AGENDA. Agenda Item Discussion Motion/Action. 1. Call To Order & Roll Call. 2. Public Input (Maximum of 3 Minutes)

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1 AGENDA BAY ARENAC BEHAVIORAL HEALTH BOARD OF DIRECTORS FINANCE COMMITTEE MEETING Wednesday, March 13, 2019 at 5:00 pm Behavioral Health Center, Room 225, 201 Mulholland, Bay City, MI Committee Members: Present Excused Absent Present Excused Absent Richard Gromaski, Ch Patrick McFarland Thomas Ryder, V Ch Robert Pawlak, Ex Off John Andrus James Anderson, Ex Off Ernie Krygier Richard Byrne, Ex Off Robert Luce Others Present: BABH: Marci Rozek, Chris Pinter, and Joelin Hahn Legend: M-Motion; S-Support; MA- Motion Adopted; AB-Abstained Agenda Item Discussion Motion/Action 1. Call To Order & Roll Call 2. Public Input (Maximum of 3 Minutes) 3. Investment Earning Reports for February of ) M - S - MA Refer to full Board for information Contracts 4.1) Arenac Janitorial Services Bid Report 4.2) Finance March 2019 Contract List Unfinished Business 5.1) None 4.1) M - S - MA Receive the report 4.2) M - S - MA Refer to full Board for approval of the Finance March 2019 contract list

2 AGENDA BAY ARENAC BEHAVIORAL HEALTH BOARD OF DIRECTORS FINANCE COMMITTEE MEETING Wednesday, March 13, 2019 at 5:00 pm Behavioral Health Center, Room 225, 201 Mulholland, Bay City, MI Page 2 of 2 6. New Business 6.1) Arenac Opportunities, Inc. (AOI) Payback Update 6.2) Midstate Health Network (MSHN) Financial Results/Trends 6.3) Summary of Michigan Executive Budget Proposal for ) Commission on Accreditation of Rehabilitation Facilities (CARF) Update a) Orientation Meeting, Monday, March 18, 2019 at 9:00 am in 225 b) Exit Conference, Wednesday, March 20, 2019 at 2:00 pm in ) Strategic Initiatives Update & Leadership Dashboard Review 6.1) M - S - MA Receive the report 6.2) M - S - MA Receive the report 6.3) M - S - MA Receive the report 6.4) M - S - MA Receive the report 6.5) M - S - MA Receive the report 7. Adjournment M - S - pm MA

3 Bay-Arenac Behavioral Health Authority Estimated Cash and Investment Balances February 28, 2019 Balance February 1, ,186, Balance February 28, ,465, Average Daily Balance 4,064, Estimated Actual/Accrued Interest February , Effective Rate of Interest Earning February % Estimated Actual/Accrued Interest Fiscal Year to Date 23, Effective Rate of Interest Earning Fiscal Year to Date 1.25% Note: The Cash and Investment Balances exlcude Payroll and AP related Cash Accounts. Page 3 of 15

