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Meeting Materials (PDF) Open in New Window INARF Board of Directors Meeting Friday, June 26, 2015 11:00AM – 12:30PM Easter Seals Crossroads 4740 Kingsway Drive – Indianapolis Training Room 1 & 2 – 5th Floor AGENDA I. Call to Order, Welcome and Introductions II. Modification to the Agenda III. Approval of Minutes IV. Finance Committee Report a. Review of Financial Statements V. Association Focused Reports and Discussion a. Organizational Development Committee Update b. Upcoming Events and Activities c. Staffing Update VI. Industry Focused Reports and Discussion a. Overview: Chickadaunce v. FSSA b. National Issues Update c. Additional Administrative Updates VII. Other Business VIII. Adjournment -- The INARF Board of Directors Meeting and Member Forum were held on June 26, 2015 at Easter Seals Crossroads, 4740 Kingsway Drive in Indianapolis. The INARF Member Forum convened at 10:00 a.m. with the INARF Board of Directors meeting immediately afterwards. Present: Jim Allbaugh, Vice Chair Steve Sacksteder, Immediate Past Chair Debbie Bennett, Treasurer Holly Piggott, Secretary Rick Adams, Dungarvin, Inc. Jason Meyer, Passages, Inc. Pam Verbarg, Wabash Center, Inc. Bettye Dunham, Rauch, Inc. Leslie Green, Stone Belt Arc, Inc. Steve Cook, Benchmark Human Services, Inc. Jane Wear, Cardinal Services, Inc. Absent: Patrick Cockrum, Chair John Niederman, Pathfinder Services, Inc. Ann Robertson, IPMG Guest (in person): Ellen DeMartinis, Opportunity Enterprises, Inc. Connie Dillman, Tangram, Inc. Jill Dunn, Bona Vista Programs, Inc. Jeff Frady, Indiana MENTOR Julia Huffman, Noble of Indiana Michael Lintner, Marshall-Starke Development Center, Inc. Jane Ruff, Hopewell Center, Inc. Andrew Ranck, Putnam County Comprehensive Services Kim Schroder, Hall, Render, Killian, Health & Lyman, P.C. Rick Thompson, Corvilla, Inc. Jessica Todd, Human Resource Partnerships, Inc. Guests (via Webinar): Brock Anderson, Corvilla, Inc. Andrea Arthur, IPMG Cassie Balk, IPMG Melinda Beal, The Columbus Organization Donna Belusar, ADEC, Inc. Alicia Boyd, Alicia M. Boyd, CPA PC Christiaan Campbell, Bridges of Indiana Shannon Collins, Bona Vista Programs, Inc. Kim Elliott, Carey Services, Inc. Janessa Gerber, LifeDesigns, Inc. Joy Greeney, Advocacy Links Herb Grulke, In-Pact, Inc. Tony Hakel, IPMG Jessica Hammett, Hillcroft Services Dana Kean, IPMG Erin Kreigh, IPMG Jennifer Lantz, IPMG Daniel Lowe, Blue River Services, Inc. Angela Murray, IPMG Michele Phillips, IPMG Jacque Pulling, The Columbus Organization Sally Russell, ADEC, Inc. Debra Seman, Arc Opportunities Angie Tyler, Tangram, Inc. Lynn Walker, Easter Seals Arc of NE Indiana Donald Weikle, Peak Community Services Allison Wharry, New Hope of Indiana Staff: Kim Opsahl, President/CEO Barb Young, Vice President/CFO Keith Digman, Ability Indiana Director Nanette Hagedorn, Membership Engagement Director Sarah Chestnut, Public Policy Coordinator Kim Wasiak, Administrative Assistant/Operations Support INARF Member Forum I. Call to Order, Welcome & Introductions Jim Allbaugh welcomed attendees and called the meeting to order at 10:00 a.m. He introduced guest speaker Kim Schroder, Hall, Render, Killian, Health & Lyman, P.C. II. Overview: Chickadaunce et al., v. Wernert et al. Ms. Schroder began by discussing details pertaining to the Chickadaunce case. The case was filed as a class action in August 2013. The identified class includes seriously disabled individuals on the Community Integration and Habilitation Waiver (CIHW) with an Algo score of 4 or higher. The plaintiffs allege that the State’s Objective Based Allocation program does not provide them supports consistent with their medical necessity and in violation of the Americans with Disabilities Act’s Integration Mandate. The discovery phase of the case is complete and in March the plaintiffs filed a Motion for Summary Judgment. The State has subsequently filed their response, along with a Motion to Decertify the Class. Ms. Schroder answered many questions from the audience. For additional details on her presentation, please see the attached memorandum. Mr. Allbaugh thanked her for the presentation. III. Board Chair Report - Association Activities & Updates Mr. Allbaugh reported on the following association activities: • Notable Transitions INARF extended congratulations to the following as they recently were promoted or retiring: Tangram will be welcoming Steve O’Dore as the new CEO/President due to the Connie Dillman’s retirement, Kim Dodson was recently appointed as the Arc of Indiana’s Executive Director following John Dickerson’s recent departure. In addition, Suellen Jackson Boner from the Governor’s Planning Council for People with Disabilities and Dr. David Mank for Indiana Institute on Disability & Community recently announced plans to retire from their respective positions. • Upcoming Events Mr. Allbaugh reported on recent activities and upcoming events as noted on the INARF Upcoming Professional Development Activities and Events handout. Among the events of note, he highlighted the INARF Annual Legislative Award Lunch scheduled for September 25 where we will recognize Senator Buck as INARF’s Legislator of the Year and State Auditor Suzanne Crouch with the career recognition award. IV. President/CEO Report Kim Opsahl reported a recap of the activities within the General Assembly, highlighting the success of the Association’s budget initiatives. Planning for the 2016 legislative session is underway, with the Governmental Affairs Committee (GAC) meeting recently to begin developing legislative priorities. GAC plans to reach out for member feedback with identified priorities and to help with building more relationships with legislators. In addition to legislative matters, INARF continues efforts to work through the implementation of the RHS Daily Rate Implementation. Notice of which individuals are likely