CARROLL COUNTY BEHAVIORAL HEALTH AND ADDICTIONS …



Access to Health Care/Local Health Improvement Team

Meeting Minutes – December 10, 2014

Meeting Date: December 10, 2014

Time: 8:30 AM

Location: Carroll County Health Department

Chairperson: Rev. Jerry Fuss

PHCC Staff: Barb Rodgers and Carol Ann Bauman

|Agenda Topic |Discussion Summary |Follow Up |

|1. Welcome/ |Introductions were made. | |

|Introductions |Attendance will be indicated on the attendance roster. | |

| | | |

|2. Minutes |November minutes were approved. | |

|3. Action Teams | Action Teams | |

|a) Cross – Agency Training |Becky Maurio from CCC was introduced and reviewed the college’s role in supporting the CAT. Becky distributed a “Save the Date” flier for the first |CAT Action Team planning |

|(CAT) |scheduled training on April 17, 2015, with more information and registration details to be available in late January. CCC is very interested in |meeting will be January 5, 2015|

| |supporting community education efforts and the team looks forward to working with Becky and the college in planning future trainings. Meetings will be |at CCC at 1:00 in T313. |

| |the first Monday of the month at 1:00 p.m. Locations to be announced. | |

|b)Resource Card/Carroll Card |Kelly Saffell, a Carroll County Health Department intern, distributed a draft of the revised Carroll Card. There was much discussion about organizing |The Leadership Team is asked to|

| |the material for best use, categorizing the agencies, etc. Some resources were dropped from the former list. Tomorrow is Kelly’s last day and the team |review the card for accuracy, |

| |thanked her for the work she has done on the project. |additions, organization. Get |

| |Barb is still working on having a speaker on 211 in the future. There is a need to clarify the role of 211 in the county. |comments to Barb by January |

| | |meeting. |

|4. Prevention Wellness and |Amy reported there are 9 trained SOAR case managers in the county that provide this service in addition to their regular job responsibilities. They |For more information, Amy Baker|

|Recovery(PWR)/ SSI/SSDI |have had good success, getting approvals for their clients in less than 6 months; there are normally approximately 9-18 active cases with a waiting |is the Carroll County liason |

|Outreach, Access and Recovery |list. SOAR meets the first Friday of the month from 10:30 am - 12:30 pm |for SOAR. |

|(SOAR) |There are now 9 peer workers at multiple locations throughout the county. | |

| |The Crisis Intervention Training (CIT) had 9 law enforcement staff in attendance. 7 from Westminster City Police, 1 from Manchester and 1 from | |

| |McDaniel. An RN has been hired to function as a crisis response nurse. Startup money is needed to form a local crisis team and requests for funds have | |

| |been denied to date. | |

|5. Transportation |Medical Assistance (MA) Transportation: Amanda Haugh reported that the transportation staff is receiving many calls daily, and requests from new |TAC meets every 2nd Monday of |

| |riders seems to have increased. |the month from 2-4 at the |

| |County Transportation Plan: Comments are closed for the County’s 10 year Master Plan of which transportation is a part. It is still unclear if and |Bureau of Aging. |

| |when the changes outlined in the plan will be implemented. | |

| |CATS: Louise was not able to attend. County transportation intent to bid is to Butler. There is much unknown at this point, but all involved want the |Louise will provide information|

| |transition to be as smooth as possible. This topic is on the Commissioner’s agenda for Thursday at 1:30 p.m. CATS would like to continue as a Human |as it is known. |

| |Service provider in the county and would not be bound by county contracts as to leaving the county. | |

| |Transportation Action Team/Transportation Advisory Committee (TAC): Next meeting of TAC will be January 12, 2015, from 2-4 p.m. at BOA&D. | |

|6. Health Insurance/ |MHBE: Lisa Wack was unable to attend but submitted this report. Through Dec 5 have enrolled more than 125 private plans and about 80 Medical |Barb to forward information |

|MHBE Update/ |Assistance. January 10 enrollment event at TownMall, Westminster is open to all to join in or who want a table.  PLEASE let her know if anyone has |about January 10th event to |

|Maryland Children’s Health |opportunities for her or staff to speak, or provide materials, or set up shop to do enrollments.  Staff is available day or evening, some weekends, |team. |

|Insurance Program |etc. Dec 18 deadline to re-enroll; February 15 is the last day of open enrollment | |

| |MCHIP: Debbie reported that Priority Partners is now “open for business” in Carroll County. Refer people who have questions about MA or finding | |

| |providers to Debbie. | |

|7. Local Health Improvement |LHIC: The statewide LHIC annual meeting was held November 12, 2014. Sharon Sanders reported for Carroll County on the partnership between the Carroll | |

|Coalition (LHIC) |Hospital Center, Partnership for a Healthier Carroll County and Carroll County Health Department. A summary of LHIT activities is available and Barb | |

|Local Health Improvement |will send to the team. | |

|Team/(LHIT) |SIM: There is still not official word re: SIM money award to the state of Maryland. | |

|State Intervention Model (SIM)| | |

|8. Access Carroll |Tammy discussed an access issue that Madeline Morey reported. There are 1500 senior Medicare recipients on fixed incomes in the county that have been | |

| |negatively affected by increased co-pays of 20%. These seniors are not eligible for Medicaid and are at 150-250% of the poverty level. This is a | |

| |consequence of the ACA and Medicaid expansion. Sharon reported that the CHC is required to ask for co-pays, but medical practices can work with | |

| |patients around this issue. She advised that all patients let their providers know about their difficulty in making payments or meeting their co-pay. | |

|9. New Business |Amy and Tammy brought up the issue re: the difficulty of obtaining outpatient mental health services in the county. There are lengthy waiting lists and|Amy Baker will be Chair of this|

| |it is especially difficult to get providers under Medicare. Medicare does not recognize Licensed Clinical Professional Counselors, (LCPC), only |new Medicare Action Team. Barb |

| |Licensed Certified Social Workers, (LCSW). Also, Medicare requires a therapist visit prior to an M.D. prescribing a drug treatment plan. BHAC also |will provide support to Amy and|

| |sees this issue as a priority. |the team. |

| |Sharon reported that a new CHC outpatient mental health practice will be opening early in 2015. More details will follow as known. | |

| |It was decided that there will be a new Action Team, called the Medicare Task force to gather data, assess existing resources and identify barriers to | |

| |care. | |

|10. Other Business | | |

| | | |

|11. Announcements |It was announced that United Health Care MCO will not be enrolling new members in Carroll and 14 other Maryland counties in 2015. The current enrollees| |

| |will be retained, but the MCO is effectively “closed.” | |

|12. Meetings: |Next meeting is January 14, 2015 at Carroll County Health Department‘s Multipurpose room. | |

|Adjournment |The meeting adjourned at 10:55 A.M. | |

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