4 Cash Available - Operating Fund Rate Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Beg. Balance Operating Funds - Cash, Cash equivalents, Investments 3,186,356 5,983,324 6,383,453 5,466,960 5,069,055 5,618,332 5,118,384 4,647,780 5,020,038 4,760,723 4,159,611 4,483,480 Cash in 6,606,924 4,436,219 5,545,752 5,254,240 7,594,141 4,104,123 4,101,415 4,635,931 5,043,403 4,938,880 4,131,105 1,520,042 Cash out (3,809,956) (4,036,090) (6,462,245) (5,652,145) (7,044,865) (4,604,070) (4,572,020) (4,263,673) (5,302,718) (5,539,992) (3,807,236) (4,254,647) Ending Balance Operating Fund 5,983,324 6,383,453 5,466,960 5,069,055 5,618,332 5,118,384 4,647,780 5,020,038 4,760,723 4,159,611 4,483,480 1,748,874 Investments Money Markets 5,983,324 6,383,453 5,466,960 5,069,055 5,618,332 5,118,384 4,647,780 5,020,038 4,760,723 4,159,611 4,483,480 1,748, Total Operating Cash, Cash equivalents, Invested 5,983,324 6,383,453 5,466,960 5,069,055 5,618,332 5,118,384 4,647,780 5,020,038 4,760,723 4,159,611 4,483,480 1,748,874 Average Rate of Return General Funds 0.75% 0.80% 0.84% 0.86% 0.89% 0.90% 0.92% 1.20% 1.17% 1.15% 1.10% 1.08% 0.76% 0.71% 1.10% 1.10% 1.10% 1.10% 1.10% 1.20% 1.14% 1.10% 0.96% 1.00% average 4,014,143 4,633,928 4,738,057 4,774,834 4,859,184 4,882,748 4,863,167 5,020,038 4,890,380 4,646,791 4,605,963 4,034,545 Cash Available - Other Restricted Funds Rate Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Beg. Balance-Other Restricted Funds - Cash, Cash equivalents, Investments 706, , , , , , , , , , , ,258 Cash in , , , Cash out Ending Balance Other Restricted Funds 707, , , , , , , , , , , ,886 Investments Money Market 404, , , , , , , , , , , , % % % % 303, , % 304, , , , % 305, , % , , , ,926 Total Other Restricted Funds 707, , , , , , , , , , , ,886 Average Rate of Return Other Restricted Funds 0.89% 0.90% 0.91% 0.91% 0.92% 0.86% 0.87% 1.98% 2.00% 2.09% 2.14% 2.16% 0.95% 0.96% 0.96% 0.96% 0.96% 0.30% 0.96% 1.98% 2.03% 2.27% 2.27% 2.27% average 789, , , , , , , , , , , ,257 Total - Bal excludes payroll related cash accounts 6,690,591 7,091,064 6,175,937 5,778,390 6,328,097 5,828,580 5,359,833 5,732,725 5,475,613 4,875,175 5,199,738 2,465,761 Total Average Rate of Return 0.78% 0.81% 0.87% 0.91% 0.96% 0.90% 0.90% 1.32% 1.32% 1.32% 1.28% 1.24% Page 4 of 15

5 Bay Arenac Behavioral Health Report of Bid Opening March 13, 2019 I Description of Goods or Services Subject to the Request for Proposal: Janitorial services at the site located at 1000 W Cedar, Standish, MI II Date of Bid Opening: March 11, 2019 III IV Itemization of Proposals Received: Bidder Name Year One Year Two Year Three A2Z Cleaning 18, , , American Maintenance & Cleaning 21, , , Bay Area Professional Cleaning & Building Maitenance 28, , , DM Burr Group 19, , , Hi-Tech Building Services 13, , , Recommendation: Hi-Tech Building Services Page 5 of 15

6 Page 1 of 2 Bay-Arenac Behavioral Health Finance Committee Summary of Proposed Contracts March 2019 Old Rate New Rate Term Out Clause? Performance Issues? SECTION I. SERVICES PROVIDED BY OUTSIDE AGENCIES Clinical Services 1 M BHS ABA (Madison clinic) Add BCBA services and revised coding and fee structure eff 1/1/19: Initial assessment (approx 4 hours, 2x year) Functional Behavioral Analysis (FBA) - per 30m/ Now 15m unit code Adaptive Behavior Treatment (ABT) - first 30m/ Now 15m unit code Group ABT - per 30m/ Now 15m unit code ABT clinical observ & direction by ML/BL - first 30m/ Now 15m unit Family behavior treatment guidance m event/ Now 15m unit Multiple family behavior treatment guidance m/ Now 15m unit Adaptive behavior treatment group m/ Now 15m unit Exposure ABT requiring 2+ techs - first 60m/ Now 15m unit Exposure ABT requiring 2+ techs - addtl 30m/ Now 15m unit (eff 1/1/19) $384 ML, $272 BL $24 ML, $17 BL $12 ML+BL, $9.90 AL $3.43 ML+BL, $2.50 AL $24 ML, $17 BL $24 ML, $17 BL $14.40 ML, $10.20 BL $10.29 ML, $7.29 BL $24 ML+BL, $20 AL $24 ML+BL, $20 AL (State rates eff 4/1/19) $480 ML, $340 BL $30 ML, $21.25 BL $15 ML+BL, $12.50 AL $4.29 ML+BL, $3.93 AL $30 ML, $21.25 BL $30 ML, $21.25 BL $18.00 ML, $12.75 BL $12.86 ML, $9.11 BL $30 ML+BL, $25 AL $30 ML+BL, $25 AL 4/1/19-9/30/19* Y Low ML = Masters level BL = Bachelors level AL = Aide level ML = Masters level BL = Bachelors level AL = Aide level 2 M Mercy Plus Home Health Care Add speech services for children in Arenac Co: Speech Evaluation Speech Evaluation w language comprehension Speech Individual Therapy Therapy for function of swallowing $165/event $200/event $88/event $95/event 4/1/19-9/30/19 Y Low 3 M MCSI - CLS CLS per diems for 3 individuals $4.67/unit $216.00/day $176.50/day 2/1/19-9/30/19 Y Low 4 ES Training & Treatment Innovations (TTI) 3/1/19-9/30/20 Y N Services to 2 COFR consumers: Case Mgt Med Reviews (level 3) Nursing Assessment Nursing Services Psych Evaluation Assessmetn by non-physician Treatment Plan Behavior Treatment monitoring Supported employment $78.00/unit $60.00/event $67.00/event $67.00/unit $195.00/event $125.46/event $75.00/event $68.00/event n/a $81.00/unit $65.00/event $75.00/event $75.00/unit $200.00/event $130.00/event $81.00/event $80.00/event $5.14/unit (coaching) $10.89/unit (development) 5 T Turning Leaf Behavioral Health Services (Lansing, MI) Termination of 1 consumer in specialized residential treatment $291.63/day Effective 2/22/19 Y N Page 6 of 15

