Agenda. Janet Thomas, Board Chair, via Julia Rupp, Executive Director. March 22, :00 AM Mental Health Center, Board Room B

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Agenda TO: FROM: SUBJECT: HealthWest Board Members Janet Thomas, Board Chair, via Julia Rupp, Executive Director Full Board Meeting March 22, 2019 8:00 AM Mental Health Center, Board Room B 1) Call

1 Agenda TO: FROM: SUBJECT: HealthWest Board Members Janet Thomas, Board Chair, via Julia Rupp, Executive Director Full Board Meeting March 22, :00 AM Mental Health Center, Board Room B 1) Call to Order 2) Approval of Minutes of February 22, 2019 (Previously Forwarded) 3) Committee Reports A) Finance Update from Ms. Carlson Information 5) Items for Consideration A) Authorization to Approve Expenditures for February 2019 (Attachment #1) B) Authorization to Sign Purchase of Service Agreement with TBD Solutions for 298 Pilot Assistance (Attachment #2) C) Authorization to Sign a Purchase of Service Agreement with Thomas A. Best (Attachment #3) D) Authorization to Extend the SUD Contract with Muskegon Family Care (Attachment #4) E) Authorization to Sign a Contract with the Association for Children s Mental Health (Attachment #5) F) Authorization to Amend the FY19 Budget (Attachment #6) G) Authorization to Increase Previously Approved Vehicle Motion for Two (2) Ford Passenger Vans (Attachment #7) Main Office 376 E. Apple Ave. Muskegon, MI P (231) F (231) HealthWest.net

2 March 22, 2019 Page 2 of 2 6) Old Business 7) New Business 8) Communication A) Director s Report Information 9) Audience Participation 10) Adjournment /ab c: County Administration The County of Muskegon will provide necessary reasonable auxiliary aides 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 24-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 Administration, Hall of Justice, Fourth Floor, 990 Terrace Street, Muskegon, MI (231/ TDD-231/ ).

3 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION Administration March 15, 2019 Brandy Carlson, Chief Financial Officer Expenditures for the month of February totaled $ 6,089, Some unusual expenditures for the month include amounts of $14, to BDO for audit services, $ to Clubhouse International for annual clubhouse dues, $ to Netsmart Technologies for annual OrderConnect fees, $8, to SEHI computers for laptops and docking stations, $100, to State of Michigan for FY19 interagency cash transfer agreement and 6 months of DHHS contract, and $22, to Grand Rapids Red Project for 2 months of overdose prevention training. SUGGESTED MOTION (STATE EACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to approve expenditures for the month ending February 28, 2019, in the total amount of $6,089, DATE APPROVAL HWB 078-F

4 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION Network Management March 15, 2019 Adam N. Burger, Grants & Contracts Manager HealthWest Board authorization is requested to enter into a purchase of service agreement with TBD Solutions LLC at 4633 Patterson Avenue, Suite D, Kentwood, MI for TBD Solutions to provide support in completion of the 298 Pilot by assisting with the following: 1. Facilitate and contribute to care integration dialogs between HealthWest and health plans, lending expertise regarding the state and national system. 2. Provide research and analysis to assist HealthWest in communications with health plans, development of models, and/or responses to Michigan Department of Health and Human Services Requests for Information as necessary. 3. Provide project management, documentation or other activities as requested. Effective date: January 1, 2019 through September 30, SUGGESTED MOTION (STATE EACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with TBD Solutions LLC in the amount of $150 per consultant hour (plus all applicable expenses) with a cap of $25,000 effective January 1, 2019 through September 30, 2019 for ongoing consultation and assistance with the 298 Pilot project. DATE APPROVAL HWB 079-F

