FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD Gary … · 3/22/2017 · The primary focus of the meeting included efforts to update the Priority Population Guidelines. An engaged

Fairfax County is committed to a policy of nondiscrimination in all county programs, services and activities and will provide reasonable

accommodations upon request. Call 703-324-7000 or TTY 711 to request special accommodations. Please allow seven working days in advance of the event in order to make the necessary arrangements. These services are available at no charge to the individual.

FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD

Gary Ambrose, Chair Merrifield Center

8221 Willow Oaks Corporate Drive Level 3 - Room 409A

Fairfax, Virginia 22031

Wednesday, March 22, 2017 5:00 p.m.

1. Meeting Called to Order Gary Ambrose 5:00 p.m.

2. Matters of the Public Gary Ambrose

3. Amendments to the Meeting Agenda Gary Ambrose

4. Approval of CSB February 22, 2017 Board Meeting Minutes Gary Ambrose

5. Matters of the Board

6. Committee Reports

A. Behavioral Health Oversight Committee

B. Fiscal Oversight Committee

C. Legislative Committee

D. Intellectual and Developmental Disability Committee

E. Other Reports

Diane Tuininga

Ken Garnes

Kat Kehoe

Lori Stillman

7. Information Item

A. DBHDS Funded Diversion Program Grant Proposal

Laura Yager

8. Directors Report Tisha Deeghan

9. Adjournment

February 22, 2017 CSB Board Minutes Page 1 of 5

Fairfax-Falls Church Community Services Board February 22, 2017

The Board met in regular session at the Merrifield Center, 8221 Willow Oaks Corporate Drive,

Fairfax, VA.

The following CSB members were present: Suzette Kern, Vice Chair; Daria Akers; Basilio

‘Sonny’ Cachuela Jr., Ken Garnes, Sheila Coplan Jonas, Kat Kehoe, Bettina Lawton, Paul

Luisada, Sarah Meiburg, Edward Rose, Lori Stillman, Diane Tuininga, and Jane Woods

The following CSB members were absent: Gary Ambrose and Molly Long

The following CSB staff was present: Tisha Deeghan, Daryl Washington, G. Michael Lane,

Belinda, Buescher, Lucy Caldwell, Jean Hartman, Evan Jones, Victor Mealy, Lisa Potter, Cindy

Tianti, and Lyn Tomlinson

1. Meeting Called to Order

Suzette Kern called the meeting to order at 5:01 p.m.

2. Matters of the Public

Jack Bruggeman, noting his service on the boards of ServiceSource, Inc. and Community

Residences, announced his appointment to the State Board of Behavioral Health and

Developmental Services.

3. Recognition

Allan Phillips was recognized for more than 38 years of service with Fairfax County

including 25 years as director of the Infant and Toddler Connection (ITC) program. Among

his many accomplishments noted were the tremendous growth of ITC services during his

tenure as well as his tireless advocacy for legislation and resources to support growth and

change efforts that directly affected thousands of our citizens.

4. Amendments to the Meeting Agenda

The agenda was presented and passed.

5. Approval of the Minutes

Lori Stillman moved for approval of the January 25, 2017 Board meeting minutes of the

Fairfax-Falls Church Community Services Board as presented, which was seconded and

passed.

6. Matters of the Board.

Jane Woods, noting her attendance at the General Assembly, reported several pieces of

legislation on suicide prevention were put forward. However, once information was provided

on regional partnerships moving forward, the legislation was amended to reflect this new

information. It was further noted that Delegate Eileen Filler-Corn was a welcome addition to

the Suicide Prevention Alliance Network (SPAN) Advisory Council.

4-1


Lori Stillman announced that during the Virginia General Assembly CSB Board Chair Gary

Ambrose was commended in a joint house resolution for his many volunteer efforts.

Citing a lengthy email discussion, Daria Akers indicated a possible need to improve

communication with the Fairfax-Falls Church community. Ms. Akers referred to a recent

email message noting that many of the individuals involved reported no knowledge of efforts

to keep the community informed of CSB activities including subscribing to receive the CSB

News or of posted notices on the CSB website, including Community Dialogues and

Guidelines for Assigning Priority Access to CSB Services.

Sheila Coplan Jonas reported attending a board orientation for Intellectual and

Developmental Disability programs and services on February 7, 2017. Ms. Jonas further

reported that the orientation was enlightening and provided a vast amount of information

noting a visit to a group home was included in the orientation.

