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26 <br />to the Finance Department beginning with Fiscal Year 06-07 and the inclusion of the <br />Gap Analysis function in the Care Management Department. <br />Business Rules <br />Rules that enhance the efficient and effective operations of the QM/PR Department <br />function: <br />~~ .. <br />• A monitoring and endorsement process that is collaborative and provides <br />technical assistance at every step during the process. <br />i <br />OPC prides itself on the detailed technical assistance ~it offers providers participating in <br />the monitoring and endorsement processes.. Letters written to pro~itlers in response to <br />endorsement applications or after monitoring or endorsement site visits'contain detailed <br />information regarding positive impressions, suggestions or recommendations for <br />improvement, and any deficiencies noted. Providers are encouraged to seek~technical <br />assistance from OPC, as we have the shared goal of promoting qualitji'services for <br />consumers. <br />~.. <br />• A comprehensive provider community comprised of over 240 agencies and <br />individual clinicians who provide: a~eP~--1 Q0 different services, including all <br />seven best practice models. <br />•3 OPC has a large percentage of professional and 'licensed LME staff available <br />to provide technical assistance and clinical consultation. <br />Six of the eight employees in the Quality Ma`nagement/Provider Relations Department <br />have Master's_.Degrees, and three hold current clinical licenses. The Provider Relations <br />Representative position that is currently vacant is expected to be filled by a licensed <br />individual:' Within the LME there are a total of 23 Masters bevel staff, with an additional <br />two stafflrnembers who.will receive their Masters Degrees by June of this year. Fifteen <br />are currently licensed arid'.one will be provisionally licensed after receipt of the Masters <br />degree in`June. <br />''° <br />Rules that inhibit' he efficient and effective operations of the Provider Relations and <br />Development function>= <br />c~ <br />• The proliferation of Medicaid providers and the LME's inability to limit the <br />community. <br />OPC recognizes and appreciates the concept of "any willing provider" as a <br />means to provide consumer choice. However, as more and more providers <br />receive endorsement and request MOAs with the LME, we are concerned that <br />the stability of the system is being threatened. Our population can only support a <br />limited number of specialized services (e.g. ACTT and PSR) and continuing to <br />26 <br />