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Meeting Materials (PDF) Open in New Window INARF Board of Directors Meeting Friday, September 25, 2015 9:30 AM – 11:00 AM 502 East Event Centre 502 East Carmel Drive Carmel, IN 46032 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. Staffing Update b. Review: Updated Preferred Partner Policy c. Upcoming Events and Activities d. Membership Renewal Overview VI. Industry Focused Reports and Discussion a. Updates: 2016 Legislative Agenda Preview b. VR Employment Services Implementation Update c. Cost-Reporting Concepts Paper VII. Discussion: CIH Transform Update Nicole Norvell, Director, Div. of Disability & Rehabilitative Svcs. VIII. Other Business IX. Adjournment -- The INARF Board of Directors and Member Forum meetings were held on September 25, 2015 at 502 Event Centre, 502 East Carmel Drive, Carmel. The Board of Directors convened at 9:30 AM with the Member Forum meeting immediately afterwards Present: Patrick Cockrum, Sycamore Services, Inc., Chair Steve Sacksteder, Four Rivers Resource Services, Inc., Immediate Past Chair Jim Allbaugh, Carey Services, Inc., Vice Chair Rick Adams, Dungarvin Indiana, LLC, Secretary Debbie Bennett, Hillcroft Services, Inc., Treasurer Jeff Frady, Indiana MENTOR Leslie Green, Stone Belt Arc, Inc. Jason Meyer, Passages, Inc. John Niederman, Pathfinder Services, Inc. Pam Verbarg, Wabash Center, Inc. Jane Wear, Cardinal Services, Inc. Absent: Steve Cook, Benchmark Human Services, Inc. Bettye Dunham, Rauch, Inc. Ann Robertson, IPMG, Inc. Guest: Donna Belusar, ADEC, Inc., Jonathan Burlison, Bridges of Indiana, Inc. Christiaan Campbell, Bridges of Indiana, Inc. Marie Dausch, New Horizons Rehabilitation, Inc. Ellen DeMartinis, Opportunities Enterprises, Inc. Dawn Downer, Chief of Staff, Division of Disability and Rehabilitative Services Jill Dunn, Bona Vista Programs, Inc. Tonia Hassinger, Developmental Services Alternatives, Inc. Melinda Kenney, IPMG Sara Kealy, ADEC, Inc. David Mank, Indiana Institute on Disability & Community Jay Neeam, ResCare, Inc. Nicole Norvell, Director, Division of Disability and Rehabilitative Services Dick Rhoad, Wabash Center, Inc. Jane Ruff, Hopewell Center, Inc. Staff: Kim Opsahl, JD, President/CEO Barb Young, Vice President/CFO Katy Stafford-Cunningham, Vice President - Public Policy Nanette Hagedorn, Director, Membership Engagement Nick Rhoad, Director, Ability Indiana Kim Wasiak, Administrative Assistant/Operations Support Jim Van Dyke, Consultant INARF Board of Directors I. Call to Order, Welcome and Introductions Patrick Cockrum welcomed attendees and called the meeting to order at 9:30 AM. II. Modifications to the Agenda There were no modifications to the agenda. III. Approval of Minutes The August 28th minutes were presented and reviewed. MOTION 15:27 Steve Sacksteder moved to approve the August 28, 2015 meeting minutes as presented. Pam Verbarg seconded and the motion carried. IV. Finance Committee Report a. Review of Financial Statements Debbie Bennett reported that the August financial statements reflect a positive increase in net assets from operations of $33,900 and from unrealized loss on investments of ($49,900) for an overall loss of ($16,059). MOTION 15:28 John Niederman moved to file the August financials for audit. Rick Adams seconded and the motion carried. V. Association Focused Reports and Discussion a. Staffing Update Kim Opsahl began the staffing update by introducing Nick Rhoad as the newly appointed Ability Indiana Director. Mr. Rhoad brings a wealth of experience from his work within state government and through the Indiana Manufacturers Association that should serve the Ability Indiana Program well. Ms. Opsahl also shared that there remains one open staff position for an Ability Indiana Account Executive. The position has been posted and interviewing should begin next month. Ms. Opsahl also provided an update on the Organizational Assessment that is being completed by Bryan Orander with Charitable Advisors. Staff interviews are complete and staff is currently working on contingency plan forms. In addition, Mr. Orander will be interviewing a sample of consultants and board members for additional feedback and insight. b. Review: Updated Preferred Partner Policy Nanette Hagedorn reviewed the recommended changes to the Preferred Partner Policy. The policy’s purpose is to develop value-add exclusive member benefits and non-dues revenue. The Organizational Development Committee has reviewed and approved the policy. MOTION 15:29 Ms. Wear moved to accept the Preferred Partner Policy. Jason Meyer seconded and the motion carried. c. Upcoming Events and Activities Ms. Hagedorn reviewed the INARF Professional Development Calendar at a glance for 2015. Ms. Hagedorn noted that the 2016 Annual Conference sponsor and exhibits registration will be launched on October 1st. d. Membership Renewal Overview Ms. Hagedorn shared that Membership Renewal will launch October 1st. As in previous years, she asked the Board to assist by reaching out to other members to encourage them to renew and to identify any potential issues and/or concerns. Lastly, she shared that the annual satisfaction survey process is changing. In order to reach a broader audience and solicit greater feedback, a single question membership satisfaction survey will be sent to all member agency staff in October. The single question format should solicit feedback on ways INARF can improve in meeting member needs. VI. Industry Focused Reports and Discussions a. Updates: 2016 Legislative Agenda Preview Katy Stafford-Cunningham reviewed recent changes to the 2016 Legislative Agenda since the last meeting. The Governmental Affairs Committee will be finalizing the agenda in preparation for the Board’s final review and approval next month. The main changes to the agenda were adding potential bill authors to each legislative item. In addition, Ms. Stafford-Cunningham noted that the Long-Range Plan for Sustainable Funding