7 Page 2 of 2 Admin/Other Services 6 T A2Z Cleaning Old Rate New Rate Term Out Clause? Performance Issues? Janitorial services, Arenac Center $16,080/year $0 Effective 3/31/19 Y N 7 N Hi-Tec Building Services Janitorial services, Arenac Center - Year 1 - Year 2 - Year 3 N/A $13,080/year $13,500/year $13,920/year 4/1/19-3/31/22 Y N/A 8 N Hospital Network Healthcare Services Medical waste pickup $120/pickup 4/1/19-3/31/20 Y N/A 7 N Walden University (Minneapolis, MN) Field Site Affiliation Agreement (NP working under Dr. Smith) No cost 5/1/19-8/31/19 Y N/A SECTION III. STATE OF MICHIGAN OR MSHN GRANT CONTRACTS 10 S MSHN: PFS II Grant SUD Prevention grant $155,045 same 10/1/18-9/30/19 Y N SECTION IV. MISC PURCHASES REQUIRING BOARD APPROVAL 11 D Brown & Brown of Michigan/Accident Fund Workers comp insurance, 2018 audited $124,783 $119,251 1/1/18-1/1/19 N/A N 12 R Opportunity Center Walk a Mile t-shirts and transportation costs $3,000 $3,500 5/9/2019 N/A N R = Renewal with rate increase since previous contract D = Renewal with rate decrease since previous contract S = Renewal with same rate as previous contract ES = Extension M = Modification N = New Contract/Provider NC = New Consumer T = Termination Footnotes: * Previous contract term per December 2018 Contract List was 12/22/18-4/30/19. Bay Human Services is opening their own ABA Clinic 4/1/19. At the time children begin receiving services at the BHS clinic, BHS will be paid at the new rates listed above. In the event a child receives services outside of the BABH clinic and supervision is provided by BHS prior to this date, BHS will be paid at these new rates. Page 7 of 15

8 Mid-State Health Network FY2018 Savings Summary based on Final Financial Status Report CMHSP Medicaid Contribution to (Use of) Savings Autism Contribution to (Use of) Savings HMP Contribution to (Use of) Savings Total Contribution to (Use of) Savings Bay-Arenac 1,456,368 (586,471) (838,242) 31,656 CEI 4,277, , ,804 5,600,431 Central Michigan (213,481) 1,661,781 (543,806) 904,494 Gratiot (203,733) 146,158 (308,985) (366,559) Huron 393,168 (162,612) (469,268) (238,713) The Right Door 1,508,726 4,163 (616,608) 896,281 LifeWays 2,156,413 2,495,929 (1,876,961) 2,775,380 Montcalm 1,462, ,718 (383,585) 1,682,553 Newaygo 1,251,467 (34,191) (108,348) 1,108,927 Saginaw 1,612,813 (1,203,633) (1,481,604) (1,072,423) Shiawassee 211, , , ,457 Tuscola 963,749 (134,236) 158, ,487 SUD Services 579,950 - (421,587) 158,363 MSHN Administration 10,899, ,545 11,299,493 Total 26,357,000 3,659,285 (5,793,457) 24,222,828 Supplemental payment is reported in MSHN Administration Page 8 of 15

