid (1,003,114.55) 9, SA B3 Services (156,993.52) (8,054.48) SA Healthy Michigan (969,773.16) 8, SA State Disability Assistance 32, , SA PA2 Dollars 49, (115.43) Donations - Lilac St 50, , Fund Balance** $802, ,201, Total Liabilities and Equity $ (4,312,834.87) $ 3,773, Fund Balance at beginning of year - - General Fund Reserve 367, , Adult Benefit Waiver Reserve 740, , SOC Reserve 94, , **Total Fund Balance 1,201, ,201, Current period profit/(loss) (398,885.92) - Fund Balance at end of period $ 802, $ 1,201, Transferred to County Equipment Revolving Account for: Mental Health Center Building ( ) $2,541, $2,506, Future Equipment Purchases ( ) $281, $281,525.96

13 COMMUNITY MENTAL HEALTH INTERIM BALANCE SHEET 7930 CMH CLIENT FUNDS November 30, 2018 ASSETS THIS YEAR LAST YEAR Cash $ 507, $ 374, Imprest Cash $ 7, $ 9, Total Assets $ 514, $ 383, LIABILITIES AND EQUITY Accounts Payable $ - $ - Interest Payable $ $ Undistributed Receipts $ 514, $ 383, $ 514, $ 383,509.07

14 HEALTHWEST MEMORANDUM DATE: December 19, 2018 TO: FROM: SUBJECT: HealthWest Board Members Brandy Carlson Chief Financial Officer HealthWest Expenditure Report Attached is the expenditure report compared to the Budget for FY2019. This is based on the budget approved by the HealthWest Board during the month of May As you can see, expenditures are under the budget to date. The following is a brief explanation of the main variances. K. SUD CONTRACTUAL SERVICES Contracted SUD Services higher than anticipated. O. MI ADULT INPATIENT Expected surplus for MI Adult Inpatient placements through the month of November. P. MI CHILD INPATIENT Expected deficit for MI Child Inpatient placements through the month of November. Q. DD CLINIC Salary and fringe costs, supplies, and building repairs and maintenance costs higher than anticipated. T. DD SUPPORTS COORDINATION Costs attributed to nursing and psychiatry less than anticipated. V. MI ADULT SUPPORTS COORDINATION Costs attributed to nursing and psychiatry less than anticipated. Y. IN HOME SUPPORT SERVICES DD Community living supports costs higher than anticipated. DD. KK. QQ. SS.. YY. ZZ. JUVENILE JUSTICE TEAM Revenue from Family Court less than anticipated. There was a change in the billing methodology that as of right now, reduced the revenue. This should improve as the year moves on. PSYCHIATRY Salary and fringe costs higher than anticipated. INTAKE/CRISES INTERVENTION Salary and fringe costs higher than anticipated. MI PARTIAL HOSPITALIZATION Contractual services less than anticipated. DD RESIDENTIAL Specialized residential services through the month of October are less than anticipated. MI ADULT RESIDENTIAL - Specialized residential services through the month of October are less than anticipated. GGG. MANAGED CARE FINANCE Salary and fringe costs, and building repairs and maintenance costs higher than anticipated. BC/ab

