Orange County NC Website
4'+ <br />(a) Three (3) members from each County, appointed by each County's <br />Board of Commissioners, and will include a County Commissioner or designee, a <br />consumer or family member, and another citizen or stakeholder; and <br />(b) One (1) member from the Local Consumer and Family Advisory <br />Comrnittee, either the Chair or other elected member. <br />(4) Ea.ch Community Oversight Board's prunary responsibilities will include <br />advising the CEO on the evaluation and hiri.ng of the Community Operations Center <br />Executive Director; recommending priorities for expenditure of state and county funds <br />for development of the annual budget; determining local priorities for inclusion in the <br />overall strategic plan; identifying community needs and concerns; monitoring resolution <br />of issues; and monitoring performance at the local level, including access to care, <br />expenditure of service funds, number of consumers served, services delivered, provider <br />network size and composition, outcomes, and consumer satisfaction. <br />(5) Each Community Oversight Board will esta.blish its own bylaws based on <br />local needs, but in compliance with standardized requirements established by the <br />Governing Board. for quorums, frequency of ineeti.ngs, elections of officers, duties of <br />members, committees and committee appoinhnents, and attendance standards. Such <br />bylaws are subject to the approval of the Goveming Board. <br />Section 4. Functions <br />Cardinal Innovations shall perform a11 the functions necessary to carry out the <br />purposes of this Joint Resolution, including, but not limited to, the following: <br />(1) To establish accounta.bility for the planning, development, and <br />management of local systems that ensure access to caze, quality of services, and the <br />availability and delivery of necessary services, for individuals in need of inental health, <br />intellectual and developmental disabilities, substance abuse, and related services; <br />(2) To operate the 1915(b}/(c) Medicaid Waiver, a proven system for the <br />management of inental health, intellectual and c~evelopmental disabilities, and substance <br />abuse services; <br />(3) To manage state funded services for menta.l health, intellectual and <br />developmental disabilities, and substance abuse services, including federal block grant <br />funds; <br />(4) To manage all other resources that are or become available for mental <br />health, intellectual and developmental disabilities, and substance abuse services; <br />(5) To use managed caxe strategies, including care coordination and utiliza.tion <br />management, to reduce the trend of escalating costs in the State Medicaid program while <br />ensuring medically necessary care, and to deploy a system for the allocation of resources <br />based on the reliable assessment of inedical necessity, functional staxus and intensity of <br />need. These stra.tegies shall efficiently direct individuals to appropriate services and shall <br />ensure they receive no more and no less than the amount of services determined to be <br />medically necessary at the appropriate funding level; <br />(6) To maintain a local presence in order to respond to the unique needs and <br />priorities of localities; <br />(7) To ensure communication with consumers, families, providers, and <br />stakeholders regarding disability-specific and general 1915(b)/(c) Medicaid Waiver <br />operations by implementing a process for feedback and exchange of information and <br />ideas; <br />