9 Mid-State Health Network Comparison of Expenses by Fiscal Year per Final Financial Status Report Medicaid Expenses (excludes autism for comparison purposes) FY15 FY16 FY17 FY18 $ Change FY15 to FY18 Bay-Arenac 36,777,084 35,031,141 36,274,460 37,942,126 1,667, % 3.17% CEI 76,864,793 77,289,414 83,074,930 85,915,588 2,840, % 11.77% Central Michigan 73,646,341 71,600,335 75,446,287 80,588,336 5,142, % 9.43% Gratiot 9,133,211 9,026,831 9,869,851 11,299,334 1,429, % 23.72% Huron 7,858,499 7,636,038 8,258,996 8,551, , % 8.82% The Right Door 9,878,561 9,502,593 10,168,045 10,838, , % 9.72% Lifeways 49,066,987 51,837,053 50,826,707 52,573,622 1,746, % 7.15% Montcalm 11,509,562 11,522,495 12,352,668 13,242, , % 15.06% Newaygo 9,021,310 9,295,600 10,050,861 11,178,016 1,127, % 23.91% Saginaw 51,411,277 55,828,611 58,716,579 59,468, , % 15.67% Shiawassee 14,736,260 15,377,847 15,190,032 16,779,344 1,589, % 13.86% Tuscola 13,975,380 14,350,566 15,080,757 15,094,140 13, % 8.01% Total 363,879, ,298, ,310, ,472,114 18,161, % 10.88% Healthy Michigan Plan Expenses FY15 FY16 FY17 FY18 $ Change FY15 to FY18 Bay-Arenac 2,921,783 3,267,821 3,527,316 4,015, , % 37.42% CEI 4,496,799 6,410,880 10,231,054 10,733, , % % Central Michigan 5,065,409 6,307,888 7,126,956 7,310, , % 44.32% Gratiot 923,472 1,113, ,158 1,270, , % 37.56% Huron 734,427 1,107,165 1,171,447 1,156,899 (14,548) -1.24% 57.52% The Right Door 671, , ,968 1,900, , % % Lifeways 4,770,517 4,997,136 5,791,444 6,794,974 1,003, % 42.44% Montcalm 1,354,721 1,821,075 2,168,051 1,993,236 (174,815) -8.06% 47.13% Newaygo 1,243,796 1,236,598 1,255,091 1,448, , % 16.49% Saginaw 3,735,186 4,475,803 6,140,410 7,149,787 1,009, % 91.42% Shiawassee 1,167,270 1,268,947 1,497,026 1,424,923 (72,103) -4.82% 22.07% Tuscola 1,034,908 1,009,362 1,251,441 1,303,762 52, % 25.98% Total 28,119,291 33,751,477 42,091,362 46,501,606 4,410, % 65.37% Page 9 of 15

