HomeMy WebLinkAboutC.054.93011_1048 (2)No one was present to speak on behalf of the Adult Care Home Committee;
however, a written report was submitted.
David Swann, Area Director/CEO of Crossroads Behavioral Healthcare
Presents the Mid -Year Report: Mr. Swann's presentation to the board members was
provided in a manual. He said the manual could be used as a reference tool when the
commissioners had questions about Crossroads, and additional material would be
supplied at the next six-month update. Swann said the local managing entity would
receive $5,270,527 during 2005-06, and complete divestiture of all services to private
providers occurred on March 1, 2005.
Mr. Swann said the state had encouraged regionalization of the 31 local
management entities with a targeted goal of only 10 statewide for utilization review,
screening, triage and referral. He said Crossroads had complied, and the Department of
Health and Human Services recently approved a regional partnership with Crossroads
being designated as the lead agency. Swann said the eight -county partnership would
consist of the following entities:
■ Catawba County Mental Health (Catawba County)
• Crossroads Behavioral Health (Iredell, Surry and Yadkin Counties)
■ Foothills Mental Health, Developmental Disabilities & Substance Abuse Programs
(Alexander, Burke, Caldwell, and McDowell Counties)
Mr. Swann said two weeks ago, the Crisis Recovery Center was approved as an
involuntary commitment facility, and as such, it would become a locked facility allowed
to hold "respondents" up to 14 days under involuntary petitions. Swann said
hospitalizations to mental health hospitals, such as Broughton, were decreasing.
Commissioner Robertson asked about the term "authorization."
Swann said that when a person had a need, they "presented" to a provider, and
the provider contacted the local managing entity and gave a diagnosis and treatment
plan. He said the local managing entity looked at a medical necessity set of criteria --
similar to an insurance company, and a match up for client services was either approved
or declined. Swann said it was a "managed care practice."
Robertson asked if the term was saying the number of patients.
Swann said yes, but another way to look at the term was that it "better
administered the dollars" -- the client wasn't getting any more or less services than
needed.
Robertson asked about the new definitions and who would pay any increased
costs.
Swann said this would be a "shared cost." He said almost every service
provided today would be "modified" after March 20, 2006, with new rates, and almost
all of them would be higher. Swann said this was largely due to the service being more
intensive (considered as a "science based practice"). He said the federal government,
state, and counties would be partners in the financing of the "best practices." Swann
said the federal government would be given more money on the Medicaid side. He said
the fee rate for the Crisis Center was currently low, but beginning March 20th, an
hourly basis rate would begin and this would help (increase of about $150 over a 24-
hour period).
Commissioner Williams said at the five o'clock meeting a discussion had
occurred with the Chief Deputy about the extensive amount of time the deputies were
having to devote in transporting the involuntary commitment patients. Mr. Williams
asked Mr. Swann to comment on what had been accomplished to remedy the situation.