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Meeting Materials (PDF) Open in New Window INARF Board of Directors Meeting Friday, August 28, 2015 11:00 AM – 12:30 AM 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. Industry Focused Reports and Discussion a. National Issues Update b. 2016 Legislative Agenda Preview c. Rate Reform 4.0 Update VI. Association Focused Reports and Discussion a. Upcoming Events and Activities b. Staffing / Organizational Assessment Update c. Board Member Vacancy Recommendation VII. Other Business VIII. Adjournment -- The INARF Board of Directors and Member Forum meetings were held on August 28, 2015 at Easter Seals Crossroads, 4740 Kingsway Drive, Indianapolis. The Member Forum convened at 10:00 AM with the INARF Board of Directors meeting immediately afterwards Present: Patrick Cockrum, Sycamore Services, Inc., Chair Steve Sacksteder, Four Rivers Resource Services, Inc., Immediate Past Chair Holly Piggott, ResCare, Inc., Secretary Debbie Bennett, Hillcroft Services, Inc., Treasurer Rick Adams, Dungarvin, Inc. Steve Cook, Benchmark Human Services, Inc. Leslie Green, Stone Belt Arc, Inc. Jason Meyer, Passages, Inc. John Niederman, Pathfinder Services, Inc. Pam Verbarg, Wabash Center, Inc. (via phone) Jane Wear, Cardinal Services, Inc. Absent: Jim Allbaugh, Carey Services, Inc., Vice Chair Bettye Dunham, Rauch, Inc. Ann Robertson, IPMG, Inc. Guest: Christiaan Campbell, Bridges of Indiana, Inc. Marie Dausch, New Horizons Rehabilitation, Inc. Jeff Frady, Indiana MENTOR Joy Greeney, Advocacy Links, Inc. Julia Huffman, Noble Kelly Mitchell, Sothern Indiana Resource Solutions, Inc. Jay Neeam, ResCare, Inc. Dick Rhoad, Wabash Center, Inc. Jane Ruff, Hopewell Center, Inc. Allison Wharry, New Hope of Indiana Staff: Kim Opsahl, JD, President/CEO Barb Young, Vice President/CFO Katy Stafford-Cunningham, Vice President - Public Policy Nanette Hagedorn, Director, Membership Engagement Kim Wasiak, Administrative Assistant/Operations Support INARF Member Forum I. Call to Order, Welcome and Introductions Patrick Cockrum welcomed attendees and called the meeting to order. II. Board Chair Report a. Association Activities & Updates Mr. Cockrum welcomed new institutional member Gibson County ARC and new associate members, Bisbecos Consulting; BKD; Gilliland, Maguire, and Harper, PC; In Touch Pharmaceuticals; and PhaRmaneek Pharmacy Services. He also noted upcoming INARF events, including DSP recognition week from September 13th -19th, the DSPIN Annual Conference on September 16th, and the INARF Annual Legislative Luncheon on September 25th starting at noon at the 502 East Event Centre in Carmel. III. President/ CEO Report a. Industry Issues & Updates Kim Opsahl began her report with a brief update on the RHS Daily Rate. The system is about four weeks into implementation. Documentation standards are still under development but should be forthcoming within the next few weeks. She also noted that as part of its BRQ review process, the Division is looking for support / documentation that the team met to discuss the individual’s unique needs, whether and to what extent the current budget allocation could meet those needs, and why a budget modification was necessary. . Ms. Opsahl then provided an update on the Division’s effort to redesign residential services on the CIH Waiver coined CIH Transform. During September, the Division is hosting statewide town hall meetings to share information and get feedback from providers, families, and self-advocates. The dates for the town hall meetings are available on the CIH Transform web page, locations and additional details should be posted within the week. In regard to the State’s HCBS Transition Plan, efforts are underway to gather information through the Individual Experience Survey. These surveys include about 25 questions taking 10 to 20 minutes to complete. Case managers are responsible for administering the survey, which seeks to better understand not where individuals are living, but how they are living. The process began July 1st and will run through December, with the intent to survey all waiver recipients. In addition, the Division is beginning to update the plan to include how it intends to assess and address day and employment services. Once complete, the updated plan will be available for public comment before it is submitted to CMS for approval. Next, Ms. Opsahl discussed various Supervised Group Living matters. Of particular note, the State is submitting a State Plan Amendment to CMS for approval to implement the 1% rate restoration that was to be effective July 1st. Once the amendment is approved, OMPP will instruct HP to complete a mass adjustment to apply the restoration retroactively back to July 1st. In addition, INARF is working with Bradley Associates CPAs on resolving some common Medicaid Audit Issues. Lastly, the DOL Proposed Overtime Exemption Rule comment period ends on September 4. To date there were 145,000 plus comments with number increasing daily. INARF will be submitting comments and will be sending information to the membership next week to encourage their participation in the process. On the Association front, Ms. Opsahl shared that the State Use Director position is very close to being filled. In addition, INARF recently engaged Jim Van Dyke as a consultant to support workgroup activities, assist with member outreach, and to assist with INARF staff development specific to industry related matters. IV. Waivers Changes – Implications and Considerations Jim Van Dyke and Tracy Mitchell, INARF’s Medicaid Consultant with Bradley Associates CPAs discussed recent and anticipated with the residential services under the CIH Waiver. As part of their remarks, they offered recommendations for members to consider in the need to effectively gather and utilize data and in ways to manage staffing and related support. V. Adjournment INARF Board of Directors I. Call to Order, Welcome and Introductions Patrick Cockrum welcomed attendees and called the meeting to order at 11:00 a.m. Mr. Cockrum recognized Holly Piggott on her last Board meeting thanking her for her service to the Association and wishing her well on her new adventure. II. Modifications to the Agenda There