recommendation has been converted to a workgroup. b. VR Employment Services Implementation Update Ms. Opsahl provided an update on the Vocational Rehabilitation (VR Rate Reform workgroup’s recent meeting with the Bureau of Rehabilitation Services regarding implementation of the VR Employment Services Implementation. The workgroup addressed concerns relative to authorizations, the Hourly Billing and Mileage Worksheet, and differentiating between Work Experience assessments and the need for internships. As a result of the meeting, it is anticipated that VR will issue clarification on the Hourly Billing and Mileage Worksheet. In addition, INARF is gathering data on the fiscal impact given the concerns identified through the Workgroup’s discussion. c. Cost-Reporting Concepts Paper The Rate Reform 4.0 Workgroup has developed an issue brief regarding the Division’s intention to create a cost-based waiver reimbursement approach for residential services under the waiver. As part of the Issue Brief, the Workgroup recommends that the Association refrain from taking a position on the approach, until more information is available. However, knowing the state’s current timetable for this effort, the Workgroup included various characteristics that should be considered in any cost-based approach. These recommendations are intended to support and preserve member interests, while remaining neutral on the overall concept. After Governmental Affairs Committee reviews and approves the concept paper it will come before the Board for approval. VII. Discussion: CIH Transform Update Ms. Opsahl welcomed Nicole Norvell and Dawn Downer from the Division of Disability and Rehabilitative Services to the meeting. Ms. Norvell updated the Board on activities related to reshaping residential services under the Community Integration and Habilitation Waiver. As part of this update, Ms. Downer shared information on the Division’s work with Myers & Stauffer to use current group home cost report data to serve as the basis for an initial cost based system. Components under consideration include direct support staff, QDDP, nursing, nutrition/dietitian and behavior. Following this update, Ms. Norvell invited INARF to meet with the Division and Myers & Stauffer for more in depth conversation on efforts to date and next steps. VIII. Other Business There was no other business. IX. Adjournment 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 member Adaptive Community Support Services. III. Update: Advisory Committee on Increasing Competitive Integrated Employment for Individuals with Disabilities Mr. Cockrum welcomed David Mank, Ph.D, Director, Indiana Institute on Disability & Community. Dr. Mank provided an update on the work of the Advisory Committee on Increasing Competitive Integrated Employment for Individuals with Disabilities. Dr. Mank serves as chair of the Committee and shared information on the Committee’s charge and current work on developing recommendations. During his presentation, Dr. Mank discussed CMS’ recent guidance providing greater flexibilities in using Waivers to pay for employment supports. This release of this guidance correspondence with the recent settlement agreement reached between the U.S. Department of Justice and the State of Oregon, which relies on some of these flexibilities. IV. President/ CEO Report a. Industry Issues & Updates Ms. Opsahl began her report by introducing Nick Rhoad as the newly appointed Ability Indiana Director. Mr. Rhoad brings a wealth of experience from his work within state government and through the Indiana Manufacturers Association that should serve the Ability Indiana Program well. Ms. Opsahl next provided updates on the Division of Disability and Rehabilitative Services CIH Transform effort. Earlier this month, the Division hosted town hall meetings across the state. Approximately, 100 families participated in the family session. Also, as part of CIH Transform, the Division is updating and revising service definitions to be more aligned with redesign efforts. INARF’s Rate Reform Workgroup will have the opportunity to review and comment on these updates, as they are drafted. In terms of the CMS HCBS Settings Rule transition, the Division recently published the first edition of a quarterly newsletter that will provide brief updates on transition activities. Also, it appears approximately 1,900 Individual Experience Surveys have been completed as of August 21st. The Division anticipates completing 16,000 additional surveys by year end. Recently, the Division published Daily Rate documentation standards, as well as guidance clarifying the Budget Request Questionnaire (BRQ) process. As anticipated, the guidance emphasizes team collaboration before submitting a BRQ. In addition, the Division clarified it will no longer accept and review BRQs to support services that occurred prior to the date of the BRQ submission The State Plan Amendment to implement the 1% rate restoration for the Supervised Group Living program has been submitted. Once approved, the Office of Medicaid Policy and Planning will complete a mass adjustment to apply the restoration retroactively to July 1st. INARF recently sent out a Fiscal Impact survey to assess the impact of the new Employment Services Model on members. Members providing VR services are encouraged to complete the survey to ensure an accurate reflection of the impact. In addition, VR will be issuing a memo clarifying information needed for hourly billing and mileage. Lastly, the Division has contracted with the Lewin Group to explore obstacles to moving individuals from nursing facilities and into community placement. Part of this effort will include community focus groups to be hosted around the state. V. Adjournment The next INARF Board of Directors meeting will be held on Friday October 23 beginning at 11AM after the INARF Member Forum which starts at 10 AM at Easter Seals Crossroads in Indianapolis. Respectfully submitted, Rick Adams, Secretary