7. Committee Reports

A. Behavioral Health Oversight Committee:

Diane Tuininga, referring to meeting minutes provided in the board packet, offered

highlights of the February meeting to include:

The primary focus of the meeting included efforts to update the Priority

Population Guidelines. An engaged discussion ensued, including associate

member feedback in response to a survey sent out prior to the meeting.

Daryl Washington provided a brief report on the Diversion First Stakeholder

meeting held February 7, 2017

It was announced that Mark Blackwell was hired as the new director for the

Office of Consumer and Family Affairs.

The next meeting of the Behavioral Health Oversight Committee is Wednesday,

March 8th, 5:00 p.m. at the Merrifield Center, Level 3-Room 409A.

B. Fiscal Oversight Committee:

Ken Garnes provided a brief overview of the February meeting to include:

Details of the FY 2017 Third Quarter Review, highlights of which included:

o A positive fiscal outlook credited to

o Anticipation that revenue will meet or exceed projections, and

o Lower than projected expenditures partially attributed to the high number

of vacant positions due to the delayed implementation of DD Waiver

Redesign.

Lisa Witt is working with the Department of Management and Budget (DMB) to

protect projected FY 2017 carryover funds to address FY 2018 needs.

The Human Resources Update included details of ongoing efforts to fill critical

positions.

Tisha Deeghan provided an overview of the FY 2018 projected budget.

Reporting the attendance of Gary Ambrose, Suzette Kern, and Ken Garnes at the

Human Services Council meeting on Saturday, February 4, 2017, Mr. Garnes

noted the meeting provided a forum for Human Services agencies to work

together to design a cohesive message on the FY 2018 Proposed Budget for

4-2


presentation to the Board of Supervisors (BOS). A follow up meeting is

scheduled for Saturday, March 18, 2017.

The next Fiscal Oversight Committee meeting is Friday March 17th, 9:00 a.m. at the

Pennino Building, Room 836A.

C. Legislative Committee:

Kat Kehoe, acknowledging her first meeting as chair, provided the following

highlights of the February meeting:

Defining the role of the Legislative Committee resulted in identification of four

primary areas of responsibility to include:

o The Virginia General Assembly

▪ Reporting activities of the General Assembly to the CSB Board

▪ Drafting testimony for board member presentation to the General

Assembly, observing the need to maintain compliance of county

issued lobbying guidelines.

▪ Tracking the status of legislation that affects CSBs. It was noted

that the Virginia Association of Community Services Boards

(VACSB) compiles a weekly report on legislation of interest, which

is made available to the CSBs, copies of which can be provided to

the board.

In support of the VACSB updates, legislation of specific

interest to this CSB will be identified, monitored closely, and

updates provided to the board. Current items of interest were

reported to include the heroin/opioid epidemic, Diversion

First transportation options, Same Day Access, notifying

Home Owner Associations (HOAs) of the establishment of

group homes, and the proposed registration of Peer Recovery

Specialists as Qualified Mental Health Professionals

(QMHPs).

o Ms. Kehoe recommended that board members provide quarterly updates to

their appointing officials via email, phone call, or in person. The

Legislative Committee will draft the language to be used for the quarterly

reporting to which Board members can add their own language to

personalize. It was noted that the message of priorities should always be

the same and not give conflicting priorities., In the discussion that

followed, it was pointed out that the four at-large members have the same

appointing official. Board members also cited the need to sometimes

provide updates which may not be timely if included in a quarterly report.

It was suggested that further consideration be given to the points raised by

board members.

o The Human Services Issues Paper which is due in May and will be further

discussed at a future meeting.

o Ad Hoc Workgroups will be formed throughout the year as needed at the

call of the chair.

D. Intellectual and Developmental Disability Committee:

4-3


Lori Stillman, noting there was no February meeting, offered details of committee

activities to include:

An ID/DD orientation was hosted February 7th. Information provided at the

orientation was distributed in the board meeting agenda packet. Ms. Stillman

concurred with earlier comments from Board member Sheila Coplan Jonas

noting that the orientation, which provided information on service areas and

eligibility, was very well received. Additional information provided in the packet

included an overview of information from the FY 2018 Advertised Budget

relating to Intellectual and Developmental Disabilities (ID/DD). It was noted that

the Director’s Report, provided later in the meeting, will include further budget

information in regards to Special Education Graduates (Employment and Day

Services Program).

