RES-2012-032 Joint Resolution of BOCC of Alamance Cabarrus Caswell Chatham Davidson Franklin Granville Halifax Orange Person Rowan Stanly Union Vance and Warren

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