15 BUDGET COMPARISON SUMMARY REPORT FOR PERIOD ENDING 11/30/18 AVERAGE CURRENT CURRENT EXPENDITURES DEPARTMENT ANNUAL MONTHLY MONTH YEAR-TO-DATE TO YEAR-TO-DATE NAME BUDGET BUDGET EXPENDITURES BUDGET DATE VARIANCES A CCBHC GGRANT $0 $0 $2,118 $0 $2,118 ($2,118) B. COMMUNITY HEALTH INNOVATION $0 $0 $16,955 $0 $25,096 ($25,096) C. CONNECTING VETERANS-MUSKEGON CO. PROJECT $150,000 $12,500 $8,129 $25,000 $12,135 $12,865 D. WRAPAROUND SERVICES $445,606 $37,134 $33,690 $74,268 $54,204 $20,064 E. COURT COLLABORATION $581,392 $48,449 $30,305 $96,898 $47,860 $49,038 F. HUD SUPPORTED HOUSING GRANT $119,403 $9,950 $8,246 $19,900 $25,744 ($5,844) G. HUD SUPPORTED HOUSING GRANT #2 $17,283 $1,440 $2,509 $2,880 $4,688 ($1,808) H. HUD SUPPORTED HOUSING GRANT #4 $23,688 $1,974 $1,374 $3,948 $4,798 ($850) I. HUD SUPPORTED HOUSING GRANT #3 $20,500 $1,708 $2,116 $3,416 $6,348 ($2,932) J. COMMUNITY BENEFIT/PREVENTION $342,851 $28,571 $35,601 $57,142 $53,423 $3,719 K. SUD CONTRACTUAL SERVICES $4,011,545 $334,295 $406,213 $668,590 $440,074 $228,516 L. SAMHSA INTEGRATED HEALTH CARE $519,419 $43,285 $52,669 $86,570 $71,504 $15,066 M. SUD INTERNAL SERVICES $850,783 $70,899 $57,413 $141,798 $96,486 $45,312 N. SYSTEM OF CARE GRANT $1,327,967 $110,664 $155,589 $221,328 $252,931 ($31,603) O. MI ADULT INPATIENT $1,937,464 $161,455 $97,074 $322,910 $147,147 $175,763 P. MI CHILD INPATIENT $367,550 $30,629 $11,379 $61,258 $30,673 $30,585 Q. DD CLINIC $0 $0 $56,693 $0 $56,693 ($56,693) R. VOCATIONAL SERVICES $474,589 $39,549 $26,717 $79,098 $44,940 $34,158 S. CLUB INTERACTIONS $601,272 $50,106 $54,430 $100,212 $87,652 $12,560 T. DD SUPPORTS COORDINATION $5,695,341 $474,612 $359,275 $949,224 $667,475 $281,749 U. HIGH INTENSITY SUPPORTS COORDINATION $772,222 $64,352 $65,005 $128,704 $103,794 $24,910 V. MI ADULT SUPPORTS COORDINATION $4,591,974 $382,665 $228,743 $765,330 $405,666 $359,664 W. MI ADULT VOCATIONAL SERVICES $50,264 $4,189 $2,418 $8,378 $2,418 $5,960 X. DD VOCATIONAL SERVICES $1,376,052 $114,671 $146,503 $229,342 $146,503 $82,839 Y. IN HOME SUPPORT SERVICES $2,531,600 $210,967 $253,484 $421,934 $258,652 $163,282 Z. CONSUMER RUN PROGRAM $154,900 $12,908 $9,315 $25,816 $18,985 $6,831 AA. DD RESPITE $309,000 $25,750 $3,568 $51,500 $40,303 $11,197 BB. HEALTH SERVICES $293,375 $24,448 $2,258 $48,896 $3,041 $45,855 CC. MI CHILD RESPITE $14,000 $1,167 $200 $2,334 $200 $2,134 DD. JUVENILE