10 Mid-State Health Network Comparison of Expenses by Fiscal Year per Final Financial Status Report FY16* FY17 FY18 $ Change FY16 to FY18 Bay-Arenac 1,262,684 2,876,151 4,103,585 1,227, % % CEI 4,195,547 6,343,308 7,632,417 1,289, % 81.92% Central Michigan 1,048,722 1,894,730 3,196,148 1,301, % % Gratiot 572, ,048 1,403, , % % Huron 112, , , , % % The Right Door 442, , , , % 93.14% Lifeways 1,660,361 2,975,431 3,915, , % % Montcalm 233, , , , % % Newaygo 222, , , , % % Saginaw 4,630,628 5,031,867 7,797,757 2,765, % 68.40% Shiawassee 668, ,812 1,010, , % 51.24% Tuscola 323, ,040 1,279, , % % Total 15,374,514 23,150,845 33,287,226 10,136, % % *FY16 was expansion year for autism services Autism Expenses Total Expenses FY15 FY16* FY17 FY18 $ Change FY15 to FY18 Bay-Arenac 39,698,867 39,561,646 42,677,927 46,060,739 3,382, % 16.03% CEI 81,361,592 87,895,841 99,649, ,281,344 4,632, % 28.17% Central Michigan 78,711,750 78,956,945 84,467,973 91,094,961 6,626, % 15.73% Gratiot 10,056,683 10,713,020 11,637,057 13,973,004 2,335, % 38.94% Huron 8,592,926 8,855,669 9,610,367 10,245, , % 19.23% The Right Door 10,549,564 10,681,108 11,824,522 13,594,319 1,769, % 28.86% Lifeways 53,837,504 58,494,550 59,593,582 63,283,639 3,690, % 17.55% Montcalm 12,864,283 13,577,093 14,790,432 16,181,352 1,390, % 25.79% Newaygo 10,265,106 10,755,191 11,727,264 13,237,428 1,510, % 28.96% Saginaw 55,146,464 64,935,042 69,888,856 74,416,229 4,527, % 34.94% Shiawassee 15,903,531 17,314,817 17,489,870 19,214,590 1,724, % 20.82% Tuscola 15,010,288 15,683,593 17,195,238 17,677, , % 17.77% Total 391,998, ,424, ,552, ,260,946 32,708, % 23.28% Page 10 of 15 13

11 FY20 Executive Budget Proposal Specific Mental Health/Substance Abuse Services Line items FY 18 (final) FY 19 (final) FY 20 (executive budget) -CMH Non-Medicaid services $120,050,400 $125,578,200 $125,578,200 -Medicaid Mental Health Services $2,315,608,800 $2,319,029,300 $2,478,086,100 -Medicaid Substance Abuse services $52,408,500 $67,640,500 $66,200,100 -State disability assistance program $2,018,800 $2,018,800 $2,018,800 -Community substance abuse $76,530,000 $76,956,200 $107,754,700 (Prevention, education, and treatment programs) -Children s Waiver Home Care Program $20,241,100 $20,241,100 $20,241,100 -Autism services $105,097,300 $192,890,700 $221,718,600 -Healthy MI Plan (Behavioral health) $288,655,200 $299,439,000 $346,548,100 Other Highlights of the FY20 Executive Budget: $10.0 million for Healthy Michigan Plan (HMP) work supports (general fund) to ensure that HMP beneficiaries impacted by new work requirements have access to needed employment supports and to provide resources to the department to help beneficiaries address the new requirements. $2.2 million for the Center for Forensic Psychiatry (general fund) to meet the growing demand for forensic evaluations and restoration treatment for adults deemed incompetent to stand trial and reduce current wait lists for these services. On a typical day, roughly 115 defendants wait in jail or while released on bond for an available bed to receive services to restore their competency. The wait lists strain local jails that are sometimes forced to provide behavioral health services to these defendants. $75.1 million for the Healthy Michigan Plan (general fund). The Executive Budget fully supports the health coverage needs of enrollees in the Healthy Michigan Plan and includes funding to cover increased state match requirements, which will move from 7 percent to a permanent rate of 10 percent starting in January The Administration is committed to working with the Legislature to make improvements Page 11 of 15

12 to current work requirement provisions scheduled to become effective in 2020 in order to support and encourage work for enrollees while simplifying procedures and reducing compliance burdens. $74.4 million to meet state match requirements within traditional Medicaid and Children s Health Insurance Program (CHIP) (general fund). Annual federal adjustments in Michigan s share for Medicaid expenditures will increase state Medicaid costs, while a more significant state cost in CHIP is recognized due to enhanced federal matching funds expiring in fiscal year 2020 and fiscal year $7.0 million for the State Innovation Model (SIM) (general fund). One-time funding will continue support for five Community Health Innovation Regions (CHIRs) initially developed under the federal SIM grant which expires in January Each CHIR provides a community-based structure for engaging critical community partners in identifying and addressing local health challenges with the goal of reducing intensive use of medical and social services. This bridge funding will maintain the CHIR infrastructure established with federal grant funds while an evaluation of the model is completed. Boilerplate Sections Included: Section 298 retains language from FY19. Section 928 retains local match draw down requirement from past years. Section 924 Autism Reimbursement Limit From the funds appropriated in part 1 for autism services, for the purposes of actuarially sound rate certification and approval for Medicaid behavioral health managed care programs, the department shall maintain a fee schedule for autism services reimbursement rates for direct services. Expenditures used for rate setting shall not exceed those identified in the fee schedule. The rates for behavioral technicians shall be maintained at the hourly rate in place in the previous fiscal year. Section 961 department shall allocate $150,000 to administer an electronic inpatient psychiatric bed registry consistent with the requirements in section 151 of the 19 mental health code, 1974 PA 258, MCL Section 1009 Direct Care Workers From the funds appropriated in part 1 for Medicaid mental health services and Healthy Michigan plan - behavioral health, the department shall maintain the hourly wage for direct care workers from the previous fiscal year. Section 1010 Court Ordered Treatment From the funds appropriated in part 1 for behavioral health program administration, up to $2,000, shall be allocated to address the implementation of court-ordered assisted outpatient treatment as provided under chapter 4 of the mental health code, 1974 PA 258, MCL to Page 12 of 15