Tuesday, February 28, 2017 the Fairfax County Board of Supervisors will

declare March 2017 Intellectual and Developmental Disabilities month. Noting a

planned presentation by a self-advocate, attendance was encouraged. A pre-

proclamation reception is scheduled for 8:30 a.m. at the Government Center.

The next IDD Committee meeting is Wednesday, March 1st at 5:30 p.m. at the

Merrifield Center, Level 3, Room 409-A.

8. Action Item

A. Proposed Revision to CSB Board Policy Executive Director’s Line of Succession

Noting no public comment had been offered, Bettina Lawton made a motion to

approve CSB Board Policy #1401, Executive Director’s Line of Succession, as

presented, which was seconded and passed.

9. Directors Report

Tisha Deeghan provided information on the following matters:

An overview of the presentation provided to the Board of Supervisors (BOS) Health,

Housing & Human Services Committee. Copies of the presentation titled

Developmental Disabilities & Waiver Redesign Update #3 FY 2018 Forward were

provided in the board packet.

A single communication is in development to present budget information to

stakeholders; the communication will be shared with the board.

Responding to a request to identify challenges and accomplishments, among those

offered were: 1) no new funding for Diversion First, affecting all involved agencies;

2) heroin and opioid abuse epidemic, substance abuse programs remain underfunded;

3) Housing needs; 4) Youth Outpatient Program staffing needs, partially addressed by

reassignment of staff related to the recommended closure of the Youth Day Treatment

Program; and 5) providing equitable and sustainable services for people with

developmental disabilities.

Board members were alerted to a Diversion First brochure included in the board

packets.

4-4


Daryl Washington, noting the inclusion in the board packet of a document that provides an

update to CSB Housing Needs, requested that questions to be directed to him.

There being no further business to come before the Board, a motion to adjourn was offered,

seconded and carried. The meeting was adjourned at 5:54 p.m.

Actions Taken –

The January 25, 2017 meeting minutes were approved

Date Staff to Board

4-5

Behavioral Health Oversight Committee Meeting Minutes

Behavioral Health Oversight Committee Page 1 of 4 February 8, 2017

Date: February 8, 2017 Location: Merrifield Center, Third Floor, Room 3-409A East Attendees: Diane Tuininga, Chair; CSB Board Member Daria Akers; CSB Board Member Gary Ambrose; CSB Board Member Basilio ‘Sonny’ Cachuela, Jr; CSB Board Member Sheila Jonas; CSB Board Member Suzette Kern; Terry Atkinson, Gartlan Advisory Board; Peter Clark, No. Virginia Mental Health Foundation; Lauren Goldschmidt, ServiceSource, Inc. Wendy Gradison, PRS, Inc.; Sylisa Lambert-Woodward, Pathway Homes, Inc.; Heather Peck, LMECC; Daryl Washington, CSB Deputy Director; Lyn Tomlinson, Assistant Deputy Dir., Acute & Therapeutic Treatment Services; Lucy Caldwell, CSB Communications Director; Evan Jones, CSB Service Director; Jean Post, No. VA. Regional Projects. Also present were other private sector staff as well as members of the public

Topic Action Responsible Party

Due Date

Meeting Call to Order

Meeting was called to order at 5:00 p.m. Diane Tuininga, Chair

Introduction CSB Board Member Sheila Coplan Jonas was introduced and welcomed to the meeting. Diane Tuininga, Chair

Announcement Suzette Kern shared that Gary Ambrose, CSB Chair was commended by the VA General Assembly in House Joint Resolution No. 771 for his many advocacy efforts.

Committee Members

Minutes

Following review of the December 2016 Behavioral Health Oversight Committee draft minutes Suzette Kern made a motion to approve the minutes as presented, which Gary Ambrose seconded. The motion carried unanimously.

