Sandhills Center for MH, DD & SAS
Consumer and Family Advisory Committee
September 18, 2012
Present: Stephen Cohen, Loida Colonna, Edward Daniels, Carol DeBerry, Ron Huber, Libby Jones, Allen Little, Chris Laughlin, , Anthony Pugh, Lori Richardson,
Irma Robledo, Ron Unger and Ashley Wilcox
Excused Absence: Michael Ayers, Debra Collins, Elaine Hayes, Leann Henkel, Marianne Kernan Beth Ann Mellinger
SHC Staff Present: Mike Markoff; Customer Service Coordinator, and Joni Nall; Customer Service Administrative Assistance
Guests: Victoria Whitt, SHC CEO; Ann H. Suggs MD; Stacey Harward, Consumer Empowerment Team Division Representative; Melissa Bowman and Fallon
Jefferson, Pembroke Nursing Students
Presenter & Topic
Discussion
Outcome/Follow-Up
Plan
 The meeting was called to order at 6:15 p.m.
The August 21, 2012
Ron Huber, CFAC
minutes were reviewed
Chairperson
 The CFAC committee welcomed Dr. Ann Suggs to the meeting as we have greatly missed her attending and a motion was made by
 Call to order
our meetings.
Ronald Unger and
 Review of Minutes
seconded by Stephen
Cohen to accept the
minutes as written.
The motion carried.
 Committee members were asked to review page-by-page the NC Innovations Managing Employer
With noted changes being
Ron Huber, CFAC
Handbook during this meeting. Mike Markoff documented spelling/grammar errors found by the
corrected, the committee
Chairperson
committee and will forward the requested changes to Tena Campbell.
approved the NC
 NC Innovations
Innovations Managing
Managing Employer
Employer Handbook. It
Handbook
will now be forwarded to
Quality Management.
 Due to extensive review of the NC Innovations Managing Employer Handbook, the committee decided
Ron Huber, CFAC
to table reviewing the CFAC By-Laws for revisions and updating the CFAC terms, until the October
Chairperson
2012 meeting.
 Review By-Laws
 Update CFAC Terms
 Guilford Update - Victoria began her presentation regarding Guilford, stating she has just returned
Victoria Whitt, CEO
from the Montgomery County Commissioners meeting and was proud to announce that all (9) County
 Guilford Update
Commissioners have approved The Resolution merge with Guilford County. The Merger Agreement is
 Medicaid Waiver
still being “ironed out”; however the Guilford County Commissioners meet on October 4th and
Update
hopefully will approve the Agreement at that time. When the Merger Agreement is signed, Guilford
 Budget Update
Center LME will cease to exist and Guilford County will become the 9th County in the SHC catchment
area. Victoria has met with the Guilford staff who is interested in pursuing employment with SHC.
From a legal perspective jobs can’t be offered until the Merger Agreement has been approved.
 Medicaid Waiver Update - Victoria shared the letter from Sandhills Center requesting a two month
delay to the scheduled October 1 implementation date. The Sandhills Center Board approved this
recommendation and NC DHHS is in agreement and support of this request. The delay allows SHC
time to work with their partners HP Enterprise and NTST to further automate the functions that have
been developed, perform extensive testing, and work with their provider network in full implementation
of the authorization and claims processing system.
Page 1 of 4
Presenter & Topic
Mike Markoff, Customer
Service Coordinator –
Consolidated Balance Sheet
and Income Statement –
August 31, 2012
Stacey Harward, Division
Representative Consumer Empowerment
Team Updates – September
2012
Discussion
 Budget Update – Victoria updated the committee on the State budget stating it included a $20 million
reduction to LMEs for community services. Sandhills reduction would be approximately $1.2 million.
Sandhills Center will not be absorbing these reductions as it has done in the past. The following changes
were shared with the committee:
o $8.05 million reduction in the Substance Abuse Prevention and Treatment Block Grant for
funding.
o $4.3 million transfer to Social Services to cover the cost of taking responsibility for
guardianships.
 Reviewed SHC Consolidated Balance Sheet and Income Statement dated 08/31/12, noted the following:
 Total Revenues (YTD)
$
6,492,128
 Total Expenditures (YTD)
$
5,550,169
 Change in Fund Balance (YTD) $
( 941,959)
1. UNC Chapel Hill School of Social Work, Behavioral Healthcare Resource Program’s website
provides weekly updates of the number of Certified Peer Support Specialists in each county of
North Carolina. There are currently more than 700.
http://pss-sowo.unc.edu/pss
2. State CFAC meeting will be held on Thursday, Sept 13th from 9am to 3pm at the Clarion Hotel
on Hillsborough Street in Raleigh. The meeting will be held in the Four Sisters conference
room on the first floor.
http://www.ncdhhs.gov/mhddsas/services/advocacyandcustomerservice/scfac.html
3. The CFAC shall undertake all of the following:
(1) Review, comment on, and monitor the implementation of the local business plan.
