AGENDA ITEMS/ISSUE DISCUSSION ACTIONS TAKEN/ OUTCOME TIME FRAME WHO’S RESPONSIBLE Report on NJAMHAA’s October 31, 2014 meeting with DMHAS and Medicaid Jim Cooney reported that NJAMHAA received clarification that agencies can bill for Targeted Case Management (TCM) if they have TCM provider numbers and they have Intensive Case Management Services, Programs for Assistance in Transition from Homelessness and/or ICMS, PATH or Early Intervention Support Services (EISS) programs. According to Jim, case management, but not TCM, can be billed in Community Support Services (CSS) programs; case management has a lower rate than TCM, which results in higher costs and lower revenues, he explained. Jim reported that the is considering keeping EISS programs under contracts since it is unclear what a unit of service would be. DMHAS said they will investigate if the care coordination billing code can be used in EISS and Intensive Outpatient Treatment and Support Services programs. DMHAS and Medicaid staff were receptive to NJAMHAA’s idea of developing an Intensive Outpatient level of mental health care and requested recommendations for what this level of care would consist of and how it would differ from regular outpatient and partial care programs. N/A N/A It was recommended that NJAMHAA see if this billing code can also be used in Involuntary Commitment programs. Shauna Moses will ask Roxanne Kennedy and Steve Tunney, who are researching the issue and will report at the next Adult Practice Group meeting in January. The group agreed to recommend to the Board that a workgroup be established to develop these N/A N/A Following this meeting November 19, 2014 [The Board approved it and participants have been recruited.] N/A N/A Shauna Moses Agenda: Shauna Moses; Presentation: Harry Postel Idea for a workgroup to Shauna reported that the Addictions Practice Group did not agree to this This advocacy in a letter to Lynn
develop a crosswalk because it is too time consuming and is the state’s responsibility. (continued) Kovich, which began addressing a specific AGENDA ITEMS/ISSUE DISCUSSION ACTIONS TAKEN/ OUTCOME TIME FRAME WHO’S RESPONSIBLE Idea for a workgroup to develop a crosswalk (continued) However, the group did agree to begin advocacy for providers to be involved in development of regulations early in the process. addiction treatment regulation and also addressed the issue in general. In addition, providers were asked to share feedback and for CSS regulations for NJAMHAA to submit prior to the proposed regulations being promulgated in early 2015. [NJAMHAA learned from the DHS Office of Licensing that DHS will develop a crosswalk of all DHS Divisions’ regulations to assist providers until regulations are revised and aligned; however, a time frame was not provided.] Ongoing advocacy for NJAMHAA to be involved in of regulations from early on in the process NJAMHAA staff State Child Database System, PerformCare Response to Data Retrieval Kimberley Higgs informed the group that this issue is being addressed and updates will be provided. N/A Ongoing PerformCare Rutgers School of Social Work Intensive MSW Program Dr. Deglau described this program and explained that more students are starting the program already having supervisory experience; therefore, the program has been modified to provide more management education. Dr. Deglau requested feedback on what the program should offer. Attendees mentioned the need for both clinical and management training in the MSW program, as well as a certification in management for people who have their MSW degrees, and education for clinicians with many years of experience N/A Dr. Deglau suggested that providers contact Andy Germak, Executive Director of Rutgers’ new Center for Leadership and Management. [732- 932-0512, ext. 25707; N/A N/A N/A N/A
to prepare them for taking over running the organizations. AGENDA ITEMS/ISSUE DISCUSSION ACTIONS TAKEN/ OUTCOME TIME WHO’S RESPONSIBLE Possible Work with the Medical Society of New Jersey Debra Wentz noted this suggestion is related to the movement toward integrated care and, therefore, the importance of developing relationships with other types of healthcare practitioners. Tabled for discussion at the next meeting [Note: Linda Gochfeld noted she can assist with this.] January 27, 2014 Agenda: Shauna Moses Two Motions for Recommendation to the NJAMHAA Board John Monahan presented a motion to propose to DHS that certain services for homeless and high-risk clients be carved out from FFS because this new system for Community Support Services will not address the intensive outreach, engagement activities and or the safety risks. John Monahan presented a second motion for NJAMHAA to write to DHS Jennifer Velez expressing concerns and posing questions regarding the planning and input process; and requesting a county-specific contingency plan for ensuring that provider if they occur, do not disrupt services. The motion stated that copies of the letter would be sent to all New Jersey legislators, Centers for Medicaid & Medicare Services (CMS), SAMHSA, the Olmstead Panel overseeing the Olmstead Lawsuit Settlement, the Mental Health Coalition, and any other organizations or media deemed appropriate by the NJAMHAA Board. The motion was seconded and passed with the addition of “community” in the list of groups for whom safety would be ensured by providing the needed services. The motion will be presented to the Board. The motion will be presented to the Board. [The Board President and Executive Committee called an emergency Board Meeting to allow for an up or down vote on the letter.] N/A November 19, 2014 November 19, 2014 N/A Agenda: Shauna Moses; Presentation: Harry Postel Agenda: Shauna Moses; Presentation: Harry Postel Upcoming Adult Mental Health Practice Group Meetings: 1:00 to 3:00 p.m. at NJAMHAA on: January 27, 2015; March 24, 2015; and May 19, 2015 Open Board Meetings: 10:00 a.m. to Noon at NJAMHAA on: February 11, 2015; June 17, 2015