Committee Members

Associate Member Presentations and Concerns

There were no presentations or concerns shared by the associate members. Associate Members

Priority Populations

Daryl Washington, referring to documentation included in the agenda packets, offered a brief overview of the Guidelines for Assigning Priority Access to CSB Services. Summarizing the process for updating The Guidelines, it was noted that many sources provide input including the CSB Board, community members via public comment/community dialogues, and consultation with Human Services partners including Fairfax County Public Schools to determine the impact of the current guidelines on access to services. An engaged discussion ensued, to include:

• Some of the criteria which determines priority access includes a primary diagnosis or co-occurring primary diagnoses of severe mental illness/emotional distress, which may also include those at risk of severe mental illness/emotional distress; severe and persistent mental illness and associated functional deficits; and Substance Use Disorder or significant substance use issues with substantial impairment.

6A-1




Due Date

• Reported miscommunication about the array and availability of CSB services and funding options, including whether or not the CSB accepts third party insurance. It was clarified that the CSB accepts some third party insurance. However, it was noted that an individual with third party insurance may be referred to non-CSB resources based on level of need at assessment.

• It was further noted that if needed services are not available at the CSB, staff works with the individual in locating these services in the community.

• Assessment includes both a clinical and a business (financial/insurance) assessment. Observing that some services may not be covered by insurance, it was made clear that an individual’s payment responsibility is assessed on a sliding fee scale.

• Feedback on the walk-in assessment was primarily positive. There were some reports of a longer than anticipated wait time with no assessment appointments made available. It was clarified that assessment appointments for both youth and adult walk-in are available and offered if needed.

• As of the July 1, 2016 implementation of the CSB as the single point of entry for individuals with Intellectual and Development Disability (IDD), screening/assessment requests have increased, impacting priority access. Staff continues efforts to accommodate the anticipated additional increases in the number of individuals seeking IDD services.

• Addressing the impact of Diversion First on priority access, it was noted that Diversion First services are accessed through Emergency Services rather than through the walk-in assessment process. It was acknowledged that additional discussion is required to determine the impact to priority access when assigning Diversion First services.

• Associate members were consulted for feedback on the current guidelines and how they may be impacting access to services. Some recommendations included:

o Ensure the guidelines contain verbiage that clearly demonstrates an effort towards ‘whole person treatment’.

o Tracking the time between assessment and access to services, as well no-show appointments. o Reaching out to more individuals in need of services through continued collaboration with public

and private partners. Include organizations where access to services based on language or immigration status may be a barrier.

o Provide literature on available services and funding options at primary care centers and partner locations.

o Continue efforts to establish a system for the confidential exchange of information, i.e. updates on treatment and medications.

o Request feedback from individuals who have recently accessed services. A suggestion was offered that perhaps a survey could be issued.

6A-2




Due Date

Staff Reports

Daryl Washington, CSB Deputy Director provided the following updates:

• The public launch for Youth Walk-in Assessment occurred on February 1, 2017. Acknowledging only one week since the public launch, it was noted that Fairfax County Public Schools continues to be the primary referral source.

• An update on recent Diversion First efforts included: o The Diversion First Stakeholders meeting on Tuesday, Feb. 7th was well attended. It was noted

that substantial progress has been made with leadership working together to affect significant changes and to identify and fill in gaps in services. Documentation provided included the Diversion Fist Stakeholders Update Diversion-Oriented System of Care Collaborative and the Diversion First Annual Report. Both documents are available on the Fairfax County website at www.fairfaxcounty.gov/diversionfirst/.

o CSB staff including Daryl Washington and Laura Yager as well as several law enforcement partners had a successful trip to San Antonio, TX for the purpose of observing a progressive approach to diversion efforts at a local jail.

o Difficulty with obtaining timely medical clearances, required for Diversion First, remain a challenge for Merrifield staff and law enforcement officers.

o Working with court services, efforts are ongoing to minimize the time between intake at the Adult Detention Center (ADC) and discharge to treatment services.

o Diversion First Housing initiatives include a partnership with New Hope Housing providing 18 beds for individuals receiving Diversion First services or discharging from the jail. Additionally, funding from the Department of Behavioral Health and Developmental Services (DBHDS) provides for 32 beds over two years, primarily for individuals who are homeless or at risk of homelessness, exiting an institution/state hospital, or are in a long term treatment program.

• It was announced that a Director of Consumer and Family Affairs has been hired. Mark Blackwell, previously with DBHDS, will start March 6, 2017.

• Evan Jones, CSB Service Director reported a visit from the Substance Abuse and Mental Health Services Administration (SAMHSA) to observe the success of the Turning Point program. Marla Zometsky provided an excellent overview of the program including insight into the use of Peer Specialists and testimony from some graduates of the program. It was noted the program has been established for approximately one year and is receiving an increasing number of referrals.