JUSTICE TEAM $253,755 $21,146 $55,197 $42,292 $82,228 ($39,936) EE. PEER SUPPORT SERVICES $233,198 $19,433 $11,775 $38,866 $19,966 $18,901 FF. YOUTH COMMUNITY BASED SERVICES $2,082,600 $173,550 $168,622 $347,100 $262,009 $85,091 GG. AUTISM PROGRAM $3,831,614 $319,301 $258,944 $638,602 $398,172 $240,430 HH. MI OUTPATIENT $625,828 $52,152 $17,203 $104,304 $40,876 $63,428 II. TRANSITION AGE TEAM $1,054,905 $87,909 $89,869 $175,818 $134,362 $41,456 JJ. NURSING $0 $0 $203,367 $0 $203,367 ($203,367) KK. PSYCHIATRY $0 $0 $236,085 $0 $236,085 ($236,085) LL. ACT $927,913 $77,326 $72,833 $154,652 $112,081 $42,571 MM. HOME BASED $1,092,886 $91,074 $77,592 $182,148 $121,209 $60,939 NN. HOMELESS PROJECT $106,302 $8,859 $9,675 $17,718 $19,633 ($1,915) OO. INFANT M.H. HOME BASED TEAM $689,335 $57,445 $63,882 $114,890 $107,814 $7,076 PP. DD OUTPATIENT $1,151,783 $95,982 $94,931 $191,964 $143,531 $48,433 QQ. INTAKE/CRISES INTERVENTION $1,195,118 $99,593 $136,739 $199,186 $191,846 $7,340 RR. INTEGRATED HEALTH #3 $150,622 $12,552 $18,052 $25,104 $58,357 ($33,253) SS. MI ADULT PARTIAL HOSPITALIZATION $69,100 $5,758 $2,946 $11,516 $4,368 $7,148 TT. ASSESSMENT INTAKE $672,173 $56,014 $79,541 $112,028 $116,777 ($4,749) UU. YOUTH OUTPATIENT $95,754 $7,980 $0 $15,960 $4,689 $11,271 VV. BRINKS CRISES RESIDENTIAL $2,019,214 $168,268 $174,329 $336,536 $266,045 $70,491 WW. CHILDREN'S WAIVER SERVICES $210,000 $17,500 $16,585 $35,000 $16,585 $18,415 XX. MI CHILD RESIDENTIAL $25,133 $2,094 $19,220 $4,188 $20,525 ($16,337) YY. DD RESIDENTIAL $15,838,330 $1,319,861 $1,027,962 $2,639,722 $1,028,630 $1,611,092 ZZ. MI ADULT RESIDENTIAL $3,689,497 $307,458 $137,109 $614,916 $137,703 $477,213 AAA. CLERICAL SERVICES $0 $0 $124,001 $0 $87,048 ($87,048) BBB. UTILIZATION MANAGEMENT $321,863 $26,822 $40,656 $53,644 $44,277 $9,367 CCC. NETWORK DEVELOPMENT $52,627 $4,386 $11,436 $8,772 $8,055 $717 DDD. IS MANAGEMENT $202,951 $16,913 $35,961 $33,826 $32,462 $1,364 EEE. QI AND TRAINING $295,873 $24,656 $24,649 $49,312 $25,746 $23,566 FFF. MANAGED CARE ADMINISTRATION $1,642,270 $136,856 $277,981 $273,712 $316,265 ($42,553) GGG. MANAGED CARE FINANCE $689,841 $57,487 $92,451 $114,974 $103,625 $11,349 HHH. CUSTOMER SERVICES $75,002 $6,250 $16,653 $12,500 $23,484 ($10,984) GRAND TOTAL $66,875,527 $5,572,962 $5,726,239 $11,145,924 $7,479,372 $3,666, Dec-18 BC (Budget Comparison Summary) PAGE 1 OF 2

