Minutes 04-04-2019 Work Session - Laserfiche WebLink

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22 Nancy Coston said all of them are in the information-gathering mode as far as the provider community, and what that will look like. Commissioner Bedford asked if there will be any standardizations with the PHPs forms. Quintana Stewart said there is no standardization as of now, but the Health Directors Association is considering hiring an attorney to do some negotiation on behalf of the Health Departments to gain some consistency. Nancy Coston said contracts with all four PHPs will be necessary, and there will be lots of confusion. Commissioner Marcoplos said it seems that there may be issues all across the state, and asked if the odds are in favor of the plan surviving in the future. Nancy Coston said the odds are probably around 50%, and it started with those that wanted to control Medicaid. She said it expanded to include people who wanted to Medicaid to pay for things that it traditionally had not. She said the first group going in will be children, and there may be problems down the line if that does not go well. Commissioner Dorosin asked Nancy Coston if she can clarify how this will impact staff. Nancy Coston said when clients receive packets in the mail, many will call with questions, and that will impact the regular workload. She said DSS cannot tell families with whom to enroll, and must simply help families understand the process. She said some additional temporary staff may need to be hired. Commissioner Dorosin asked if there will be other impacts like negotiating these new contracts. Quintana Stewart said yes and how they will now be paid; and the same thing with OPT and Emergency Services. Nancy Coston said for several years it is going to be fee-for-service and capitated, because not everyone is going in. She said this is confusing when determining revenue sources. Commissioner Bedford referred to the "removal reason for children currently in care," and asked if"inadequate housing" could be clarified. Crystal Mitchell said that is not an issue of homelessness, but rather inadequate housing may be some safety issues in the home, like drugs, etc. Commissioner Dorosin said the hour is late, and the next item may take some time. He thanked DSS for the very comprehensive presentation. He said there is much to think about, and how the BOCC can be most supportive. Commissioner Dorosin asked if item 3 could be delayed. Commissioner Greene agreed. Commissioner Dorosin suggested moving the item to the April 9th work session, and Commissioner Greene seconded that suggestion. The Board agreed to defer Item 3 until the April 91h work session and make this item 1 on that agenda. 3. Discussion on a Potential Framework for Intergovernmental Collaboration with Municipal Partners The Board will consider discussing a potential framework for intergovernmental collaboration with the County's municipal partners. DEFERRED A motion was made by Commissioner Bedford, seconded by Commissioner Dorosin to adjourn the meeting at 10:12 p.m.