Adjournment There being no further business to come before the Committee, the meeting was adjourned at 6:32 p.m. Diane Tuininga, Chair

6A-3



March 8, 2017

Date Approved Prepared by Erin Bloom

6A-4

CSB Fiscal Committee Meeting Notes

February 17, 2017

Fiscal Oversight Committee Page 1 of 2 February 17, 2017

Attending: Ken Garnes, Chair; Basilio ‘Sonny’ Cachuela, Jr., Suzette Kern, Lori Stillman

Staff: Tisha Deeghan, Daryl Washington, G. Michael Lane, Marta Cruz, and Lisa Witt

Summary of Information Shared/Decisions:

Review of meeting notes

The committee reviewed and approved the notes of the January 19, 2017 committee meeting as presented.

Financial Status

Lisa Witt provided details of CSB’s submission for the FY 2017 Third Quarter Review for Funds 400-C40040 and 500-C50000, copies of which were included in the committee packet. Highlights included:

As of February 6, 2017, there were 146 Fund 400 vacant general merit positions.

Staff project a non-county revenue surplus of approximately $2.9M, no material change from January.

Staff project an expenditure balance of approximately$9.3M, primarily due to vacant positions and delayed spending for employment and day services for newly eligible populations.

Clarification was provided to illustrate the differences in Funds 400-C40040 and 500-C50000 as follows: o Fund 400-C40040 is CSB’s primary funding source, reflecting an FY 2017 Revised Budget of

approximately $171M. o Fund 500-C50000 includes CSB’s Federal and State grants, including Health Planning Region II

grants, with an approximate budget of $20M.

Human Resources (HR) Updates

Noting this update provides information for the calendar year (January – December) Marta Cruz highlighted recent Human Resources activities to include:

As stated above, the current (regular Merit) Vacancies as of February 6, 2017 totaled 146 with 79 vacant positions funded and in active recruitment status.

Noting the HR handout included in the committee packet provides information for appointments, it was clarified that the term appointment reflects a net change to employment which may include new hires and promotional appointment.

Recruitment and retention activities include o Emergency Services: One merit Crisis Intervention Specialist (CIS) hired with active

recruitment for an additional three CIS positions and the finalization hiring of one Mental Health Counselor.

o Youth & Family Services: Three Senior Clinicians were hired in January; recruitment for an additional seven positions is ongoing.

o Support Coordination: Five Support Coordinators have been hired in 2017. The ad for an additional seven positions is ongoing.

o Diversion First: The Emergency Supervisor position has been filled. Recruitment for the Exempt Psychiatrist position is ongoing.

6B-1

CSB Fiscal Committee Meeting Notes

February 17, 2017

Fiscal Oversight Committee Page 2 of 2 February 17, 2017

Diversion First

Daryl Washington offered highlights of recent Diversion First activities including the following:

In anticipation of significant turnover related to retirement eligible staff, plans for recruitment are underway in an effort to avoid critical position vacancies.

Meetings between Diversion First staff, court services, judges, and deputies are ongoing in preparation of a pilot program. The program provides for Diversion First staff to be present during the intake process at classification and prior to the preliminary hearing in order to offer a mental health screening assessment to individuals entering the Adult Detention Center (ADC). Implementation of this process would create an additional pre-incarceration diversion point.

FY 2018 Advertised Budget

Tisha Deeghan reported on the release FY 2018 Advertised Budget Plan on February 14th, noting the budget documents are available on the Fairfax County website at fairaxcounty.gov/dmb/fy2018-advertised-budget. Members were encouraged to review the posted documents, particularly the County Executive Summary of the FY 2018 Advertised Budget Plan and the Multi-Year Budget: FY 2018 – FY 2019.

Noting some upcoming Human Services Council meetings, Ms. Deeghan reported she would be presenting to the Human Services Council on Tuesday, February 21, 2017. It was further reported that CSB Board Vice Chair Suzette Kern would speak before the Human Services Council Community Dialogue meeting scheduled for Tuesday, March 7, 2017 or Thursday, March 9, 2017.