13 Boilerplate Sections NOT included in Executive Recommendation: Removed: Section 925 Non-Medicaid Dollars From the funds appropriated in part 1 for community mental health non-medicaid services, each CMHSP is allocated not less than the amount allocated to that CMHSP during the previous fiscal year. Removed: Section 959 Medicaid Autism Benefit Cost Containment The department shall establish a workgroup in collaboration with the chairs of the house and senate appropriations subcommittees on the DHHS budget or their designees, CMHSP members, autism service provider clinical and administrative staff, community members, Medicaid autism services clients, and family members to make recommendations to ensure appropriate cost and service provision, including but not limited to, the following: a. Ways to prevent fraud and overdiagnosis. b. Comparison of Medicaid rates for autism services to commercial insurance rates. c. Comparison of diagnosis process between Medicaid, Tricare, and commercial insurance. (2) By March 1 of the current fiscal year, the department shall provide the workgroup s recommendations to the senate and house DHHS subcommittees, the house and senate fiscal agencies, and the state budget office. Removed: Section1696 NEW Language Traditional Medicaid to HMP Migration Restriction It is the intent of the legislature that, beginning in the fiscal year beginning October 1, 2019, if an applicant for Medicaid coverage through the Healthy Michigan Plan received medical coverage in the previous fiscal year through traditional Medicaid, and is still eligible for coverage through traditional Medicaid, the applicant is not eligible to receive coverage through the Healthy Michigan Plan. Page 13 of 15

14 Leadership Dashboard Bay-Arenac Behavioral Health Indicators for Finance Committee Number of Days of Operations Unrestricted fund balance Updated 2/12/2019 Through FY19Q1 Updated 2/12/2019 Through FY19Q Number of Days of Operations Linear (Number of Days of Operations ) Unrestricted fund balance Linear (Unrestricted fund balance) Total daily expenditures Notes: Notes: Page 14 of 15

15 Leadership Dashboard Bay-Arenac Behavioral Health Updated 2/12/2019 Through FY19Q1 Updated 2/12/2019 Through FY19Q1 Updated 2/12/2019 Through FY19Q1 2,000 1,000 0 GF Revenue in Thousands GF Expense in Thousands Linear (GF Expense in Thousands) Revenue vs Funds Expended by Fund Source Per Quarter in Thousands (GF, Medicaid, Healthy MI) - Accumulative 2,000 1,000 0 Healthy MI Revenue in Thousands Healthy MI Expense in Thousands Linear (Healthy MI Expense in Thousands) 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 Medicaid Revenue in Thousands Medicaid Expense in Thousands Linear (Medicaid Expense in Thousands) Notes: Notes: FY18: MDHN eliminated benefit stabilization Notes: Page 15 of 15

AGENDA. Ernie Krygier Richard Byrne, Ex Off Legend: M-Motion; S-Support; MA- Motion Adopted; AB-Abstained. Agenda Item Discussion Motion/Action

AGENDA. Ernie Krygier Richard Byrne, Ex Off Legend: M-Motion; S-Support; MA- Motion Adopted; AB-Abstained. Agenda Item Discussion Motion/Action AGENDA BAY ARENAC BEHAVIORAL HEALTH BOARD OF DIRECTORS FINANCE COMMITTEE MEETING Wednesday, December 12, 2018 at 5:00 pm Behavioral Health Center, Room 225, 201 Mulholland, Bay City, MI 48708 Committee