16 CURRENT EXPENDITURES ESTIMATED DEPARTMENT YEAR-TO-DATE TO YEAR-TO-DATE PAYROLL CONTRACTURAL/ TRUE NAME BUDGET DATE VARIANCES LAG BILLING LAG OTHER VARIANCE A CCBHC GRAT $0 $2,118 ($2,118) $0 $2,118 ($0) B. COMMUNITY HEALTH INNOVATION $0 $25,096 ($25,096) $0 $25,096 ($0) C. CONNECTING VETERANS-MUSKEGON CO. PROJECT $150,000 $12,135 $137,865 ($4,183) ($133,682) $0 D. WRAPAROUND SERVICES $445,606 $54,204 $391,402 ($12,637) ($378,765) ($0) E. COURT COLLABORATION $581,392 $47,860 $533,532 ($19,399) ($514,133) $0 F. HUD SUPPORTED HOUSING GRANT $119,403 $25,744 $93,659 ($93,659) $0 G. HUD SUPPORTED HOUSING GRANT #2 $17,283 $4,688 $12,595 ($12,595) ($0) H. HUD SUPPORTED HOUSING GRANT #4 $23,688 $4,798 $18,890 ($18,890) $0 I. HUD SUPPORTED HOUSING GRANT #3 $20,500 $6,348 $14,152 ($14,152) $0 J. COMMUNITY BENEFIT/PREVENTION $342,851 $53,423 $289,428 ($13,565) ($275,863) $0 K. SUD CONTRACTUAL SERVICES $4,011,545 $440,074 $3,571,471 ($3,783,029) ($211,558) L. SAMHSA INTEGRATED HEALTH CARE $519,419 $71,504 $447,915 ($24,751) ($423,164) $0 M. SUD INTERNAL SERVICES $850,783 $96,486 $754,297 ($27,177) ($727,120) $0 N. SYSTEM OF CARE GRANT $1,327,967 $252,931 $1,075,036 ($65,608) ($1,009,428) $0 O. MI ADULT INPATIENT $1,937,464 $147,147 $1,790,317 ($1,761,700) $28,617 P. MI CHILD INPATIENT $367,550 $30,673 $336,877 ($336,965) ($88) Q. DD CLINIC $0 $56,693 ($56,693) ($27,501) $31,845 ($52,349) R. VOCATIONAL SERVICES $474,589 $44,940 $429,649 ($19,829) ($409,819) $0 S. CLUB INTERACTIONS $601,272 $87,652 $513,620 ($22,828) ($490,792) $0 T. DD SUPPORTS COORDINATION $5,695,341 $667,475 $5,027,866 ($157,170) ($4,727,549) $143,147 U. HIGH INTENSITY SUPPORTS COORDINATION $772,222 $103,794 $668,428 ($28,341) ($640,087) $0 V. MI ADULT SUPPORTS COORDINATION $4,591,974 $405,666 $4,186,308 ($121,565) ($3,765,244) $299,499 W. MI ADULT VOCATIONAL SERVICES $50,264 $2,418 $47,846 ($47,846) ($0) X. DD VOCATIONAL SERVICES $1,376,052 $146,503 $1,229,549 ($1,229,549) $0 Y. IN HOME SUPPORT SERVICES $2,531,600 $258,652 $2,272,948 ($2,368,320) ($95,372) Z. CONSUMER RUN PROGRAM $154,900 $18,985 $135,915 ($135,915) ($0) AA. DD RESPITE $309,000 $40,303 $268,697 ($268,697) ($0) BB. HEALTH SERVICES $293,375 $3,041 $290,334 ($290,334) $0 CC. MI CHILD RESPITE $14,000 $200 $13,800 ($13,800) $0 DD. JUVENILE JUSTICE TEAM $253,755 $82,228 $171,527 ($26,673) ($210,337) ($65,484) EE. PEER SUPPORT SERVICES $233,198 $19,966 $213,233 ($8,286) ($204,946) $0 FF. YOUTH COMMUNITY BASED SERVICES $2,082,600 $262,009 $1,820,591 ($75,985) ($1,744,606) ($0) GG. AUTISM PROGRAM $3,831,614 $398,172 $3,433,442 ($73,001) ($3,360,441) ($0) HH. MI OUTPATIENT $625,828 $40,876 $584,952 ($18,915) ($566,038) ($0) II. TRANSITION AGE TEAM $1,054,905 $134,362 $920,543 ($41,198) ($879,345) $0 JJ. NURSING $0 $203,367 ($203,367) ($100,676) $304,043 $0 KK. PSYCHIATRY $0 $236,085 ($236,085) ($106,509) $289,912 ($52,682) LL. ACT $927,913 $112,081 $815,832 ($31,920) ($783,912) ($0) MM. HOME BASED $1,092,886 $121,209 $971,677 ($43,788) ($927,889) ($0) NN. HOMELESS PROJECT $106,302 $19,633 $86,669 ($2,977) ($83,692) ($0) OO. INFANT M.H. HOME BASED TEAM $689,335 $107,814 $581,521 ($28,492) ($553,029) ($0) PP. DD OUTPATIENT $1,151,783 $143,531 $1,008,252 ($48,024) ($960,228) $0 QQ. INTAKE/CRISES INTERVENTION $1,195,118 $191,846 $1,003,272 ($52,312) ($1,009,154) ($58,194) RR. INTEGRATED HEALTH #3 $150,622 $58,357 $92,266 ($7,063) ($85,202) $0 SS. MI ADULT PARTIAL HOSPITALIZATION $69,100 $4,368 $64,732 ($61,951) $2,781 TT. ASSESSMENT INTAKE $672,173 $116,777 $555,396 ($30,037) ($525,360) ($0) UU. YOUTH OUTPATIENT $95,754 $4,689 $91,065 ($5,144) ($85,921) ($0) VV. BRINKS CRISES RESIDENTIAL $2,019,214 $266,045 $1,753,169 ($84,411) ($1,668,758) $0 WW. CHILDREN'S WAIVER SERVICES $210,000 $16,585 $193,415 ($193,415) $0 XX. MI CHILD RESIDENTIAL $25,133 $20,525 $4,608 ($4,608) $0 YY. DD RESIDENTIAL $15,838,330 $1,028,630 $14,809,700 ($14,515,637) $294,063 ZZ. MI ADULT RESIDENTIAL $3,689,497 $137,703 $3,551,794 ($3,559,471) ($7,677) AAA. CLERICAL SERVICES $0 $87,048 ($87,048) ($51,320) $138,368 $0 BBB. UTILIZATION MANAGEMENT $321,863 $44,277 $277,586 ($20,086) ($257,500) $0 CCC. NETWORK DEVELOPMENT $52,627 $8,055 $44,572 ($8,913) ($35,659) ($0) DDD. IS MANAGEMENT $202,951 $32,462 $170,489 ($37,822) ($132,667) ($0) EEE. QI AND TRAINING $295,873 $25,746 $270,127 ($21,859) ($248,268) $0 FFF. MANAGED CARE ADMINISTRATION $1,642,270 $316,265 $1,326,005 ($52,960) ($1,273,045) ($0) GGG. MANAGED CARE FINANCE $689,841 $103,625 $586,216 ($62,411) ($579,574) ($55,768) HHH. CUSTOMER SERVICES $75,002 $23,484 $51,518 ($3,296) ($48,222) ($0) GRAND TOTAL $66,875,527 $7,479,372 $59,396,155 ($1,588,631) ($58,429,972) $791,382 $168, Dec-18 BC (Budget Comparison Summary) PAGE 2 OF 2