5 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION Network Management March 15, 2019 Adam N. Burger, Grants and Contracts Manager HealthWest Board authorization is requested to enter into a purchase of service agreement with Thomas A. Best, located at 7121 S. Walker, Spring Lake, MI 49456, to provide assistance with finance and accounting that will include, but is not limited to, the following areas: 1. Review and/or completion of Monthly Journal Entries. 2. Update of the Program Budget Report. 3. Update of the Calculation Report for the Executive Director. 4. Other duties as requested by the Executive Director/Designee. Due to the vast evolution of the Chief Financial Officer position and the financial needs HealthWest is facing, additional support is needed. Some examples of additional requirements today versus a year ago are the cash flow issues, the implementation of the Electronic Health Record, Beacon Health Options with the LRE, and the 298 Pilot. Tom Best has immense knowledge of the Community Mental Health system and would be an asset to HealthWest to get through these large financial changes. The implementation of the Electronic Health Record, Beacon, and 298 should be all live by October 1, Therefore, this contract is currently only until September 30, An extension will be reviewed prior to September 30 th based on the progress of these projects. SUGGESTED MOTION (STATE EACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Executive Director (or designee) to sign a purchase of service agreement with the Thomas A. Best at $ per hour starting April 1, 2019 through September 30, The total cost of this timeframe will not exceed $45, DATE APPROVAL HWB 080-F

6 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION Network Management March 15, 2019 Adam N. Burger, Provider Network Manager Authorization is requested for HealthWest to continue contracts with MUSKEGON FAMILY CARE located at 2201 S. Getty Street, Muskegon Heights, MI 49444, to provide Substance Use Disorder Services for fiscal year 2018/2019. The original projected expenditure for this fiscal year was $67,000, however, the current expenditure for this service is approximately $17,260 per month. We are requesting an additional $140,120 to match the current service utilization and overall monthly averaged cost. SUGGESTED MOTION (STATE EACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Executive Director (or designee) to approve an increased budget for MUSKEGON FAMILY CARE to continue providing SUD Outpatient Services for an additional $140,120 for the remainder of this fiscal year ending September 30, 2019 for a total cap of $207,120. DATE APPROVAL HWB 081-F

7 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION Finance Development March 15, 2019 Brandy Carlson, Chief Finance Officer HealthWest Board authorization is requested to contract with ACMH (Association for Children s Mental Health) (6017 W St Joseph Hwy # 200, Lansing, MI 48917), effective April 1, 2019 through September 30, 2019, to be funded through the System of Care Grant. ACMH will work with Lead Family Contact and parent leaders to increase capacity for parent engagement efforts up to $ (2) 1/2 Day Leadership Camp prep, planning and facilitation - $3,200 Consultation - $1,200 (2) Partial Day Parent Trainings with prep - $2,200 SUGGESTED MOTION (STATE EACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to authorize the HealthWest Executive Director to sign a contract with ACMH to provide parent leadership camp and parent engagement training and consultation effective April 1, 2019 through September 30, 2019 at $6, to be funded through the Systems of Care Grant. DATE APPROVAL HWB 082-F

8 REQUEST FOR HEALTHWEST BOARD CONSIDERATION AND AUTHORIZATION Administration March 22, 2019 Brandy Carlson, Chief Finance Officer HealthWest Board approval is requested to amend the Mental Health FY2019 Budget proposed to the County of Muskegon from $66,276, to $68,441, for both revenues and expenditures. Information sheets are attached showing where revenue and expenditures have changed from the current approved County budget to the new proposed County budget for FY2019. As you can see, revenues and expenditures equal each other in this budget amendment. A recap of the changes being requested is shown below. Current Budget New Proposed Budget Change Revenues $66,276, $68,441, $2,165, Expenditures $66,276, $68,441, $2,165, Difference $0 $0 $0 The reason for the increase in the budget is due to additional grant funding and miscellaneous reimbursements. HealthWest has one new grant opportunity with CCBHC in the amount of $2,000, for FY2019. HealthWest has also received additional funding for the Community Health Innovation and Pre- Lapse Study in the amount of $165, SUGGESTED MOTION (STATE EACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to amend the Mental Health FY2019 Budget proposed to the County of Muskegon from $66,276, up to $68,441, for both revenues and expenditures. DATE APPROVAL HWB 084-B

