AGENDA DISCUSSION ACTIONS TAKEN/ WHO’S ITEMS/ISSUE OUTCOME RESPONSIBLE Fee-for-service: Room and Board. Community Hope has Jan. 1 Transition experienced some delays in getting paid which are varied by situation. Originally, Cont’d. the problem was getting claims in by the 15th, but they were given some leeway. The agency is a little short of break even. Draft Legislation Senator Gordon has drafted a FFS safety Ongoing tracking Ongoing Mary Abrams, / Bergen County net funding bill. NJAMHAA is awaiting and support Debra Wentz Template for the revised draft. Countywide Deficit Estimates Bergen County Executive hired a Distribute Bergen When Mary Abrams consultant to report on the countywide Report Permissions impact of transitioning to FFS. As soon as are Received permission is received from the four agencies in the report, NJAMHAA will distribute the report to be used as a template by other counties. Two agencies shared that they have told DMHAS they are closing programs as of July 1. Old and New Kathy Dedrick of Integrity House spoke of NJAMHAA will ASAP and Mary Abrams Business: the difficulties retaining staff and offered invite members to ongoing Salary to lead a salary benchmarking study. John participate and Benchmarking Zukauskas of Newpoint Behavioral Health receive data to Care will co-lead the effort. They will forward blind to the look at clinical, medical and administrative group. staff (though not executive staff). Presentation Josh Lichtblau, Director of the Medicaid Both a brief March/April Mary Abrams Choices on Fraud Unit in the presentation during State Comptroller’s Compliance office is available to speak with the group the June meeting during a meeting or to arrange a half-day and a half-day session that would also include session in the representatives from MCOs and the summer will be scheduled. Attorney General’s office. Topics identified to have addressed were: what is being audited now/what is the focus; Questions and topic April Mary Abrams guidance on E/M codes what is an areas will be – appropriate note, how to distinguish solicited from between the various levels of intensity; and members. navigating the differences between state licensure regulations and Medicaid regulations. CSS: Option to There was brief discussion about whether N/A N/A N/A Delay agencies are choosing to delay transitioning CSS to FFS to January 1, 2018.
AGENDA ITEMS/ISSUE DISCUSSION ACTIONS TAKEN/ OUTCOME WHO’S RESPONSIBLE Fee-for-service: Jan. 1 Transition Cont’d. Draft Legislation / Bergen County Template for Countywide Deficit Estimates Room and Board. Community Hope has experienced some delays in getting paid which are varied by situation. Originally, the problem was getting claims in by the 15th, but they were given some leeway. The agency is a little short of break even. Senator Gordon has drafted a FFS safety net funding bill. NJAMHAA is awaiting the revised draft. Bergen County Executive hired a consultant to report on the countywide impact of transitioning to FFS. As soon as permission is received from the four agencies in the report, NJAMHAA will distribute the report to be used as a template by other counties. Two agencies shared that they have told DMHAS they are closing programs as of July 1. Ongoing tracking and support Distribute Bergen Report Ongoing When Permissions are Received Mary Abrams, Debra Wentz Mary Abrams Old and New Business: Salary Benchmarking Presentation Choices on Compliance CSS: Option to Delay Kathy Dedrick of Integrity House spoke of the difficulties retaining staff and offered to lead a salary benchmarking study. John Zukauskas of Newpoint Behavioral Health Care will co-lead the effort. They will look at clinical, medical and administrative staff (though not executive staff). Josh Lichtblau, Director of the Medicaid Fraud Unit in the State Comptroller’s office is available to speak with the group during a meeting or to arrange a half-day session that would also include representatives from MCOs and the Attorney General’s office. Topics identified to have addressed were: what is being audited now/what is the focus; guidance on E/M codes – what is an appropriate note, how to distinguish between the various levels of intensity; and navigating the differences between state licensure regulations and Medicaid regulations. There was brief discussion about whether agencies are choosing to delay transitioning CSS to FFS to January 1, 2018. NJAMHAA will invite members to participate and receive data to forward blind to the group. Both a brief presentation during the June meeting and a half-day session in the summer will be scheduled. Questions and topic areas will be solicited from members. N/A ASAP and ongoing March/April April N/A Mary Abrams Mary Abrams Mary Abrams N/A
3.13.17_CFO_Minutes.docx