Action Items/Responsible Party Required Prior to Next Meeting:

Issues to Communicate to CSB Board:

Agenda Items for Next Meeting on February 17, 2017:

February 2017 Fiscal Oversight Committee meeting Friday, February 17, 2017 at 9:00 a.m. Pennino Building, 12011 Government Center Parkway, Room 836A

March 17, 2017

Date Staff to Board

6B-2

IDD Committee Meeting January 4, 2017 Page 1 of 4

Fairfax-Falls Church Community Services Board

Intellectual and Developmental Disability Committee

Wednesday, January 4, 2017

The Intellectual and Developmental Disability Committee of the Board met in regular session at

the Merrifield Center, 8221 Willow Oaks Corporate Drive, Merrifield VA.

The following Committee members were present: Lori Stillman, Chair; Suzette Kern, Jane

Haycock-Woods, Sheila Coplan Jonas, Sarah Meiburg, and Daria Akers

The following CSB staff were present: Jean Hartman, Evan Jones, Victor Mealy, Barbara

Wadley-Young, and Jean Post

1. Meeting Called to Order

The meeting was called to order at 5:30 PM.

2. Welcome and Introductions

The chair welcomed the public and introductions were made. Daria Akers is new to the

committee, replacing Molly Long.

3. Approval of the Agenda & Minutes

The minutes from the November 2016 meeting were approved.

4. Matters of the Public

Dennis Brown, representing ServiceSource, commented that he saw the two most critical

concerns as the shuffling of types of waiver slots in the Governor’s budget resulting in a

marked decline of Community Living waivers, and continuing concern about the flaws in

rate methodology that is resulting in inadequate waiver rates to meet true costs. Mr. Brown

urged advocacy to address these concerns and add a cost of living increase on to the rates.

Rikki Epstein noted the Arc’s plan for advocacy, highlighting a statewide DD Advocacy Day

on January 31.

April Pinch-Keeler, from MVLE, expressed concern for meaningful expedited appeals of

Supports Intensity Scale (SIS) scores. She also requested an update on school transition

planning for June 2017 graduates.

5. Matters of the Committee

Ms. Stillman presented the following matters:

The LogistiCare Advisory Board for Region 2 met in November. Increased

complaints were discussed along with how they are being addressed. LogistiCare has

6D-1


also developed a new online portal called WellRyde which is designed to improve

trip management and billing for providers which should increase efficiency,

effectiveness and safety.

A letter was sent to the Governor from the CSB expressing concern about the lack of

a Northern Virginia differential in the pricing structure included in the RFP for Non-

Emergency Medicaid Transportation (NEMT) for individuals with disabilities and

mental health disorders.

CSB Board members are currently in the process of providing testimony at state

legislative hearings, as well as meeting with their individual state legislators, to

increase awareness of CSB legislative priorities for the upcoming legislative session.

The Chair encouraged those present to advocate on behalf of our citizens with

disabilities.

DMAS has been holding a series of public forums on regulations for the DD Waiver

program.

Ms. Stillman participated in the VACSB Board of Directors meeting on December

14th where the VACSB Budget Priorities for 2017-18 were finalized.

There is a need for a new Chair for the I/DD Committee as Ms. Stillman is term-

limited and will be leaving the CSB Board in June.

6. Discussion on Topics for Future Committee Presentations

There was brief discussion on topics the group would be interested in having presented at

future I/DD Committee meetings. Some ideas included: LogistiCare presentations, staff

presentations on programs and services, having an acronym “cheat sheet,” and functions of

federal, state, and local entities in the disabilities arena.

Ms. Haycock-Woods reported the availability of a book that chronicles the history of CSA in

Virginia which she will provide for the Board. She also noted the upcoming DC Health Fair

where the suicide coalition will be represented.

7. Staff and Agency Updates

Ms. Hartman gave the following agency and program updates:

DDCM Regional Contract – The Developmental Disabilities Case Management

(DDCM) regional contract was awarded to 4 providers: The Arc of Northern

Virginia; The ENDependence Center of Northern Virginia; Moms in Motion; and

Foundations for Change. Just under 70 individuals served by agencies not in the

regional contract are being transferred to the CSB to ensure continuity.

CEP/SC – To help meet the demand in Support Coordination, the Cooperative

Employment Program (CEP) will be closed, transitioning 150 individuals to

contracted employment supports, and transferring staff to support coordination. CEP

has been a long-running, highly successful directly-operated employment program.

The staff are equipped to ensure that individuals can continue to receive the same

level of support through contracted partners.

