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March 9, 2005 10:00 a.m.
NCACDSS Adult Services Committee
Albert Coates Building 214 N. Dawson Street , Raleigh
Present: John Wasson - Chair, Susan York, John Margolis, Tim Lackey , Grace McLeod, Charlene Hill, Carol Wright, Gerelene Goodman, Rhonda Caballero, Sue Hancharek, Charles Williams, (new to DAAS), Pamela Nelms, Sheri Slater, Rosalyn Pettyford, Bill Duke, Vic Martin, John Carroll
Guests: Shannon Crane DAAS (Adult DayCare)
Glenda Artis DAAS (Adult DayCare)
Mary Bethel DAAS (Adult DayCare)
Debbie Pittard & Marjorie Morris DMA Medicaid Eligibility
Minutes of previous meeting approved by acclamation.
Adult Day Services Methodology Study: Shannon Crane
Contract with Partners in Care giving to conduct study of reimbursements
Recommendations:
1) annual cost report
2) Current rate/month maximum to be deleted
3) HCCBG reimbursable service unit currently defined as a 6 hour day. Recommendation to change to fixed rate regardless of number of hours.
4) HCCBG & SADCF absentee policy rewrite so both are consistent. Draft to come.
5) Negotiated rates for HCCBG & SADCF meeting to be convened with involved agencies to study/get input. (AAA, DSS, NCADSA, etc.)
Future Study Recommendations: Transportation, CAP/DA
Training Activities: 5 regional sessions.
Debbie Pittard & Marjorie Morris
DMA Eligibility Recipient & Provider Services
Medicare Part D takes effect January 1, 2006
*Will replace Medicaid for prescription drug benefit
135% poverty level full subsidy automatically enrolled
PDP prescription drug plans client will choose one
SHIIP will provide assistance with formulary info
Open enrollment period Nov/Dec each year
Clients will enroll in their choice of plan
Social Security Admin desires to take applications
Current DSS clients internet access to application form which worker can use to enroll clients and mail to SSA.
Medicaid worker may have to process some applications if client requests.
Client must bring life insurance information for application.
Applications begin at SSA on July 1, 2005.
Mary Bethel Medicare Modernization Act (MMA)
Implementation Dates
Beginning April/May: SSA will mail subsidy application to potential eligibles. SHIIP will provide training workshops.
May - SHIIP outreach. SSA will begin accepting applications
July SSA will begin processing applications
September CMS will award Medicare Part D contracts in each state. More train the trainer sessions from SHIIP.
October - Medicare Part D will begin marketing CMS to mail 2006 Medicare & You Handbook.
November 15 Enrollment begins
December - Medicare drug coverage ends for dual eligibles.
January 2006 Medicare Part D begins automatic enrollment effective for dual eligibles.
March 2006 - CMS will identify all beneficiaries not enrolled.
April 2006 - CMS will send out spring enrollment reminder.
May 15,2006 - Medicare Part D coordinated enrollment ends late enrollment penalty begins.
DMA call 919-855-4000 for questions
* CAP/DA clients on deductibles will no longer be able to use prescriptions to meet same
John Wasson Social Services Institute in Hickory this year.
Incoming NCACDSS Director Susan Osborne
Seeking committee input for workshop/training activities
• Medicare Part D
• Placement Issues SPMI individuals in community placements which are not trained/capable to handle behavioral issues. Lack of appropriate facilities to meet needs.
• Where we are with MH Reform
• Where we are with Olmstead Act
• Guardianship (MH/DSS) effect of MH Reform
• DFS Penalty Process - *settlement agreements - *follow up of payments
Next meeting: April 13 th
Call if questions Susan York (336) 229-3141
Sign In March 9, 2005
Name Agency
Susan York Alamance DSS
John Margolis Alamance DSS
Tim Lackey Alexander DSS
Grace McLeod Catawba DSS
Charlene Hill Wilson DSS
Carol Wright Wilson DSS
Gerelene Goodman Harnett DSS
Rhonda Caballero Bladen DSS
Sue Hancharek Mecklenburg DSS
Charles A. Williams Division Aging & Adult Services
John Wasson Cleveland DSS
Mary Bethel Division Aging & Adult Services
Debbie Pittard DMA Medicaid Eligibility
Marjorie Morris DMA Medicaid Eligibility
Pamela Nelms Franklin DSS
Sheri Slater Onslow DSS
Rosalyn Pettyford DAAS
Glenda Artis DAAS
Bill Duke Cumberland DSS
Vic Martin Rutherford DSS
John Carroll Rutherford DSS