9 CHANGE IN EPENDITURES ON COUNTY OF MUSKEGON BUDGET FROM THE CURRENT APPROVED BUDGET FOR FY 2019 TO THE PROPOSED AMENDED BUDGET FOR FY 2019 CURRENT APPROVED PROPOSED ORG. ORGANIZATION FY 2019 FY 2019 NUMBER NAME BUDGET BUDGET DIFFERENCE 7034 CCBHC GRANT $0 $2,000,000 $2,000, COMMUNITY HEALTH INNOVATION $0 $165,502 $165, CONNECTING VETERANS-MUSK. CO. PROJECT $150,000 $150,000 $ WRAPAROUND SERVICES $416,580 $416,580 $ COURT COLLABORATION $760,827 $760,827 $ HUD SUPPORTIVE HOUSING GRANT $119,403 $119,403 $ HUD SUPPORTIVE HOUSING GRANT #2 $17,283 $17,283 $ HUD SUPPORTIVE HOUSING GRANT #4 $23,688 $23,688 $ HUD SUPPORTIVE HOUSING GRANT #3 $20,500 $20,500 $ COMMUNITY BENEFIT/PREVENTION $323,051 $323,051 $ SUD CONTRACTUAL SERVICES $4,011,545 $4,011,545 $ SAMHSA INTEGRATED HEALTH CARE $519,419 $519,419 $ PRE-LAPSE STUDY $0 $50 $ SUD INTERNAL SERVICES $922,728 $922,728 $ SYSTEM OF CARE GRANT $1,327,967 $1,327,967 $ MI ADULT INPATIENT $1,937,464 $1,937,464 $ MI CHILD INPATIENT $367,550 $367,550 $ VOCATIONAL SERVICES $357,943 $357,943 $ CLUB INTERACTIONS $610,835 $610,835 $ DD SUPPORTS COORDINATION $5,575,376 $5,575,376 $ HIGH INTENSITY SUPPORTS COORDINATION $753,622 $753,622 $ MI ADULT SUPPORTS COORDINATION $4,253,037 $4,253,037 $ MI ADULT VOCATIONAL SERVICES $50,264 $50,264 $ DD VOCATIONAL SERVICES $1,376,052 $1,376,052 $ IN HOME SUPPORT SERVICES $2,531,600 $2,531,600 $ CONSUMER RUN PROGRAM $154,900 $154,900 $ DD RESPITE $309,000 $309,000 $ HEALTH SERVICES $293,375 $293,375 $ MI CHILD RESPITE $14,000 $14,000 $ JUVENILE JUSTICE TEAM $237,267 $237,267 $ PEER SUPPORT SERVICES $343,107 $343,107 $ YOUTH COMMUNITY BASED SERVICES $2,030,281 $2,030,281 $ AUTISM PROGRAM $4,654,614 $4,654,614 $ MI OUTPATIENT $575,898 $575,898 $ TRANSITION AGE TEAM $880,469 $880,469 $ ACT $837,369 $837,369 $ HOME BASED $997,670 $997,670 $ HOMELESS PROJECT $106,302 $106,302 $ INFANT MENTAL HEALTH HOME BASED TEAM $623,250 $623,250 $ DD OUTPATIENT $833,785 $833,785 $ INTAKE/CRISES INTERVENTION $972,726 $972,726 $ INTEGRATED HEALTH #3 $151,770 $151,770 $ MI ADULT PARTIAL HOSPITALIZATION $69,100 $69,100 $ ASSESSMENT INTAKE $606,279 $606,279 $ YOUTH OUTPATIENT $95,754 $95,754 $ KENNETH L. BRINKS FACILITY $1,899,272 $1,899,272 $ CHILDREN'S WAIVER $210,000 $210,000 $ MI CHILD RESIDENTIAL $25,133 $25,133 $ DD RESIDENTIAL $15,838,330 $15,838,330 $ MI ADULT RESIDENTIAL $3,689,497 $3,689,497 $ UTILIZATION MANAGEMENT $448,827 $448,827 $ NETWORK DEVELOPMENT $72,220 $72,220 $ IS MANAGEMENT $386,858 $386,858 $ QI & TRAINING $227,572 $227,572 $ MANAGED CARE ADMINISTRATION $1,593,507 $1,593,507 $ MANAGED CARE FINANCE $582,943 $582,943 $ CUSTOMER SERVICES $88,442 $88,442 $0 TOTAL CMH EPENDITURES $66,276,251 $68,441,803 $2,165, Mar-19 BC (Revenue & Expenditure Changes on Budgets)