17 HEALTHWEST MEMORANDUM DATE: December 18, 2018 TO: FROM: SUBJECT: HealthWest Board Members Brandy Carlson, Chief Financial Officer Finance Update Fees and Inpatient Accounts 1. Substance Abuse Fees Report Below is a summary of the Substance Abuse Fee Report for revenues received through November It should be noted that this variance report is based on the budget approved by the HealthWest Board during the month of May Item Budget Actual Variance Federal Pass Thru 252, ,852 (60,034) State Plan Medicaid 292, ,113 1,030 B3 Services 683 1, Healthy Michigan 279, ,967 30,275 State Disability Assistance 4,588 4, PA 2 22,417 27,563 5,146 Total 852, ,159 (23,190) 2. All Other Fees Report Below is a summary of the Fee Report for revenues received through November It should be noted that this variance report is based on the budget approved by the HealthWest Board during the month of May Item Budget Actual Variance Medicaid-State Plan 3,826,236 3,242,023 (584,,213) HAB Supports Waiver 1,075,057 1,113,113 38,056 Medicaid b3 Services 2,749,456 2,875, ,179 Medicaid Healthy Michigan 700, ,579 (39,470) Autism 560, ,387 (125,388) Third Party Fees 61, (61,372) Total 8,972,945 8,326,737 (646,208)