impacted were sent to providers recently. There will be several communications going out regarding policies and procedures relative to the daily rate. NOAs will be generated by July 13th so that any issues can be worked out before the effective date of August 1. On a related note, the Family Support Waiver (FSW) was approved with an effective date of April 1st. The most significant change within the FSW is the introduction of Extended Services in place of Supported Employment Follow-Along. The State’s HCBS Settings Transition Plan is still under review with CMS. Indiana is in good company as most state plans have not yet been approved. Recently, INARF partnered with State Associations in Ohio, Illinois, Michigan, and Minnesota, to host a CMS Region V Forum on State Transition Plans. Through that event, it appears all states are struggling with aspects of the planning. As a follow-up to its recent presentation on long-term issues and trends facing services for individuals with intellectual and developmental disabilities, the Division has begun exploring new approaches to Residential Services under the CIH Waiver. DDRS Director Nicole Norvell recently met with the INARF Board to share the Division’s initial ideas. The Board has tasked the former Rate Reform Workgroup to begin researching those ideas and provide feedback. The Wellness Coordination Workgroup recently shared recommendations with the Division on short and long terms ways to improve Wellness Coordination. Overall, these were positively received and the group is waiting to provide feedback as updated guidance is developed. On a related note, FSSA Audit has begun auditing Wellness Coordination. As part of the audit, auditors are looking at many of the issues raised by the workgroup’s recommendations. Hoosier Care Connect is the new managed care approach for those who qualify for Medicaid under the Aged, Blind, and Disabled category but are not in long term services and supports. Enrollment has been ongoing since April with the final group of eligible individuals to be auto-assigned on July 1. It has been noted that due to a systems issue there are times when individuals in waiver or group home services have been pulled into Hoosier Care Connect in error. This will likely be noticed when billing occurs. If you experience this issue, first go through HP for assistance. If issues continue, then contact the Division for assistance. Vocational Rehabilitation Services Hybrid Model implementation trainings ended last week with positive feedback. Materials from the training and forms for the July 1 implementation are available on the VR website. V. Adjournment INARF Board of Directors Meeting I. Call to Order, Welcome and Introduction Jim Allbaugh, INARF Board Vice Chair, called the meeting to order. II. Modification to the Agenda There were no modifications to the agenda. III. Approval of the Minutes The May 21st and May 28th Board of Directors meeting minutes were presented and reviewed. MOTION 15:17 Steve Sacksteder moved to approve the May 21st Board minutes. Bettye Dunham seconded and the motion carried. MOTION 15:18 Debbie Bennett moved to approve the May 28th Board minutes. Pam Verbarg seconded and the motion carried. IV. Finance Committee Report Ms. Bennett reported that there is a positive change in net assets from operations of $11,800, an unrealized gain on investment of $13,700 and an overall increase in net assets of $25,500. There were no other significant issues to report for the financials. MOTION 15:19 Ms. Bennett moved to file the May Financials for audit. Rick Adams seconded and the motion carried. Mr. Allbaugh asked Board Members to complete the 2015 Conflict of Interest Disclosure form included in their materials and return it to Kim Wasiak. V. Association Focused Reports and Discussions Holly Piggott reported that the Organizational Development Committee met on Thursday and refined their main initiatives for the year and will be focusing on diversifying and retaining membership, deepening satisfaction of member organizations and increasing member engagement. The next meeting will be in August. Nanette Hagedorn shared the upcoming events and activities. She also discussed the Annual Conference Workgroup’s use of sub workgroups to make research and recommendations easier. Kim Opsahl shared that Sarah Chestnut is now the INARF Public Policy Coordinator. Ms. Opsahl also shared that Keith Digman would be leaving INARF to work for an INARF member and his last day will be July 10. VI. Industry Focused Reports and Discussions Mr. Allbaugh welcomed Ms. Schroder, Hall, Render, Killian, Heath & Lyman, P.C., who joined the Board Meeting to provide additional discussion of the Chickadaunce case. After a few questions Mr. Allbaugh thanked her. Ms. Opsahl shared with highlights of the ANCOR State Share, noticing most of the discussion focused on rates. Also on a national level, she referenced the CMS Region V Forum mentioned in the Member Forum, noting that attendees commented positively regarding Indiana’s effort to include VR and Education into the plan. Lastly, Ms. Opsahl highlighted a few updates mentioned in the Member Forum. In reference to the Rate Reform Workgroup, Steve Cook has agreed to continue to chair the group. The group will be comprised of Jane Wear from Cardinal Services, Inc.; Kelly Mitchell, SIRS; Pat Cockrum, Sycamore Services; Allison Wharry, New Hope of Indiana; Dan Mohnke, Indiana MENTOR; Misty Woltman, Easter Seals Arc of NE Indiana; and Tracy Mitchell, Bradley Associates. As they begin meeting, regular updates will be provided to the Board. VII. Other Business There was no other business. VIII. Adjournment The next Board of Directors Meeting will be held on Friday, July 24 beginning at 9:30 a.m. after the Earth Discovery Center (EDC) Resource Room- Eagle Creek Park at 5901 Delong Road, Indianapolis. Respectfully submitted, Holly Piggott, Secretary