10 CHANGE IN REVENUES ON COUNTY OF MUSKEGON BUDGET FROM THE CURRENT APPROVED BUDGET FOR FY 2019 TO THE PROPOSED AMENDED BUDGET FOR FY 2019 CURRENT APPROVED PROPOSED FY 2019 FY 2019 REVENUE SOURCE BUDGET BUDGET DIFFERENCE AUTISM PROGRAM $3,194,573 $3,194,573 $0 CHILDREN'S W AIVER $297,500 $297,500 $0 DHS INCENTIVE PAYMENT $215,469 $215,469 $0 MEDICAID: B3 SERVICES $16,178,738 $16,178,738 $0 MEDICAID: HAB SUPPORTS W AIVER $6,267,200 $6,267,200 $0 MEDICAID: HEALTHY MICHIGAN $4,200,292 $4,200,292 $0 MEDICAID: STATE PLAN $22,337,850 $22,337,850 $0 SA SERVICES $4,932,715 $4,932,715 $0 SED W AIVER $143,900 $143,900 $0 TOTAL MEDICAID $57,768,237 $57,768,237 $0 BLOCK GRANTS $188,700 $188,700 $0 CLOCS GRANT $0 $0 $0 CONNECTING VETERANS GRANT $150,000 $150,000 $0 FIRST & DREAM GRANTS $0 $0 $0 INTERCOUNTY REVENUES $220,435 $220,435 $0 INTERCOUNTY REVENUES-LRP $0 $0 $0 JUVENILE URGENT RESPONSE TEAMS $0 $0 $0 MISCELLANEOUS $516,560 $682,062 $165,502 MULTICULTURAL FUNDS $134,831 $134,831 $0 NAVIGATOR TRAINING FUNDS $0 $0 $0 OBRA $49,500 $49,500 $0 PRE-LAPSE STUDY $0 $50 $50 SAMSHA GRANT $402,767 $402,767 $0 SSI $2,309,100 $2,309,100 $0 STATE ALLOCATION $1,967,533 $1,967,533 $0 SYSTEM OF CARE GRANT-FEDERAL FUNDS $996,000 $2,996,000 $2,000,000 SYSTEM OF CARE GRANT-MISC. REIMBURSEMENTS $331,967 $331,967 $0 THIRD PARTY FEES $368,232 $368,232 $0 YOUTH CRISIS RESIDENTIAL $0 $0 $0 YOUTH OUTPATIENT GRANT $95,754 $95,754 $0 TOTAL OTHER REVENUE SOURCES $7,731,379 $9,896,931 $2,165,552 CHILDREN'S W AIVER ADJUSTER $36,000 $36,000 $0 COUNTY LOCAL MATCH $736,935 $736,935 $0 INTEREST EARNED $3,700 $3,700 $0 SYSTEM OF CARE GRANT-MATCHING DOLLARS $0 $0 $0 TOTAL LOCAL MATCH $776,635 $776,635 $0 TOTAL MUSKEGON CO. REVENUE BUDGET $66,276,251 $68,441,803 $2,165,552 BC (Revenue & Expenditure Changes on Budgets) 18-Mar-19

11 REQUEST FOR COMMUNITY MENTAL HEALTH BOARD CONSIDERATION AND AUTHORIZATION Administration March 22, 2019 Brandy Carlson, Chief Financial Officer HealthWest Board authorization is requested to increase the cost the November 2018 motion to lease two (2) Ford 350 Passenger Wagons. In November 2018, Board approval was given to lease two (2) Ford Transit 350 LR Passenger Wagon s at a cost of $29,250 as replacement vehicles for the agency. However, Gorno Ford mistakenly quoted us for two regular roof height vans rather than the mid-roof vehicles HealthWest requires, along with running boards privacy glass, and 4WD. The price for the two (2) vehicles with mid-roof height and necessary options is $34,725 for the MR 4WD model for a price difference of $5,475 per vehicle. SUGGESTED MOTION (STATE EACTLY AS IT SHOULD APPEAR IN THE MINUTES) I move to amend the original November 2018 motion for the lease of two (2) 2019 Ford Transit 350 MR Passenger Wagon s from the Ford Motor Corporation at a rate of $34,725 per van rather than the $29,250 originally quoted, for a four (4) year lease term. DATE APPROVAL HWB 085-B

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

FINANCE COMMITTEE December 19, 2018 8 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,