18 Finance Update November 16, 2018 Page 2 of 2 3. Inpatient Summary Community Inpatient Variance to Date Days Used in November MI/IDD Adult 28, MI Child (88) 65 Partial Hosp. 2, , BC/ab

19 HEALTHWEST MEMORANDUM DATE: December 19, 2018 TO: FROM: SUBJECT: HealthWest Board Members Brandy Carlson Chief Financial Officer Budget Variance Analysis Report Attached is the Budget Variance Analysis Report for local programs for FY2019. Please be aware that this is based on the budget approved by the HealthWest Board during the month of May Following is a discussion of some of these variances: Fee Collections This area has a negative variance for the first two months of the fiscal year. There was an error in the revenue projection provided by the Lakeshore Regional Entity. This deficit will continue to grow as the fiscal year progresses. Total Salary & Fringe Variance This area has a positive variance for the first two months of the fiscal year. This positive variance should continue to increase as the fiscal year progresses. DD Residential This area has a positive variance for the first two months of the fiscal year. This positive variance should continue to increase as the fiscal year progresses. All Other Expenses This area has a negative variance after the first two months of the fiscal year. This is due to the State Medicaid Transfer Out recorded incorrectly. This negative variance will improve in the month of December. Our projected budget variance, based on the budget approved by the HealthWest Board during the month of May 2018 is a (168,934). There are no contingencies at this time. That would leave us with a net variance of approximately (168,934) after the first two months of the fiscal year. Due to the different periods of the budget year that these variances are calculated over, this would prorate out to a variance of approximately ($1,018,057) for the whole fiscal year. However, this figure does not really give us a true picture of where we stand as we are not able to use the different funding sources (i.e., State GF and Medicaid, etc.) to offset each other s shortfalls. Therefore, a truer picture would be as follows: BC/ab Medicaid (Traditional) 49,817 Medicaid (Healthy Michigan) (495,604) Medicaid (Autism) 9,293 State General Fund (581,563)

20 BUDGETED VARIANCE ANALYSIS REPORT FOR THE MONTH ENDING NOVEMBER 30, 2018 ITEM OCTOBER NOVEMBER DECEMBER JANUARY TOTALS REVENUES FEE COLLECTIONS * $42,100 ($688,309) ($646,208) OTHER REVENUES DIFFERENTIAL ($66,866) ($25,150) ($92,016) OTHER CMH BOARDS DIFFERENTIAL ** $0 $0 $0 OTHER ALLOCATION ADJUSTMENTS-STATE GRANT * $585 $586 $1,171 TOTAL REVENUES VARIANCE ($24,181) ($712,873) $0 $0 ($737,053) EXPENDITURES TOTAL SALARY & FRINGE VARIANCE * ($6,562) $138,537 $131,975 RENT AND O & M ADJUSTMENTS: O & M ADJUSTMENTS $31,092 ($36,214) ($5,122) RENTAL ADJUSTMENTS $28,911 $59,610 $88,521 NET BUILDING ADJUSTMENTS $60,003 $23,396 $0 $0 $83,399 OTHER PROFESSIONAL AND CONTRACTUAL SERVICES $42,347 $46,049 $88,396 HACKLEY HOSPITAL NORTHWOOD/WESTWOOD * $56,098 ($24,788) $31,310 MI ADULT RESIDENTIAL ** $0 ($7,677) ($7,677) SUPPLIES, EQUIP. UNDER $5000, & SOFTWARE ($3,475) $27,533 $24,058 TELEPHONE $1,560 ($1,782) ($222) ADVERTISING $0 ($546) ($546) GENERAL LIABILITY/INSURANCE COSTS *** $0 $0 $0 AUDITING & LEGAL COUNSEL ** $0 ($676) ($676) DD RESIDENTIAL ** $0 $294,063 $294,063 CONTRACTUAL SERVICES/DD CONTRACTS ** $0 $34,848 $34,848 TRANSPORTATION ** ($286) ($1,922) ($2,208) ADMINISTRATION EXPENSE * $4,785 ($1,408.75) $3,376 ALL OTHER EXPENSES $31,748 ($143,725) ($111,977) TOTAL OTHER $132,777 $219,969 $0 $0 $352,746 TOTAL EXPENDITURES VARIANCE $186,218 $381,902 $0 $0 $568,120 NET BUDGET VARIANCE $162,037 ($330,971) $0 $0 ($168,934) OTHER ANTICIPATED CONTINGENCIES EST. COST TOTAL CONTINGENCIES * $0 *THESE SIX VARIANCES SHOULD BE BASED ON 1ST 12 MONTHS ONLY. ($478,376) ($2,870,258) **THESE SIX VARIANCES SHOULD BE BASED ON LAST 12 MONTHS ONLY. $318,351 $1,910,103 ***THIS IS AN ANNUAL ADJUSTMENT $0 $0 ALL OTHERS SHOULD BE BASED ON 13 MONTHS. ($8,908) ($57,902) ($168,934) ($1,018,057) 17-Dec-18 BKC (Budget And Variances Analysis Report-FY 2019)