(2) Identify service gaps and underserved populations.
(3) Make recommendations regarding the service array and monitor the development of additional
services.
(4) Review and comment on the area authority or county program budget.
(5) Participate in all quality improvement measures and performance indicators.
(6) Submit to the State Consumer and Family Advisory Committee findings and recommendations
regarding ways to improve the delivery of mental health, developmental disabilities, and
substance abuse services.
How CFACs accomplish this:
a. receive information from the community, LME/MCO, Division
b. process, analyze, and prioritize the information (use of workgroups)
c. make comment to the Board (advise)
4. Tenancy Support Team Service will be a new state funded service available soon. There are training
requirements. The service will be staffed by a team of 3 members, a QP (Qualified Professional)
and 2 Peer Support Specialists. This will hopefully provide some support regarding housing to
individuals affected by displacement due to the IMD (Institute of Mental Disease) rulings.
Page 2 of 4
Outcome/Follow-Up
Plan
Presenter & Topic
Committee Reports
Announcements
Handouts
Discussion
5. DWAC (Departmental Waiver Advisory Committee) met on August 28th. The primary topic of
discussion was an explanation of the SIS (Supports Intensity Scale) by staff from DDTI
[Developmental Disabilities Training Institute]. Community forums will be occurring across the
state. The schedule can be found at:
http://ddti.unc.edu/CommForSIS.asp
DWAC will meet again on Wednesday, September 19th from 1p – 3p at the McKimmon Center in
Raleigh.
6. Glossary of Terms & Acronyms: http://www.ncdhhs.gov/mhddsas/glossary.htm
7. A total of 4 LME/MCOs (57 counties) have gone live under the Waiver: PBH which is now Cardinal
Innovations Healthcare Solutions, Western Highlands as of 1/1/12, ECBH as of 4/1/12, and Smoky
Mountain as of 7/1/12. Sandhills Center is scheduled to go live on 10/1/12. The remaining 6 entities
are all scheduled to go live on 1/1/13. Mercer reviews are scheduled approximately 120 days and 60
days prior to implementation date.
8. Information about the implementation of the 1915 b/c Waiver can be accessed at the following link:
http://www.ncdhhs.gov/mhddsas/providers/1915bcWaiver/index.htm
9. Consumers and family members can voice their concerns about the Waiver.
Voice concerns through their CFAC Chair or representative who is the active member at the monthly
IMT (Intradepartmental Monitoring Team) meetings and at public comment time at local Area Board
meetings, DWAC (Department Waiver Advisory Committee) and State CFAC meetings.
10. DMH/DD/SAS website: http://www.ncdhhs.gov/mhddsas/
DMA Medicaid Bulletin website: http://ncdhhs.gov/dma/bulletin/index.htm
 No committee reports were given on this date.
 Mike asked for volunteers to attend the Innovations Training – *Supports Intensity Scale” Role-Play to
be held on October 8, 2012 at the Agricultural Building in Carthage, NC at 9:00 a.m.
 The Linden Lodge Foundation will host “Mind, Myths, and Miracles” on Saturday, October 6th at 7:00
p.m. at the PineNeedles Conference Center.

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
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SHC CFAC Meeting Minutes dated 8/21/12.
SHC Consolidated Balance Sheet and Income Statement August 31, 2012
Consumer Empowerment Team Updates – September 2012
SHC Chief Executive Officers Report dated 9/11/12
Letter from Victoria Whitt re: Medicaid Waiver Implementation (delay) dated 9-17-12
NC Innovations Managing Employer Handbook
CFAC’s By-Laws
CFAC Roster
Performance Contract Summary – 4th Qtr.
NC DHHS Glossary
Abbreviations & Symbols List
Consumer Empowerment Team Updates – September 2012
Minds, Myths and Miracles flyer re: The Linden Lodge Foundation
Page 3 of 4
Outcome/Follow-Up
Plan
The following CFAC
volunteered to attend:
Ron Huber, Lori
Richardson, Ron Unger
and Chris Laughlin.
Presenter & Topic
Discussion
Adjournment
Future Meeting
Submitted by: Joni Nall
The next CFAC meeting will be held on October 16, 2012 at 6:15 p.m.
Page 4 of 4
Outcome/Follow-Up
Plan
A motion was made by
Stephen Cohen to adjourn
the meeting and was
seconded by Ronald
Unger.
The motion carried.