were no modifications to the agenda. III. Approval of Minutes The July 24th minutes were presented and reviewed. MOTION 15:22 Steve Sacksteder moved to approve the July 24, 2015 meeting minutes as presented. Jane Wear seconded and the motion carried. IV. Finance Committee Report a. Review of Financial Statements Debbie Bennett reported that the July financial statements reflect a positive increase in net assets from operations of $13,200 and from unrealized gain on investments of $2,500 for an overall increase of $15,700. MOTION 15:23 Debbie Bennett moved to file the July financials for audit. Steve Cook seconded and the motion carried. Ms. Bennett reported that the Finance Committee met on August 12th, reviewed the due structure and recommend to keep the current due structure unchanged. V. Industry Focused Reports and Discussions a. National Issues Update Ms. Opsahl advised that Katy Stafford-Cunningham participated in the Workgroup responsible for drafting ANCOR’s comments on the DOL Overtime Exemption Rule. INARF will be finalizing their comments and sharing with the membership to encourage broad participation. In addition, Ms. Stafford-Cunningham is working on a meeting with Congressman Todd Rokita’s office to discuss the rule and its impact on INARF members, when she is in Washington DC in late September. As part of the passage of the Workforce Innovation and Opportunity Act, an Advisory Committee was created to provide the U.S. Department of Labor with recommendations for increasing competitive integrated employment for individuals with disabilities. The Committee is chaired by Dr. David Mank, Ph.D. from the Indiana Institute on Disability and Community. Dr. Mank will be presenting an overview of the Committee’s activities and a current status on their efforts to develop recommendations at the September Member Forum. Lastly, CMS is continuing to review state Home and Community Based Services transition plans. To date, none have been approved. CMS has issued approximately Clarification / Modification Need for Initial Approval letters to 23 states, though Indiana was not one of them. b. 2016 Legislative Agenda Preview Ms. Stafford-Cunningham reviewed the draft Governmental Affairs Committee 2016 Proposed Legislative Agenda. The three areas of focus are Systems Changes/ Initiatives, Workforces Issues, and Quality as an Outcome. The Agenda includes the topics of ABLE Act, Early Childhood Services, Tax Credits, Deductions and Exemptions, State Use Law, Long Range Plan for Sustainable Funding, Shared Living, Incentives for Group Home Conversion and Public Safety and Health Care Professional Education. The Committee will review and approve the Agenda in September and seek the Board approval in October. c. Rate Reform 4.0 Update Mr. Cook provided an update on the Rate Reform 4.0 Workgroups activities. Overall, the group remains concerned with the current timeline under which the Division is operating. Based on information received, the Division is using group home data to support establishing rate(s) under a cost-based approach. It appears that residential rates may be more site specific versus individual specific. From a policy perspective, the Division has outlined a policy development process with Public Consulting Group to review key service definitions with reference to each “pathway” (i.e. living with family, living in supported living, individuals with high cost/high needs, or individuals needing drop-in/intermittent support). The Rate Reform 4.0 Workgroup will completing a parallel process to this effort and will provide its feedback to the Division on an on-going basis. VI. Association Focused Reports and Discussion a. Upcoming Events and Activities Nanette Hagedorn presented the Professional Development Calendar to the Board. She reported that 55 member organizations participated in the August 20 Quarterly Professional Interest Section and 38 organizations participated in the August 27 I-Train Conflict Management Webinar. September 16th is the Direct Support Professional Conference with a Senior Manager Track included. The INARF Annual Conference is well underway and the workgroup is looking to apply for more opportunity of CEUs and adding an assistive technology track, which will include an immersion lab. b. Staffing / Organizational Assessment Update Ms. Opsahl reported that an offer has been extended for the State Use Director position, with the hope to announce the new Director at the next Board meeting. Following July’s Board discussion, INARF has engaged Bryan Orander with Charitable Advisors to complete an Organizational Assessment. The purpose for this effort is to reflect on INARF’s current organizational structure and explore additional and future needs in light of the organization’s Strategic Framework and the current and anticipated environment. The cost for the assessment is between $3,500-$4,500, which was not contemplated within the current approved budget. MOTION 15:24 John Niederman moved to accept the Organization Assessment Proposal from Charitable Advisors. Ms. Wear seconded and the motion carried. c. Board Member Vacancy Recommendation Ms. Wear reported that with the exit of Ms. Piggott, the Board will have a vacancy effective August 30. The Board Development Committee met and recommends appointing Jeff Frady, Indiana MENTOR to the vacant position through April 2016, when he will be added to the annual nomination slate. MOTION 15:25 Ms. Wear moved to add Jeff Frady from Indiana MENTOR to the INARF Board of Directors. Mr. Sacksteder seconded and the motion carried Ms. Piggott also served on the Executive Committee. The recommendation is to appoint Rick Adams to the Secretary position through April 2016. MOTION 15:26 Mr. Cook moved to add Rick Adams to the Executive Committee as Secretary. Ms. Piggott seconded and the motion carried. Ms. Opsahl noted that Ann Robertson is taking an extend leave of absence and will return to the INARF Board by the end of the calendar year. VII. Other Business There was no other business. VIII. Adjournment The next INARF Board of Directors meeting will be held on September 25, 2015 starting at 9:30AM at 502 Event Centre in Carmel, IN. Respectfully submitted, Rick Adams, Secretary