6D-2


Commonwealth Coordinated Care Plus (CCC+) – begins 12/1/17 in Region II;

transitions ~213,000 individuals (including those with long-term services and

supports) from fee for service to integrated managed health care (behavioral health

homes). Statewide contracts were awarded to Aetna Better Health of Virginia,

Anthem HealthKeepers Plus, Humana, Magellan Complete Care of Virginia, Optima

Health, Unites Healthcare, and Virginia Premier Health Plan.

Governor’s budget proposal – changes in the new waivers were discussed.

Victor Mealy from Support Coordination reported on training center numbers and new staff.

He also discussed DD Case Management transitions and reported that the Waiver Slot

Allocation Committee will begin meeting at the end of January.

From Employment and Day, Evan Jones reported:

Waiver Redesign: EDS staff are working diligently on running two reimbursement

systems, both units and hours until conversion to an hourly system. EDS staff are

trying to establish the most efficient methods for tracking, monitoring, and projecting

costs.

CEP (Cooperative Employment Program): The closing of the Cooperative

Employment Program (CEP) was referenced. Transitions will begin immediately

with a target completion date of mid-February.

Virginia’s transition plan to the final settings rule:

The Center for Medicaid and Medicare Services (CMS) has approved Virginia’s proposed

transition plan to the “Final Settings Rule” contingent on the state addressing several technical

and systematic issues. It is projected the final transition plan will be completed by the summer

of 2017. It is hoped there will be a related public comment period.

Barbara Wadley Young reported:

The addition of the Nursing Team in Adult Community Residential Services (ACRS)

directly-operated programs has assisted with coordination and delivery of quality care

and documentation. Aging in place that includes home-based hospice, despite its

challenges, allows for support of individuals in their home with people they know and

love which eases their distress.

o Ethical challenges, particularly regarding medical procedures and interventions,

have arisen with individuals who act as their own guardians. This has resulted in

increased collaboration with the CSB Safety Committee, the Ethics Committee,

the County Attorney, and State Licensure, and Human Rights.

Joseph Reinich, the new Assistant Director of Residential Services started on 12/27/16.

The Residential RFP (request for proposal) will likely be issued within the next 2 months.

The ACRS annual door decorating contest was reported in the CSB and County

newsletters and was touted for its advocacy and staff commitment aims.

6D-3


Jean Post from Norther Virginia Regional Projects Office (NVRPO) shared the following

updates for REACH (Regional, Education, Assessment, Crisis Services, Habilitation), Adult and

Youth:

Adult is operating throughout extended region as of Oct 1, 2016. Crisis Therapeutic

Home (CTH) occupancy in November was 84.4% & December was 97.8%

Youth remains under development in expanded region; the contract was amended in

December to modify staffing requirements.

2nd Quarter Data is now being collected and will be available to share at the next

meeting.

Trainings: Several trainings have been scheduled over the next few months.

8. Meeting Adjourned

There being no further business, the meeting was adjourned at 6:30 p.m.

The next meeting is scheduled for Wednesday, March 1, 2017 at 5:30 p.m. at the Merrifield

Center.

6D-4

COMMUNITY SERVICES BOARD Item: 7A Type: Information Date: 3/22/17

Title

Application submission for DBHDS Jail Diversion funds

Issue

On February 7, 2017, the Virginia Department of Behavioral Health and Developmental

Services announced available funds of up to $28,195 annually for CSBs who are

currently receiving jail diversion funds. This CSB was eligible to seek funds and

submitted the application in time for the February 27, 2017 due date. If awarded, these

funds will be added to the baseline budget for state-funded Jail Diversion and no further

action will be required.

Background

The application for $28,195 requests additional funding for two Permanent Supportive

Housing placements for individuals served, as required, through the Jail Diversion

program. If awarded, the CSB will add to an existing contract to access Permanent

Supportive Housing and provide therapeutic supports through the Jail Diversion team.

These funds are ongoing funds.

Timing:

The application was submitted on February 27 and the CSB should be notified of the

outcome by the end of March.

Fiscal Impact

If funds are awarded, $28,195 will be added to the baseline budget. No additional action

to accept these funds will be required.

Staff:

Laura Yager

7A-1

Documents

FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD Gary … · 3/22/2017 · The primary focus of the meeting included efforts to update the Priority Population Guidelines. An engaged