21 MONTH END PROJECTIONS OF DEFICITS/SURPLUSES BY FUND SOURCE FOR FY 2019 ITEM OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY STATE PLAN MA $574,138 ($88,381) HAB SUPPORTS WAIVER $31,109 $33,100 B3 SERVICES $367,300 $105,098 SUBTOTAL TRADITIONAL MEDICAID $972,547 $49,817 $0 $0 $0 HEALTHY MICHIGAN $174,517 ($495,604) AUTISM $254,015 $9,293 STATE GENERAL FUND $608,684 ($581,563) NET SURPLUS/(DEFICIT) $2,009,762 ($1,018,057) $0 $0 $0 OTHER FUNDING SOURCES * SUD REVENUES: -BLOCK GRANT $256,917 ($273,884) -SUD MEDICAID $246,546 ($217,184) -HEALTHY MICHIGAN $0 ($399,141) -DISABILITY ASSISTANCE $0 $0 -PA 2 $0 $164,788 SUBTOTAL SUD REVENUES $503,464 ($725,420) $0 $0 $0 *NOTE THAT WE CAN NOT USE THE SURPLUS IN ANY OF THESE FUNDING SOURCES TO COVER ANY OF THE SHORTAGES IN THE OTHER FUNDING AREAS 17-Dec-18 BC (Month End Projections by Fund Source)

22 60000 MUSKEGON MEDICAID ELIGIBLES Muskegon HM Muskegon DAB Muskegon TANF Oct-12 Mar-13 Aug-13 Jan-14 Jun-14 Nov-14 Apr-15 Sep-15 Feb-16 Jul-16 Dec-16 May-17 Oct-17 Mar-18 Aug-18

23 Medicaid Eligibles by County and Program Muskegon TANF Muskegon DAB Muskegon Healthy MI /17/2018

24 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION COMMITTEE Finance Committee REQUESTING DIVISION Administration BUDGETED NON BUDGETED PARTIALLY BUDGETED X REQUEST DATE December 19, 2018 REQUESTOR SIGNATURE Julia Rupp, Executive Director SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES) HealthWest Board authorization is requested to amend the contract between the Lakeshore Regional Entity (PIHP) and HealthWest for the Medicaid Managed Specialty Supports and Services Concurrent 1915(b)/(c) Programs, the Healthy Michigan Program, and Substance Use Disorder Community Grant Programs, for the period of October 1, 2017 through September 30, Amendment I Purpose: This amendment is for changes to the following: This amendment incorporates Exhibit H, Sub-Recipient Award into the boilerplate contract. SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Executive Director to sign Amendment No.1 to the FY18 contract between the Lakeshore Regional Entity (PIHP) and HealthWest for the Medicaid Managed Specialty Supports and Services Concurrent 1915(b)/(c) Programs, the Healthy Michigan Program, and Substance Use Disorder Community Grant Programs, beginning October 1, 2017 through September 30, COMMITTEE DATE BOARD DATE COMMITTEE APPROVAL Yes No Other BOARD APPROVAL Yes No Other HWB 039-F

25 EXHIBIT E SUBRECIPIENT: HEALTHWEST Federal ID number: LAKESHORE REGIONAL ENTITY SUB-RECIPIENT AWARD FY CFR (a)(1) Requirements for pass-through entities MEDICAID CFDA # [see Exhibit D, Funding, Methodology, and Payments sections and ] Awarded by: Michigan Department of Health $47,941,107 and Human Service HEALTHY MICHIGAN PLAN CFDA # [see Exhibit D, Funding, Methodology, and Payments sections ] Awarded by: Michigan Department of Health $5,856,386 and Human Service SUBSTANCE USE DISORDERS GRANT [see Exhibit D, Funding, Methodology, and Payments sections and ]: COMMUNITY GRANT CFDA # Award #2B08T PREVENTION CFDA # Award #2B08T PARTNERSHIP FOR SUCCESS CFDA # Award #5U79SP $1,202,714 N/A N/A $134,489 PUBLIC ACT 2 (PA2 LIQUOR TAX) FUNDS CFDA #N/A [ see Exhibit D, Funding, Methodology, and Payments section ] MI YOUTH TREATMENT IMPROVEMENT & OPIOID STATE TARGETED RESPONSE ENHANCEMENT (O-STR) GRANT CFDA # CFDA # Award #5H79TI Award #1H79TI $0 $305,775 STATE DISABILITY ASSISTANCE (SDA) FUNDS - CFDA #N/A $27,526 *Grant project descriptions for specialty grants will be provided under separate cover.

26 Amendment No. 1 to the Agreement Between Lakeshore Regional Entity And CMHSP For The Medicaid Managed Specialty Supports and Services Concurrent 1915(b)/(c) Waiver Program(s), the Healthy Michigan Program and Substance Use Disorder Community Grant Programs 1. Period of Agreement: This agreement shall commence on October 1, 2017 and continue through September 30, Period of Amendment: October 1, 2017 through September 30, Sub-Recipient Award: As detailed by 2 CFR , the LRE must communicate specific information to its subrecipients, as applicable. This includes but is not limited to the subrecipient s name and unique identifier, the amount of federal funds awarded to the subrecipient, the federal awarding agency, and the CFDA numbers for federal awards. This amendment incorporates specific information not otherwise found within the current agreement between the LRE and CMHSP. 4. Amendment Purpose: This amendment incorporates attachment H, Sub-Recipient Award into the boilerplate contract. 5. The Specific Changes are Identified Below: Addition of Exhibit H, Sub-Recipient Award into the boilerplate contract 6. Original Agreement Conditions It is understood and agreed that all other conditions of the original agreement remain the same. 7. Special Certification: The individuals signing this agreement certify by their signatures that they are authorized to sign this agreement on behalf of the organization specified. Signature Section: For the Lakeshore Regional Entity Greg Hofman, Interim CEO Date

27 PIHP/CMHSP Subcontract for Medicaid Managed Specialty Supports and Services Concurrent 1915(b)/(c) Waiver Program(s), the Healthy Michigan Program and Substance Use Disorder Community Grant Programs FY 2018 For the CONTRACTOR: Name (print) Title (print) Signature Date

28 COMMITTEE Finance Committee REQUESTING DIVISION Administration REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION BUDGETED NON BUDGETED PARTIALLY BUDGETED X REQUEST DATE December 19, 2018 REQUESTOR SIGNATURE Brandy Carlson, Chief Financial Officer SUMMARY OF REQUEST (GENERAL DESCRIPTION, FINANCING, OTHER OPERATIONAL IMPACT, POSSIBLE ALTERNATIVES) Authorization is requested for HealthWest to sign a contract with Rehmann Robson, 675 Robinson Road, Jackson, MI 49203, for professional consultation services to assist HealthWest with 298 technical support for fiscal year Rehmann Robson will provide the following services under this contract: 1) Technical assistance regarding rate setting processes. 2) Contract negotiation with Medicaid Health Plans. 3) Assistance with identifying and implementing changes to the various inputs and outputs to support 298 required financial reporting. 4) Other assistance as requested by the Executive Director. The total consultation services fees for the period of this contract will not exceed $19, without written approval by the HealthWest Executve Director. Rehman Robson will also bill HealthWest for out-of-pocket expenses, not to exceed $12.00 for lunches and the IRS allowable rate for mileage. Rehmann Robson s current hourly rates are shown below and will increase by 3% annually on January 1 st of each additional year. This contract will continue to renew until terminated in writing by either party or modified by either party with at least thirty (30) days notice. Staff Level Rate Principal $460 Senior Manager $360 Manager $255 Senior $180 Staff $155 SUGGESTED MOTION (STATE EXACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Director to sign a contract with Rehmann Robson for professional consultation services, effective December 1, 2018 through September 30, 2019, renewable annually, with an expected cost of $19, per year plus agreed upon out of pocket expenses. COMMITTEE DATE BOARD DATE COMMITTEE APPROVAL Yes No Other BOARD APPROVAL Yes No Other HWB 040-F